Adelynn has severe spastic quadriplegic cerebral and is full time in a wheelchair. She required a kidney transplant at the age of 5 secondary to end stage renal disease. Despite her medical limitations she lived life to the fullest and was included in all family activities. However, she developed rapidly progressive neuromuscular scoliosis which was significantly impacting her quality of life and ability to sit in a wheelchair. She was in constant pain. The family had sought numerous opinions in regards to her spine, however given her complex medical history she was deemed not be a candidate for surgical intervention.