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Review Question - QID 218626

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QID 218626 (Type "218626" in App Search)
A 10-year-old female with adolescent idiopathic scoliosis presents to a pediatric orthopaedic surgeon as a referral from her pediatrician given concern for high risk of progression of her deformity. In counseling the patient and her mother, the orthopaedist informs the patient that she must wear the brace for at least 18 hours per day to achieve the maximal effect of the treatment. Which of the following factors is most correlated with curve progression if the brace is worn for less than 18 hours per day?