Journal articleJ Pediatr Orthop B · September 1, 2026
This study compares the outcomes of tension-band plates (TBP) correction of angular deformities in patients with Hurler and Morquoio syndromes mucopolysaccharidoses (MPS) to those with idiopathic etiologies. A retrospective analysis of patients aged less t ...
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Journal articleSpine Deform · July 2026
PURPOSE: Severe spinal curvature in early onset scoliosis (EOS) impairs pulmonary development and function. The treatment requires imaging to assess spine growth and pulmonary function. The purposes of this study were to determine if radiographic sagittal ...
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Journal articleSpine (Phila Pa 1976) · June 2, 2026
STUDY DESIGN: Qualitative study. OBJECTIVE: To explore the role of psychological wellbeing in the postoperative recovery experience of adolescents undergoing posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS), using a framework informe ...
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Journal articleSpine Deform · May 7, 2026
PURPOSE: While opioids are commonly prescribed for postoperative pain management, their use is recommended with caution in pediatric populations. In adult populations, patient sex has been identified as a predictor for increased opioid use, and understandi ...
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Journal articleBMJ Case Rep · April 20, 2026
Atlantoaxial rotatory subluxation (AARS) represents a significant cause of acute torticollis in children involving rotational displacement of C1 on C2. Unlike common idiopathic torticollis, AARS represents a true subluxation that frequently necessitates re ...
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Journal articleSpine (Phila Pa 1976) · April 8, 2026
STUDY DESIGN: Prospective. OBJECTIVE: To evaluate the construct validity of PROMIS Positive Affect (PA), Life Satisfaction (LS), and Meaning & Purpose (MP) measures compared to the SRS-22 in AIS patients and determine whether these measures capture distinc ...
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Journal articleJ Pediatr Orthop · April 1, 2026
BACKGROUND: The prevalence of social risk factors in pediatric orthopaedics is underexplored, despite this population's unique vulnerabilities. This study aimed to quantify the prevalence of 5 key social risks, including food insecurity and transportation ...
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Journal articleSpine Deform · March 2026
INTRODUCTION: Prior to surgical intervention for adolescent idiopathic scoliosis (AIS), patients with mild-to-moderate deformity and skeletal growth remaining can be treated conservatively after referral to specialists. Healthcare access may influence scre ...
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Journal articleJ Pediatr Soc North Am · February 2026
BACKGROUND: Patient portals are an increasingly common tool for patient-provider communication not only improving access for patients but also creating a significant workload for providers. However, their utilization in pediatric orthopaedics remains uncle ...
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Journal articleJ Pediatr Soc North Am · February 2026
UNLABELLED: Enabling technologies (ETs) have increasingly been developed and used in pediatric spine surgery over the past two decades, sparking ongoing discussion about their benefits and drawbacks. Relevant literature indicates that ETs can enhance pedic ...
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Journal articleJ Bone Joint Surg Am · November 19, 2025
BACKGROUND: Infection and nonunion are common sequelae of open fractures. Studies have shown infection and nonunion rates ranging from 2% to 52% and 12% to 17%, respectively. The present article describes the rates of surgical site infection (SSI) and dela ...
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Journal articleJ Pediatr Orthop · September 1, 2025
INTRODUCTION: Magnetically controlled growing rods (MCGRs) have become the current standard in the growth-friendly treatment of patients with early-onset scoliosis (EOS). MCGRs allow noninvasive lengthenings with external lengthening device and reduce the ...
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Journal articleJ Pediatr Orthop · August 1, 2025
BACKGROUND: Untreated early-onset scoliosis (EOS) is often complicated by decreased thoracic expansion growth and pulmonary complications. Various fusion-less techniques have been developed to address these complications, including growing rods and vertica ...
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Journal articleJ Pediatr Orthop · April 1, 2025
BACKGROUND: Prune belly syndrome (PBS) is a rare condition characterized by absence of abdominal musculature, cryptorchidism, and obstructive uropathy. The most common orthopaedic problem is scoliosis, yet no reports on growth-friendly surgical treatment o ...
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Journal articleBJR Artif Intell · January 2025
OBJECTIVES: Scoliosis, a prevalent condition characterized by abnormal spinal curvature leading to deformity, requires precise assessment methods for effective diagnosis and management. The Cobb angle is a widely used scoliosis quantification method that m ...
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Journal articleAm J Med Genet A · November 2024
Although next-generation sequencing has enabled diagnoses for many patients with Mendelian disorders, the majority remain undiagnosed. Here, we present a sibling pair who were clinically diagnosed with Escobar syndrome, however targeted gene testing was ne ...
