Recently the development of respiratory management and powered wheelchair improve the prognosis and the quality of life of the patients with muscular dystrophy. Following this improvement, the importance of management of scoliosis is enlarged. The aim of study is to elucidate the surgical outcome of scoliosis with muscular dystrophy.

 Eight patients with muscular dystrophy was retrospectively studied. Fukuyama type is three patients, congenital, Duchenn type were each two patients and limb girdle type was one. Cobb angle, lumbar lordosis, hospital stay or ICU, and postoperative complication were investigated.

 The preoperative cobb angle of scoliosis and lumbar lordosis was mean 85.8 ± 12.7 degree and 7.9 ± 43.2 degree, respectively. Surgical duration was 473.1 ± 60.7 minutes and intraoperative bleeding was 2980.1 ± 2070.0g. The mean hospitalization was 34.1 ± 9.7 days. And the mean stay of ICU and the duration of respiratory management were 4.0 ± 2.3 and 2.1 ± 2.7, respectively. The postoperative cobb angle of scoliosis and LL was mean 41.3 ± 15.2 degree and 30.5 ± 17.3 degree, respectively. SS was mean 37.3 ± 19.3 degree. Correction rate was 51.6 ± 17.5%. Every patient was improved their sitting balance, they felt the improvement of dietary, respiration and bowel motion. Whereas, 5 patients had surgical complications, 1 patient; intraoperative massive bleeding, 2 patients; pneumonia and massive hematemesis, 1 patient; adynamic ileus and suture leakage. Three patients who had received excessive correction of SS represented knee contracture after scoliosis surgery.

 Surgery of scoliosis with muscular dystrophy was highly invasive and highly effective to maintain the ADL and QOL. Excessive correction of pelvic retroversion may lead the deterioration of knee contracture.