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Review Question - QID 1545

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QID 1545 (Type "1545" in App Search)
A 9-year-old boy presents to your clinic for evaluation of his scoliosis. He has large bilateral calves and has been in a wheelchair since the age of 7. He has a forced vital capacity (FVC) of 35% of predicted for his height and weight. His thoracic curve from T4 to T10 measures 30 degrees with his lumbar curve measuring 35 degrees from T12 to L5. He has been treated with prednisone since the age of 7 with his lumbar curve measuring 25 degrees 8 months prior. Which of the following would be an indication for surgical management in this particular patient?
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