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All procedures were performed as part of routine clinical care. Formal prospective research ethics committee approval was not required under the institutional ethics committee policy for this category of report. All procedures were conducted in accordance with the ethical standards of the institutional committee and the 1964 Declaration of Helsinki and its later amendments.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed consent was obtained from patients and\/or their legal guardians for surgical treatment and for the use of de-identified clinical information and images for academic and educational purposes.","order":2,"name":"Ethics","label":"Consent to participate\/for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no conflicts of interest relevant to this work.","order":3,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Portions of this work were submitted in abstract form at YNFCON Mumbai 2026 (Abstract No.\u00a0ABS-0087, \u201cBuilding a Comprehensive Spasticity Surgery Program: Capacity Creation, Multidisciplinary Integration, and Early Outcomes,\u201d Free Paper\/Podium category) and at the 52nd Annual Meeting of the International Society for Pediatric Neurosurgery (ISPN 2026), Cairo, Egypt, October 7\u201311, 2026 (Abstract #278, \u201cBuilding a Pediatric Spasticity Surgery Program in a Resource-Constrained Setting: Capacity Creation, Multidisciplinary Integration, and Early Outcomes\u201d).","order":4,"name":"Ethics","label":"Disclosure","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"338"}}