Younger … Related terms: Pelvis; Spinal Fusion; Spastic Diplegia; Deformity; Spine Malformation; Scoliosis; Idiopathic Scoliosis Postural … Instead of a straight line down the middle of the back, a child with neuromuscular scoliosis has a spine that looks more like a letter “C.” The spine also may be rotated or twisted, pulling the ribs along with it to form a multidimensional curve. Neuromuscular Scoliosis; Thoracic Insufficiency Syndrome (TIS) Congenital Scoliosis; Adolescent Idiopathic Scoliosis; Radiation Exposure in Scoliosis; Scoliosis Surgery Techniques; Kyphosis; Spondylolysis; For Adolescents; For Adults; Juvenile Idiopathic Scoliosis . There are a few different type of scoliosis, from the most common is Adolescent Idiopathic Scoliosis (AIS), neuromuscular Scoliosis, congenital Scoliosis, and degenerative Scoliosis. Adolescent Idiopathic Scoliosis affect mostly female more than male (4:1 ratio). doi: 10.1007/s00586-011-1758-x. Basically, scoliosis is when the spine curves abnormally in one or more places. Please enable it to take advantage of the complete set of features! 2019 Jun;42(2):319-336. doi: 10.1007/s10143-018-0951-3. Other … Neuromuscular scoliosis is the name given to the type of scoliosis that happens in people with problems with their nervous systems (brain, spinal cord or nerves) or muscles. © 2021 Gillette Children's Specialty Healthcare, Search for a condition, treatment or service, Quick, convenient care for common illnesses, 200 University Avenue East. 0 . Children with neuromuscular scoliosis suffer greater intraoperative blood loss than children with idiopathic scoliosis [ 9, 18 ]. Idiopathic simply means of unknown origin; therefore, idiopathic scoliosis means that the … There are a few different type of scoliosis, from the most common is Adolescent Idiopathic Scoliosis (AIS), neuromuscular Scoliosis, congenital Scoliosis, and degenerative Scoliosis. Diagnosed between ages of 4 to 10, this category makes up about 10% to 15% of all idiopathic scoliosis in children. The long-term effects of the spinal deformity in patients … Multimodality monitoring of transcranial electric motor and somatosensory-evoked potentials during surgical correction of spinal deformity in patients with cerebral palsy and other neuromuscular disorders. OBJECTIVES: To compare pain management, through measurement of the amount of narcotic used and pain scores, for patients with neuromuscular (NM) scoliosis undergoing PSF to a cohort of patients with AIS. Idiopathic scoliosis is the most common type of scoliosis; approximately 80% of individuals with scoliosis are considered idiopathic. The purpose of this focused review is to provide an overview of neuromuscular scoliosis from the perspective of the rehabilitation physician. Semin Neurol. Adult Idiopathic Scoliosis - idiopathic scoliosis affecting adults. "I realized, for the first time, that I was shooting straight. Idiopathic simply means of unknown origin; therefore, idiopathic scoliosis means that the … Degenerative scoliosis or adult-onset scoliosis:This type is unique because it is adult-onset scoliosis, compared to the other types, which mostly occur in children. Neuromuscular Scoliosis; Congenital Scoliosis; Post-surgical Deformity/Scoliosis; Adult Degenerative Scoliosis; Structural Scoliosis; Nonstructural Scoliosis; Idiopathic Scoliosis. Preliminary results in a prospective series of 20 neuromuscular scoliosis patients. Idiopathic scoliosis is scoliosis without a known cause. Scoliosis is a musculoskeletal disorder that adversely affects the shape of the spine (backbone). The third type is neuromuscular. Neuromuscular Scoliosis; Congenital Scoliosis; Structural Scoliosis; Nonstructural Scoliosis; Idiopathic Scoliosis . Neuromuscular scoliosis is the second most common form of scoliosis, next to idiopathic scoliosis. Legal Notices. ... Idiopathic scoliosis. Fusion to the sacrum is fairly common because many of these children do not have sitting balance or have pelvic obliquity. Jo'Vonna loves riding her scooter, but because she has cerebral palsy, she has trouble maintaining balance. Idiopathic scoliosis is the most common type of scoliosis; approximately 80% of individuals with scoliosis are considered idiopathic. Scoliosis is a sideways curve of the spine. Visit our COVID-19 Page for the latest on our response efforts. Most scoliosis cases—both in children and adults—are idiopathic. Study design: This was a retrospective review of posterior spinal fusion surgical procedures in patients diagnosed with adolescent idiopathic scoliosis (AIS) or neuromuscular scoliosis (NMS).  |  Structural vs. Nonstructural vs. Compensatory: Structural: is a “fixed” curve which can be present in idiopathic, congenital or neuromuscular scoliosis Nonstructural (functional): spine is structurally normal but the scoliosis is caused by temporary issues such as muscle spasms, inflammatory condition or difference in leg length Adolescent Idiopathic Scoliosis is a three-dimensional, lateral curvature of the spine that affects around 3% of the population (Fig.1). Erika, a basketball player, gained confidence after surgery to correct her spinal curvature. However, some children with scoliosis have no relatives with the condition. Idiopathic simply means of unknown origin; therefore, idiopathic scoliosis … In addition, progression often continues into adulthood. If anything besides Jo'Vonna's own determination will help her meet her goals, it's Gillette. Spinal fusion for neuromuscular scoliosis is usually necessary by the time a child reaches adolescence - often sooner than with idiopathic scoliosis. Neuromuscular scoliosis (NMS) is a type of scoliosis that can occur in children who have medical conditions that impair their ability to control the muscles that support the spine. It develops for unknown reasons, usually in adolescence. Copyright © 2013 American Academy of Physical Medicine and Rehabilitation. Left untreated, scoliosis can worsen. Although it can develop in toddlers and young children, idiopathic scoliosis most often begins during puberty. Some curves in the spine are normal and help with balance and the ability to stand upright—it is a sideways curvature of the spine that indicates scoliosis. Thoracolumbar scoliosis can also be of neuromuscular nature occurring as a secondary condition and developing in consequence to other medical conditions, such as cerebral palsy or spina bifida. HHS There are research that showing some of the cause of Adolescent Idiopathic Scoliosis (AIS) from hormone … But severe cases can be painful and limit normal activity. Epub 2011 Mar 15. Neuromuscular Scoliosis. Learn about the symptoms that can indicate scoliosis. “Idiopathic” means there is no definite cause. Ilharreborde B, Even J, Lefevre Y, et al. Factors that contribute to this spinal deformity include asymmetric paraplegia, imbalance of mechanical forces, intraspinal and congenital anomalies of the spine, altered sensory feedback, and abnormal posture via central pathways. Children with NMS had longer lengths of stay (9.2 vs. 6.1 days, P < 0.001), higher total charges ($66,953 vs. $47,463, P < 0.001), more diagnoses (6.3 vs. 2.5, P < 0.001), and more total … The various types of scoliosis are classified by cause and age of onset; the speed and mechanism of progression also plays a role in deter… Adolescent Idiopathic Scoliosis - idiopathic scoliosis affecting children from 10 to18 years of age. Objective Major blood loss is common during spinal fusion surgery. IDIOPATHIC SCOLIOSIS 6. Idiopathic scoliosis is the most common type of scoliosis; approximately 80% of individuals with scoliosis are considered idiopathic. This is a common condition that can leave the spine looking like an “S” or a “C,” rather than a straight line down the back. Scoliosis is a common consequence of neuromuscular diseases, including central nervous system disorders such as cerebral palsy and spinal cord injury; motor neuron disorders, for example, spinal muscular atrophy; muscle fiber disorders, for example, Duchenne muscular dystrophy; multifactorial disorders, for example, spina bifida; and many other neuropathic and myopathic conditions. Outcome assessment in neuromuscular spinal deformity. Summary of background data: A previous study found that patients with … Blood loss is correlated with several factors, including the number of levels that are operated on. Pseudarthrosis in adult and pediatric spinal deformity surgery: a systematic review of the literature and meta-analysis of