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BGD reports the following: receives consulting fees from Medtronic and Spineart; CEO and shareholder at Spinal Alignment Solutions. AHD discloses the following, receives royalties from Spineart and Stryker, consulting fees from Medtronic, research support from Alphatec, Medtronic, and Orthofix, and Fellowship support from Medtronic.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was exempt from Institutional Review Board (IRB) approval because data was de-identified and made publicly available by an Institutional Data Use and Registration Agreement.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study used de-identified, publicly available data. All of Us participants provided consent before health providers and partner institutions transferred electronic medical record data to the dataset. The health information that participants shared with All of Us went into a secure database.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}