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Journal articleJournal of Clinical Medicine · August 1, 2024
Despite many surgical advances in the treatment of early onset scoliosis (EOS) over the past two decades, this condition remains a challenge to address. While otherwise healthy children can have EOS, many of these patients have complicated comorbidities ma ...
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Journal articleSpine Deform · September 2023
PURPOSE: Prior research has demonstrated the influence of preoperative shoulder elevation (SE), proximal thoracic curve magnitude, and upper instrumented vertebra (UIV) on shoulder balance after PSF for AIS. Our purpose was to evaluate the impact of these ...
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Journal articleSpine Deform · May 2023
BACKGROUND: Clinically significant proximal junctional kyphosis (PJK) occurs in 20% of children with scoliosis treated with posterior distraction-based growth-friendly surgery. In an effort to identify modifiable risk factors, it has been theorized biomech ...
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Journal articleJ Bone Joint Surg Am · December 21, 2022
BACKGROUND: The "law of diminishing returns" is described for traditional growing rods. Magnetically controlled growing rods (MCGRs) have become a preferred implant for the surgical treatment of early-onset scoliosis (EOS). We examined a large cohort of pa ...
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Journal articleSpine Deform · July 2022
PURPOSE: Operative and postoperative management of early onset scoliosis (EOS) patients with programmable implanted devices has not been well characterized in the literature. The aim of this study was to describe current practices for pediatric spine surge ...
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Journal articleSpine Deform · July 2022
PURPOSE: Vertebral body tethering (VBT) continues to grow in interest from both a patient and surgeon perspective for the treatment of scoliosis. However, the data are limited when it comes to surgeon selection of both procedure type and instrumented level ...
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Journal articleSpine Deform · May 2022
PURPOSE: To compare the outcomes of anterior Vertebral Body Tethering (AVBT) surgery between overweight and non-overweight patients. METHODS: AIS/JIS patients with AVBT with 2-year follow-up from a multi-center pediatric spine database were evaluated pre-o ...
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Journal articleJ Pediatr Orthop · February 1, 2022
BACKGROUND: The purpose of this study was to utilize a multicenter, multisurgeon cohort to assess the effect of surgeon experience on outcomes of growth friendly instrumentation (GFI) in early onset scoliosis (EOS). We hypothesized that unplanned return to ...
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Journal articleJ Pediatr Orthop · October 1, 2021
BACKGROUND: Congenital myopathies (CMs) are complex conditions often associated with early-onset scoliosis (EOS). The purpose of this study was to investigate radiographic outcomes in CM patients undergoing EOS instrumentation as well as complications. Sec ...
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Journal articleGlobal Spine J · September 2021
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STUDY DESIGN: Retrospective study. OBJECTIVE: Previous studies have demonstrated that increased implant density (ID) results in improved coronal deformity correction. However, low-density constructs with strategically placed fixation points may achieve sim ...
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Journal articleSpine Deform · September 2021
PURPOSE: To describe the clinical and radiographic profile of early-onset scoliosis (EOS) patients treated with traditional growing rods (TGR) during the magnetically-controlled growing rod (MCGR) era. METHODS: A US multicenter EOS database was reviewed to ...
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Journal articleUltrasound Med Biol · August 2021
This study investigates the ability of low-intensity pulsed ultrasound (LIPUS) or direct injection of recombinant growth hormone (rGH) to stimulate local growth of long bones. In a randomized controlled animal trial, healthy immature rabbits were allocated ...
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Journal articleJ Neurosurg Pediatr · April 1, 2021
OBJECTIVE: Patients with shunted hydrocephalus often accumulate high levels of radiation over their lifetimes during evaluation of hardware integrity. Current practice involves the use of a series of conventional radiographs for this purpose. Newer low-dos ...
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Journal articleJ Bone Joint Surg Am · March 17, 2021
BACKGROUND: Risk stratification of individual patients who are prone to infection would allow surgeons to monitor high-risk patients more closely and intervene early when needed. This could reduce infection-related consequences such as increased health-car ...
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Journal articleEur Spine J · March 2021
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PURPOSE: Patients with spinal muscular atrophy (SMA) are often treated with growth friendly devices such as vertical expandable prosthetic titanium rib(VEPTR) and magnetically controlled growing rods(MCGR) to correct spinal deformity and improve pulmonary ...
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Journal articleJ Pediatr Orthop · March 1, 2021
BACKGROUND: There are few reports on the surgical management of early-onset scoliosis (EOS) associated with Marfan syndrome (MFS). Affected patients tend to have more rapid curve progression than those with idiopathic EOS, and their course is further compl ...
