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This can lead to unmet health care needs and a shortage of long-term natural history and outcome studies that would inform the care of children today. Adults with childhood-onset neuromuscular conditions need, and deserve, dedicated health care systems that include the best aspects of the care they received as children. Pediatric orthopaedic surgeons have a role in promoting the development of such systems and a responsibility to learn from their adult patients. Expert Opinion. Expert Opinion. Pedicle screws have long been part of the continued advancements