Surgical management of scoliosis in Neurofibromatosis type I may be challenging at times especially when dealing with dystrophic curves. We highlight the importance of meticulous study of the radiological imaging and careful pre-operative planning in a patient with dystrophic scoliosis. Key Words: neurofibromatosis scoliosis; dystrophic curve; rib-head excision

The AVF outcomes in terms of primary failure, patency and complication rates were significantly improved after introduction of multi-disciplinary care approach and pre-operative sonographic vascular mapping. These initiatives should be carried on and widely promoted in various hospitals with hemodialysis facilities.