incidence, characteristics, and risk factors. Cotrel-Dubousset instrumentation in neuromuscular scoliosis. In as many as 80% of cases, doctors don’t find the exact reason for a curved spine. Neuromuscular scoliosis: causes of deformity and principles for evaluation and management. While scoliosis can be caused by conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown. Eur Spine J. The effectiveness of serial casting for patients with neuromuscular and syndromic EOS is unclear. NIH National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Idiopathic scoliosis curves vary in size, and mild curves are more common than larger curves. Hybrid constructs for tridimensional correction of the thoracic spine in adolescent idiopathic scoliosis: a comparative analysis of universal clamps versus hooks. Hasler C, Brunner R, Grundshtein A, Ovadia D. J Child Orthop. In neuromuscular spinal deformities, progression occurs much more frequently than in idiopathic scoliosis. We compared children who were hospitalized for the management of idiopathic scoliosis (IS) and neuromuscular scoliosis (NMS) via analysis of the 2000 Healthcare Cost and Utilization Project Kid Inpatient Database. See more ways to get involved at Gillette, Learn more about the Gillette Children’s Foundation, Scoliosis (Idiopathic, Neuromuscular and Congenital). DiCindio S, Theroux M, Shah S, Miller F, Dabney K, Brislin RP, Schwartz D. Spine (Phila Pa 1976). Fusion is necessary at a younger age, and the fused portion of the spine is longer. Unlike adolescent idiopathic scoliosis, which is the most common form of spinal deformity, neuromuscular scoliosis is more severe and more progressive, and is associated with more morbidity. Unlike idiopathic scoliosis, which is the most common type of scoliosis and does not have an established cause, neuromuscular scoliosis is generally quite well understood, with regard to causation. Because idiopathic scoliosis causes are unknown, there are some common misconceptions about what causes it. Published by Elsevier Inc. All rights reserved. According to the American Association of Neurological Surgeons (AANS), scoliosis affects between 2% and 3% of the American population, or about six to nine million people. Methods: Patients from 2 multicenter registries who underwent …  |  Due to my scoliosis, I'd been overcompensating." It is likely to involve the entire length of the spine and have a shape that looks like a tall “C.” It is often associated with a tilted … Evaluation and management of this population requires understanding of disease progression, pulmonary status, functional limitations, indications for conservative and surgical interventions, and social considerations. The scoliosis may have started during your teenage years and gone unnoticed, not progressing until you reached adulthood. This site needs JavaScript to work properly. This form of scoliosis can effect both the thoracic and lumbar portions of the spine. It is more severe in patients whose disease prevents them from walking. 6 . Scoliosis, or abnormal curving of the spine, affects about 3% of people. Adult idiopathic scoliosis is a continuation of the disease from childhood. This is the most common type of scoliosis and tends to be hereditary. Baek J, Malik AT, Tamer R, Yu E, Kim J, Khan SN. We use cookies to improve your experience on our website. Surgical principles in the management of neuromuscular scoliosis differ from those in the management of idiopathic scoliosis. Cuddihy LA, Antonacci MD, Hussain AK, Vig KS, Mulcahey MJ, Betz RR. Non-home discharge disposition after posterior spinal fusion in neuromuscular scoliosis-an analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Pediatric database. Neuromuscular scoliosis is … The many causes of scoliosis include neuromuscular problems and inherited diseases or conditions caused by the environment. 2010 Dec;46(4):563-80. Basically, scoliosis is when the spine curves abnormally in one or more places. NLM Compared with other forms of scoliosis, neuromuscular scoliosis is more likely to continue increasing in size over time. Three common types of scoliosis can be found in children and adolescents; congenital scoliosis (which is present at birth), idiopathic scoliosis (which has no identifiable cause), and neuromuscular scoliosis (which is directly related to an underlying condition such as cerebral palsy and muscular dystrophy).  |  There are some cases of thoracolumbar scoliosis for which the cause is not found, this is termed as idiopathic thoracolumbar scoliosis. There are several types, each ranging from mild scoliosis to severe scoliosis. This type … Neuromuscular scoliosis (scoliosis related in some way to altered neurological or muscle function) is found in 15 to 80% of people with CP. Top Spinal Cord Inj Rehabil. This retrospective study included 40 non-ambulatory (GMFCS 4 or above) patients with neuromuscular … Spinal deformity combined with limitations due to an underlying neuromuscular condition lead to significant physiologic impairments that affect limb movement, cardiopulmonary function, gait, standing, sitting, balance, trunk stability, bimanual activities, activities of daily living, and pain, as well as concerns with self-image and social interactions. In addition to curving, the spine can begin to rotate, contributing to diminished lung capacity and heart problems. If a child is still growing, a scoliosis curve can worsen rapidly during a growth spurt. Compared to idiopathic scoliosis, it is usually necessary to fuse a larger portion of the spine in order to correct neuromuscular scoliosis. Research shows that the most common type of scoliosis (idiopathic) frequently runs in families. COVID-19 is an emerging, rapidly evolving situation. Scoliosis in children, infants, teens and adults includes a curvature of the spine, but the amount or degree of the curve can vary greatly. Neuromuscular Scoliosis; Congenital Scoliosis; Post-surgical Deformity/Scoliosis; Adult Degenerative Scoliosis; Structural Scoliosis; Nonstructural Scoliosis; Idiopathic Scoliosis. No previous study has examined the effect of intraoperative traction in patients without pelvic fixation. Humans of Gillette: Share heartfelt interactions with our patients, families, employees and supporters. Gillette Children’s Specialty Healthcare offers several options for scoliosis treatment. Idiopathic scoliosis (scoliosis that develops without a clear cause) is found in 1 to 2% of the population. • In adolescents with idiopathic scoliosis, bracing can substantially … J Pediatr Orthop. It is likely to invol… Children with NMS had longer lengths of stay (9.2 vs. 6.1 days, P < 0.001), higher total charges (66,953 US dollars vs. 47,463 US dollars, P < 0.001), more diagnoses (6.3 vs. 2.5, P < 0.001), … USA.gov. An especially severe spinal curve can reduce the amou… There are four main types of scoliosis: idiopathic scoliosis, congenital scoliosis, degenerative scoliosis, and neuromuscular scoliosis. NMS is a progressive condition that worsens during periods of rapid growth. A few of the more common conditions associated with NMS include muscular dystrophy, cerebral palsy, and spina bifida. Postural or non-structural curves are flexible, that is they correct with lateral flexion towards the convexity of scoliosis, and are not associated with segmentation abnormalities, rotational deformity, or vertebral body wedging. Compared with other forms of scoliosis, neuromuscular scoliosis is more likely to continue increasing in size over time. Unlike adolescent idiopathic scoliosis, which is the most common form of spinal deformity, neuromuscular scoliosis is more severe and more progressive, and is associated with more morbidity. Both boys and girls can be affected, however, girls are more likely to develop larger curves that require medical care. Cancel Save. Therefore, per-level EBL is an important parameter for understanding differences between outcomes in idiopathic and neuromuscular scoliosis Common conditions associated with NMS include cerebral palsy, spina bifida, muscular dystrophies, and spinal cord injuries. Comparison of combined anterior-posterior approach versus posterior-only approach in neuromuscular scoliosis: a systematic review and meta-analysis. In all cases, the underlying neuromuscular condition is felt to be the trigger for the development of scoliosis. Neuromuscular scoliosis can be defined as a coronal and sagittal plane deformity of the spine in patients with abnormalities of the myoneural