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Author SAS reports grants from the Setting Scoliosis Straight Foundation, during the conduct of the study and personal fees from DePuy Synthes Spine, outside the submitted work. Author KN reports personal fees from OrthoPediatrics, outside the submitted work. Author BSL reports grants from Grant from DePuy Synthes to Setting Scoliosis Straight Foundation in Support of Harms Study Group, personal fees and non-financial support from Depuy Synthes, personal fees from Zimmer Biomet, personal fees and non-financial support from ApiFix, other from Spine Search, other from Paradigm Spine, other from SRS Spine Deformity Journal, outside the submitted work. Author ANL reports other from Depuy, Globus, Orthopediatrics, Medtronic, outside the submitted work. Author BY reports grants from Setting Scoliosis Straight, during the conduct of the study and grants and personal fees from Stryker, grants and personal fees from Depuy Synthes, personal fees from Nuvasive, personal fees from Medtronic, personal fees from Biogen, personal fees from Orthopediatrics, personal fees from Globus, outside the submitted work. Author PON reports grants from Setting Scoliosis Straight Foundation, during the conduct of the study; grants and other from Setting Scoliosis Straight Foundation, other from Rady Children's Specialists of San Diego; grants, personal fees and non-financial support from DePuy Synthes Spine; grants and other from Scoliosis Research Society; grants from EOS imaging; personal fees from Thieme Publishing, grants from NuVasive; other from Electrocore; other from International Pediatric Orthopedic Think Tank; grants, non-financial support and other from Orthopediatrics; grants, personal fees, and non-financial support from Stryker K2M; grants and non-financial support from Alphatech; grants from Mazor Robotics; personal fees from Pacira; personal fees from Globus Medical; personal fees from Medtronic, outside the submitted work. In addition, Dr. Newton has a patent \u201cAnchoring Systems and Methods for Correcting Spinal Deformities\u201d (8540754) with royalties paid to DePuy Synthes Spine, a patent \u201cLow Profile Spinal Tethering Systems\u201d (8123749) licensed to DePuy Spine, Inc., a patent \u201cPosterior Spinal Fixation\u201d licensed to Stryker\/K2M, and a patent \u201cPosterior Cervical Fixation\u201d with royalties paid to Stryker\/K2M. Author DGH has a patent regarding tethering pending. Author HNFSG reports grants from Setting Scoliosis Straight Foundation, during the conduct of the study: SSSF receives funding from DePuy Synthes Spine, EOS imaging, K2M, Medtronic, NuVasive, Zimmer Biomet and the FDA in support of Harms Non-Fusion Study Group research; grants and other from Setting Scoliosis Straight Foundation: SSSF received educational grants from Orthopediatrics, Mazor Robotics, Stryker, Ellipse, Globus & SpineGuard, to support Setting Scoliosis Straight educational activities.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Approval was obtained from the Nemours Institutional Review Board. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}