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Journal articleJ Pediatr Orthop · March 1, 2021
BACKGROUND: Congenital cervical scoliosis is rare, and there is a paucity of literature describing surgical outcomes. We report surgical outcomes in a 17-patient cohort with surgical correction for congenital cervical scoliosis and identify risk factors as ...
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Journal articleJ Am Acad Orthop Surg Glob Res Rev · December 8, 2020
INTRODUCTION: Open fractures are associated with a high risk of infection. The prevention of infection is the single most important goal, influencing perioperative care of patients with open fractures. Using data from 2,500 participants with open fracture ...
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Journal articleSpine Deform · December 2020
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STUDY DESIGN: Retrospective cohort study. OBJECTIVES: To investigate radiographic sagittal and spinopelvic parameters of patients with adolescent idiopathic scoliosis (AIS) treated with bracing and assess differences among those treated successfully and un ...
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Journal articleInt J Spine Surg · June 2020
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INTRODUCTION: As minimally invasive spine surgery gains popularity, a focused effort must be made to reduce intraoperative radiation exposure to levels as low as reasonably achievable. Here, we demonstrate the clinical efficacy of a novel technology to aid ...
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Journal articleJ Am Acad Orthop Surg · January 1, 2020
Pediatric proximal femur fractures are high-energy injuries with predictable and morbid complications. Osteonecrosis of the femoral head is the most common complication with identified risk factors including fracture type, patient's age, degree of displace ...
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Journal articleAsian Spine J · December 2019
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STUDY DESIGN: Retrospective study. PURPOSE: The objective of this study was to compare percent correction between apical and periapical pedicle screw (PS) and sublaminar wire constructs for Cobb correction and coronal balance correction. OVERVIEW OF LITERA ...
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Journal articleJ Pediatr Orthop · August 2019
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BACKGROUND: The aims of this study were to characterize the spinal deformity of patients with Escobar syndrome, describe results of growth-friendly treatments, and compare these results with those of an idiopathic early-onset scoliosis (EOS) cohort to dete ...
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Journal articleJ Pediatr Orthop · 2019
BACKGROUND: Blount disease is a disorder of the posteromedial proximal tibial physis which causes a progressive varus, procurvatum, and internal rotation deformity of the tibia. Untreated, it can cause significant limb malalignment. The goal of this study ...
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Journal articlePediatrics · October 2018
Orthopedic care is an important aspect of the overall management of patients with Duchenne muscular dystrophy (DMD). In addition to progressive muscle weakness and loss of function, patients may develop joint contractures, scoliosis, and osteoporosis, caus ...
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Journal articleAm J Hum Genet · August 2, 2018
Interferon regulatory factor 2 binding protein-like (IRF2BPL) encodes a member of the IRF2BP family of transcriptional regulators. Currently the biological function of this gene is obscure, and the gene has not been associated with a Mendelian disease. Her ...
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Journal articleJournal of Orthopaedics · June 1, 2018
Pediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The Delbet classification is used when describing these injuries, and associates fracture type to the development of avascular necrosis. Historically, casting was utili ...
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Journal articleBMC Musculoskelet Disord · April 20, 2018
BACKGROUND: The objective of this analysis is to evaluate the necessity of large clinical trials using FLOW trial data. METHODS: The FLOW pilot study and definitive trial were factorial trials evaluating the effect of different irrigation solutions and pre ...
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Journal articleGenet Med · April 2018
PurposeTo describe examples of missed pathogenic variants on whole-exome sequencing (WES) and the importance of deep phenotyping for further diagnostic testing.MethodsGuided by phenotypic information, three children with negative WES underwent targeted sin ...
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Journal articlePaediatr Anaesth · April 2018
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INTRODUCTION: Surgical correction of pediatric scoliosis is associated with significant blood loss. Minimizing estimated blood loss and blood transfusion is beneficial as transfusions have been associated with increased morbidity, including risk of surgica ...
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Journal articleOrthopedics · June 2015
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Scoliosis is a common deformity in neuromuscular disorders. This spinal deformity usually presents at an early age, rapidly progresses during growth, and continues to progress even after skeletal maturity. Neuromuscular scoliosis classically involves the e ...
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Journal articleJ Clin Neurosci · October 2013
Harrington rods have been successfully implanted in thousands of patients for the correction of scoliotic deformity since the 1950s. An exceedingly rare complication of Harrington rod placement is loosening with resultant migration. The authors present a 5 ...
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Journal articleClin Orthop Relat Res · July 2013
BACKGROUND: Avascular necrosis (AVN) of the femoral head is a potential complication in patients with slipped capital femoral epiphysis (SCFE), radiographically occurring in 3-60%. This may lead to early hip fusion or hip arthroplasty. Free vascularized fi ...