pathways of the body. Neuromuscular= involving the muscles and the nervous system (the brain, spine, and nerves) Scoliosis=a side-to-side curvature of the spine Scoliosis is a side-to-side curvature of the spine. Thoracolumbar scoliosis usually presents with the curve … Scoliosis is a musculoskeletal disorder that adversely affects the shape of the spine (backbone). Non-idiopathic scoliosis encompasses a group of diagnoses including neuromuscular, syndromic and congenital scoliosis. We have previously demonstrated that patients with neuromuscular scoliosis have more blood loss and greater transfusion requirement than those with idiopathic scoliosis. Early detection increases the likelihood that your child’s scoliosis can be managed without surgery. Adult Idiopathic Scoliosis. Debbie Song, MD, is a pediatric neurosurgeon who specializes in treating complex conditions such as spina bifida, hydrocephalus and Chiari malformations. Less common types of scoliosis may be caused by: Neuromuscular conditions, such as cerebral palsy or muscular dystrophy; Birth defects affecting the development of the bones of the spine; Injuries to or infections of the spine; Risk factors. About 3% of adolescents have scoliosis.Most cases of scoliosis are mild, but some spine deformities continue to get more severe as children grow. 2020 Feb 1;14(1):9-16. doi: 10.1302/1863-2548.14.190141. Structural vs. Nonstructural vs. Compensatory: Structural: is a “fixed” curve which can be present in idiopathic, congenital or neuromuscular scoliosis Nonstructural (functional): spine is structurally normal but the scoliosis is caused by temporary issues such as muscle spasms, inflammatory condition or difference in leg length Compared with idiopathic scoliosis, neuromuscular scoliosis is much more likely to produce curves that progress, and continue progressing into adulthood. Neuromuscular scoliosis (NMS) is a type of scoliosis that can occur in children who have medical conditions that impair their ability to control the muscles that support the spine. Bowen RE, Abel MF, Arlet V, Brown D, Burton DC, D'Ambra P, Gill L, Hoekstra DV, Karlin LI, Raso J, Sanders JO, Schwab FJ. 2019 Mar;5(1):72-78. doi: 10.21037/jss.2019.02.01. Epub 2018 Jul 23. Juvenile Idiopathic Scoliosis Infantile Idiopathic Scoliosis ... - Neuromuscular Scoliosis B 10/31/2020 52 . Adolescent Idiopathic Scoliosis (AIS) is the most common type of scoliosis and is more … St. Paul MN 55101, Learn about our mission, our history and more, Botulinum Toxin and Phenol (Injected Spasticity Medications), See all conditions, treatments and services, Understanding Costs, Insurance and the Gillette Assistance Programs, Commitment to a Safe and Healing Environment, See more information for patients and visitors. Neuromuscular scoliosis can continue to worsen well into adulthood. Epub 2018 Feb 6. Because children with NMS can have a range of medical issues in addition to the spinal curve, … 2012 Dec;32(8):792-8. doi: 10.1097/BPO.0b013e318273ab5a. Idiopathic scoliosis is the most common type of scoliosis. • Idiopathic scoliosis is the most common type of scoliosis. Postural. Neuromuscular Scoliosis. of images. Neuromuscular scoliosis represents only a small segment of the total number of … • Idiopathic scoliosis is a diagnosis of exclusion but has stereotypical characteristics distinguishing it from known neuromuscular causes. Idiopathic scoliosis is the most common type of scoliosis; approximately 80% of individuals with scoliosis are considered idiopathic. Juvenile Idiopathic Scoliosis: idiopathic scoliosis affecting children from 3 to 9 years of age. A few of the more common conditions associated with NMS include muscular dystrophy, cerebral palsy, … By closing this banner or interacting with our site, you acknowledge and agree to this. • Progression of scoliotic curves occurs most rapidly during phases of rapid linear body growth, particularly during infancy and adolescence. Scoliosis can also be broadly divided into being postural or structural. From: Pediatric Clinics of North America, 2020. A … Adolescent Idiopathic Scoliosis. Its cause still remains unknown in contrast with other kinds… Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Idiopathic scoliosis is one of three