Malik AT, et al. - The 2012–2016 American College of Surgeons – National Surgical Quality Improvement database was investigated and 1291 patients who were undergoing posterior spinal fusion for neuromuscular scoliosis only were included to evaluate the influence of differing severity of BMI on 30-day outcomes after posterior spinal fusions in neuromuscular scoliosis. A total of 695, 286, 145, and 165 were normal weight, underweight, overweight, and obese, respectively. Obese patients in comparison with normal-weight patients were at a significantly greater risk of surgical site infections, wound dehiscence, urinary tract infections, and 30-day readmissions. Of note, overweight vs normal-weight individuals had greater odds of cardiopulmonary complications. There were no important correlations for differing BMI and other 30-day outcomes. In conclusion, greater odds of encountering adverse outcomes, especially surgical site infections, urinary tract infections, and readmissions are seen in obese neuromuscular patients undergoing posterior spinal fusions. Providers should support prevention approaches, like dietary change and/or early physical activity in these high-risk patients to reduce the risks of encountering complications in the acute postoperative period.