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Journal articleJ Pediatr Orthop · June 2013
BACKGROUND: Structural bone grafting serves an important and necessary role during pediatric foot reconstruction. Different bone grafts have been used for such reconstructions including corticocancellous autografts, allografts, and synthetic grafts. Bovine ...
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Journal articleJ Child Orthop · March 2013
PURPOSE: Children undergoing chemotherapeutic treatment of malignancies have up to a 9 % incidence of osteonecrosis. The purpose of this article is to determine the time from initiation of chemotherapy to the onset of symptoms and the diagnosis of osteonec ...
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Journal articleSpine (Phila Pa 1976) · January 15, 2013
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STUDY DESIGN: Multicenter; review of prospectively collected data. OBJECTIVE: To determine the risks and potential benefits of nonselective versus selective fusion in a matched set of patients with Lenke 5 curves. SUMMARY OF BACKGROUND DATA: The Lenke clas ...
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Journal articleJ Surg Orthop Adv · 2013
Ring external fixators such as the Ilizarov external fixator (IEF) and Taylor Spatial Frame (TSF) have revolutionized management of limb deformity. This study examines radiographic outcomes for treatment of malunions and nonunions with secondary emphasis o ...
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Journal articleJ Foot Ankle Surg · 2012
Pain isolated to the lateral aspect of the heel can be difficult to diagnose, particularly in the growing child. Peroneal tendinopathy or frank tears of the peroneal tendons secondary to an enlarged peroneal tubercle has been implicated as a potential sour ...
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Journal articleJ Clin Densitom · 2006
Little is known about the long-term effects of a course of pamidronate treatment on bone mineral density (BMD) of children with spastic quadriplegic cerebral palsy (SQCP). Nine patients with SQCP who had low bone density and/or history of previous fracture ...
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Journal articleJ Pediatr · November 2005
Serum prealbumin concentration (PALB) and albumin concentration (ALB) were evaluated as markers of undernutrition in 107 children with cerebral palsy (CP) age 2 to 18 years. PALB and ALB were rarely below the normal reference ranges and showed little to no ...
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Journal articleAm J Respir Crit Care Med · January 1, 2004
As adults with cystic fibrosis (CF) have enjoyed incremental increases in longevity over the last few decades, they have also been suffering from low bone density and its clinical manifestations, fractures and kyphosis. We conducted a placebo-controlled, r ...
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Journal articleOsteoporos Int · June 2003
Osteoporosis is a well-defined health risk in cystic fibrosis (CF) patients due to many factors. Vitamin D insufficiency, despite routine cholecalciferol supplementation in CF patients, may contribute to a relative secondary hyperparathyroidism and possibl ...
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Journal articleJ Pediatr · November 2002
OBJECTIVE: To evaluate in a double-blind, placebo-controlled clinical trial the safety and efficacy of intravenous pamidronate to treat osteopenia in nonambulatory children with cerebral palsy. STUDY DESIGN: Six pairs of subjects generally matched within e ...
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Journal articleAJR Am J Roentgenol · February 2002
OBJECTIVE: Many children at risk for osteoporosis have substantial hip and knee contractures that prevent assessment of bone mineral density in the "usual" region, the proximal femur. As an alternative, bone density may be measured in the distal femur proj ...
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Journal articleOsteoporos Int · 2002
Cystic fibrosis (CF) patients often have low bone mineral density (BMD) and may suffer from fractures and kyphosis. The pathogenesis of low BMD in CF is multifactorial. To study bone metabolism, we collected fasting serum and urine from 50 clinically stabl ...
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Journal articleAm J Clin Nutr · March 2001
BACKGROUND: Osteoporosis diminishes the quality of life in adults with cystic fibrosis (CF). Vitamin D deficiency resulting from malabsorption may be a factor in the etiology of low bone mineral density (BMD) in patients with CF. OBJECTIVE: Absorption of o ...
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Journal articleJ Clin Densitom · 2001
Many children have contractures and/or deformities that preclude positioning in a fully supine position. The purpose of this study was to evaluate the effects of "poor" positioning on the assessment of body composition with dual X-ray absorptiometry (DXA) ...
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Journal articleAm J Respir Crit Care Med · November 2000
Low bone density, fractures, and kyphosis complicate the lives of adults with cystic fibrosis (CF), and inflammatory cytokines (interleukin [IL]-1beta, IL-6, and tumor necrosis factor [TNF]-alpha) that may alter bone metabolism have been previously found t ...
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Journal articleAm J Respir Crit Care Med · September 2000
Lung transplantation with its attendant life-long immunosuppression contributes to bone loss and its sequelae, fractures and kyphosis, in patients with lung disease, many of whom already suffer from severe osteoporosis. Patients with cystic fibrosis (CF) a ...
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