Neuromuscular scoliosis (NMS) is the second most common spinal deformity following idiopathic scoliosis. The two common causes of the NMS is cerebral palsy (CP) and duchenne muscular distrophy (DMD) respectively. Progressive spinal deformity leads to difficultes of daily care, walking and sitting. If the deformity is more than 40-50 degrees, surgical correction and stabilization must be evaluated. In the current literature there is no consensus on the surgical approaches (combined anterior-posterior or posterior-only). Most important tasks for patients are, assuring the function, providing easy daily care, ensuring adequate pain relief. Directing patient to a advanced spine center in an early aspect is mandatory to provide early and multidisciplinary management.