The results of the operative treatment of scoliosis in 12 patients with MMC and in two patients with associated severe kyphosis are presented. In scoliosis only multi-segmental methods combined with ventral procedures allow a postoperative care without brace or cast. The angle before and after operation with the CDI or CDI/VDS procedures averaged 80.3-degrees and 38.2-degrees respectively (mean corrections of 41.5-degrees and 51.6%). The results show that patients with scoliosis with MMC had a approximately 30% greater preoperative angle than patients with idiopathic scoliosis. An early operation (in progressive curves with more than 30-degrees) may reduce the number and severity of complications.