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. At final follow-up, major curve correction from pre-fusion was similar between groups (high ID 14.5° vs. low ID 15.5° vs. ultra-low ID 9.7°, p = 0.14). At final follow-up, there was no difference in T1-T12 length gain (p = 0.85), T1-S1 length gain (p = 0.68), coronal balance (p = 0.56), or sagittal balance (p = 0.71). The revision rate was significantly higher in the ultra-low ID group (13.8%; 11/8 versus the high ID group (2/39; 5.1%) and low ID group (0/33; 0%) (p = 0.04). Although an ID 1.3 in growth-friendly graduates prod
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