Severe neurofibromatosis kyphoscoliosis in a Jehovah's Witness. Anterior and posterior spine fusion without blood transfusion.

A case is presented of a 22-year-old female Jehovah's Witness with severe kyphoscoliosis, who was successfully treated surgically by carefully staged posterior and anterior spine fusions completed with the use of intraoperative hemodilation techniques. Three spinal procedures were carried out at intervals, and no blood transfusion was given at any of them.