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Kim, BS: None. Richard Hostin, MD: None. Samrat Yeramaneni, MBBS, PhD: None. Jeffrey L. Gum, MD: Consultant: Acuity, Depuy, Medtronic, NuVasive, Stryker, FYR Medical, Expanding Innovations; Royalties: Acuity, Medtronic, NuVasive; Honorarium: Broadwater, NASS; Advisory Board: Medtronic, National Spine Health Foundation, FYR Medical; Journal Reviewer: The Spine Journal, Spine Deformity, Global Spine Journal; Research Support: Alan L. & Jacqueline B. Stuart Spine Center, Biom\u2019Up, Cerapedics, Inc., Empirical Spine, Inc. Medtronic, National Spine Health Foundation, Scoliosis Research Society, Stryker, The International Spine Study Group; Speaking: KyANA; Stock: Cingulate Therapeutics, FYR Medical; Shared Patents: Medtronic; Grants: Fischer Owen Fund \u2013 Travel Funds. Pratibha Nayak, PhD: None. Breton G. Line, BSME: None. Shay Bess, MD: Research support for this study includes Nuvasive, k2m Stryker, DePuySynthes, and International Spine Study Group Foundation. Peter G. Passias, MD: Medtronic advisory board, Globus design team, Cerapedics advisory board.D. Kojo Hamilton, MD: None. Munish Gupta, MD: Consulting: DePuy (Medical Device Services Inc.); Medtronic; Globus; SMAIO; Alphatec, began and ended 2019; Royalties: DePuy (ended 2021), Innomed, Globus (to begin 2024); Travel: DePuy (Medical Device Services Inc.); Medtronic; Alphatec, 2019; Medicrea, 2019; Mizuho, 2019; SRS; AO Spine; Globus; Zimmer, 2022; SMAIO, 2023; Broadwater; Stock\/Stock options: J&J; P&G (sold 2020); SMAIO; Boards of Directors: Scoliosis Research Society, Twentieth Century Orthopedic Association; Grants: AO Spine; OMeGA paid to the institution for fellowship; Advisory: DePuy; Honorarium: AO Spine, 2020; LSU Grand Rounds, 2020, Wright State, 2021; Malaysia Spine Society, 2021; SMAIO, 2024; Voluntary: National Health Spine Foundation Scientific Advisory. Justin S. Smith, MD, PhD: Consulting: Medtronic, SeaSpine, ZimVie, Cerapedics, Carlsmed, DePuy Synthes; Royalties: ZimVie, Thieme, NuVasive; Research grant support: DePuy Synthes\/ISSG, AOSpine; Fellowship grant support: SeaSpine, NREF, AOSpine. Renaud Lafage, MS: Consultant for Carlsmed. Bassel Diebo, MD: Consultant for Clariance, SpineVision, Spineart. Virginie Lafage, PhD: Consultant: Globus Medical, Alphatec Spine; Stock\/Shareholder (self-managed); Speaker\u2019s Bureau; DePuy Synthes, Stryker Spine; Advisory Board, ISSG; Other Financial or Material Support (royalties, patents, etc.): NuVasive. Eric O. Klineberg, MD: Consultant for DePuy Synthes, Stryker Spine, Medtronic, Relatable, SeaSpine, SI Bone, and Agnovos; receives royalties from Stryker Spine; is a speaker for AONA Spine; has stock ownership in MMI; is Chair - Board of Directors for IMAST and AONA Spine; is on the Board of Directors of SRS; has Endowments from UTHealth Houston (paid to institution), Fellowship support grant (paid to previous institution) from AONA Spine; and Fellowship support (paid to previous institution) from Medtronic. Alan Daniels, MD: Grants\/Research Support: Orthofix, Spineart; Consultant: Orthofix, Medtronic, Stryker Spine, Spineart; Other Financial or Material Support (royalties, patents, etc.): Stryker Spine. Themistocles S.\u00a0Protopsaltis, MD: Grants\/Research Support: Medtronic, 3Spine; Consultant: Globus Medical, NuVasive, Stryker Spine, Medtronic; Other Financial or Material Support (royalties, patents, etc.): Altus, one point Surgical, Medtronic, 3Spine. Frank J. Schwab, MD: Consultant: Zimmer Biomet, Medtronic; Mainstay Medical; Stock\/Shareholder (self-managed): VFT Solutions, Sea Spine; Advisory Board: ISSG; Other Financial or Material Support (royalties, patents, etc.): Stryker Spine, Zimmer Biomet, Medtronic. Christopher I. Shaffrey, MD: Consulting and royalties: NuVasive, SI Bone; consulting: Medtronic, Proprio. Christopher P. Ames, MD: None. Douglas Burton, MD: Grants\/Research Support: DePuy Synthes; Consultant: DePuy Synthes, Globus, Blue Ocean; Stock\/Shareholder (self-managed): Progenerative Medical; Other Financial or Material Support (royalties, patents, etc.): DePuy Synthes, Globus, Blue Ocean. Khaled M. Kebaish, MD: Consultant: DePuy Synthes. Royalties from Depuy Synthes, Stryker, Orthofix, and SpineCraft. ISSG: Grants\/Research Support from DePuy Synthes, Stryker Spine, Medtronic, Globus Medical, NuVasive, SI Bone, Carlsmed, SeaSpine.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Institutional review board approval was obtained at each institution.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical review statement"}}]}}