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Level of evidence Level III-retrospective cohort study.Background A previous research showed considerably greater serum titanium levels in clients with early-onset scoliosis (EOS) treated with traditional growing rods (TGR) and magnetically managed growing rods (MCGR) compared to settings. Kids with straight expandable prosthetic titanium rib (VEPTR) weren't considered. The objective of this study was to compare serum titanium levels in EOS patients treated with TGR, MCGR, and VEPTR. We hypothesi