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Noelle Larson is a consultant for ZimVie, Orthopediatrics, DePuy Synthes, Medtronic, and Pacira with all funds directed to Mayo Clinic. A. Noelle Larson and Mayo Clinic receive royalties from Globus. Dr. Milbrandt is a consultant to Medtronic with all funds directed to Mayo Clinic. Mayo Clinic has received research funding from Orthopediatrics and Medtronic. Dr. Albert is a consultant for Orthopediatrics and receives royalties from OrthoPediatrics. Dr. El-Hawary has received grants\/research support from Depuy Synthes, Medtronic, Orthopediatrics, and ZimVie. Dr El-Hawary is a consultant for Depuy Synthes, Medtronic, and Orthopediatrics. Dr El-Hawary is a shareholder for Orthopediatrics, and is on the advisory board or panel for Orthopediatrics, Scoliosis Research Society, and Pediatric Spine Foundation. Dr. Haft is a consultant for Orthopediatrics. Sanford Health has received research funding from Orthopediatrics. For the remaining authors no conflicts of interest were declared.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Institutional ethics approval was obtained for this study. Patients and legal guardians prospectively consented to participate in the registry study (IRB 20-002525 and 14-004866).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}