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. 2020 Dec 30;10:22420. doi: 10.1038/s41598-020-79821-x

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Posteroanterior (A–D) and lateral radiographs (a–d) of a nine-year old boy with SMA and spinal deformity. The scoliotic curve was corrected from 81° (A) to 27° (B) directly after MCGR implantation. This result could be maintained within the four-year follow-up (C) and after spondylodesis (D). The sagittal profile could be improved. Initial kyphosis of 42° (a) could be corrected to 29° directly after surgery (b) and to 36° during follow-up (c) and spondylodesis (35°, d).