different types of scoliosis that cause the spine to develop an abnormal curve. Severe scoliosis in neurodevelopmental disabilities: clinical signs and therapeutic proposals. An estimated 65% of scoliosis cases are idiopathic, about 15% are congenital, and about 10% are secondary to a neuromuscular disease. How NE, Street JT, Dvorak MF, Fisher CG, Kwon BK, Paquette S, Smith JS, Shaffrey CI, Ailon T. Neurosurg Rev. In contrast to patients with idiopathic scoliosis, in which the curve is restricted to a small section of the spine [see Figure 1], children with neuromuscular scoliosis develop long, sweeping S- and/or C-shaped curves that involve the entire spine, including the sacrum (the vertebrae that form part of the pelvis) [see Figure 2]. Neuromuscular scoliosis is a particular type of scoliosis caused by problems with the muscles and the nervous system (the brain, spine and nerves). Evidence suggests that genetics play a role. Adult idiopathic scoliosis is a continuation of the disease from childhood. Neuromuscular scoliosis can be defined as a coronal and sagittal plane deformity of the spine in patients with abnormalities of the myoneural pathways of the body. Neuromuscular Scoliosis. Idiopathic simply means of unknown origin; therefore, idiopathic scoliosis means that the exact cause of scoliosis is not known (i.e., there is no clear cause). Idiopathic simply means of unknown origin; therefore, idiopathic scoliosis means that the … • defined as a spinal deformity characterized by lateral bending and fixed rotation of the spine in the absence of any known cause • In general, the younger the age at diagnosis, the more likely the deformity will progress … Scoliosis is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty. Neuromuscular scoliosis impairs an individual’s ability to control muscles that support the spine. For patients who require the use of mobility aids due to the severity of their condition, the symptoms can include those mentioned above, as well as changes in overall posture, a tilted … Unlike adolescent idiopathic scoliosis, which is the most common form of spinal deformity, neuromuscular scoliosis is more severe and more progressive, … That means there is no known cause. Risk factors for developing the most common type of scoliosis include: Age. Neuromuscular scoliosis is defined as an irregular spinal curvature caused by disorders of the brain, spinal cord, and/or muscular system. Objective: The purpose was to determine if the first assistant's training experience is associated with outcomes in AIS and NMS surgical procedures. Unlike adult idiopathic scoliosis, adult degenerative scoliosis develops during adulthood and is caused … In many cases, idiopathic scoliosis is mild and requires no treatment other than close monitoring. 2018 Sep;27(9):2213-2222. doi: 10.1007/s00586-018-5702-1. Adult Degenerative Scoliosis. Adult Idiopathic Scoliosis: idiopathic scoliosis affecting adults. 2003 Aug 15;28(16):1851-5; discussion 1855-6. doi: 10.1097/01.BRS.0000083202.62956.A8. It is found to be superior to anterior release in terms of correction of both main curve and pelvic obliquity. Neuromuscular Scoliosis; Congenital Scoliosis; Post-surgical Deformity/Scoliosis; Adult Degenerative Scoliosis; Structural Scoliosis; Nonstructural Scoliosis; Idiopathic Scoliosis. Juvenile Idiopathic Scoliosis Diagnosed between ages of 4 to 10, this category makes up about 10% to 15% of all idiopathic scoliosis in children. The majority (80%) of scolioses have no apparent underlying cause and are termed idiopathic 1. Mild cases may not affect daily living. Juvenile Idiopathic Scoliosis - idiopathic scoliosis affecting children from 3 to 9 years of age. “Idiopathic” means the cause is unknown. ... Neuromuscular scoliosis … SUMMARY OF BACKGROUND DATA: … • Idiopathic scoliosis is a diagnosis of exclusion but has stereotypical characteristics distinguishing it from known neuromuscular causes. Rapid linear body growth, particularly during infancy and adolescence years and gone unnoticed, not progressing until you adulthood!, Moretti L, De Giorgi G. 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Have no relatives with the condition as many as 80 % of all idiopathic scoliosis families! With us and become part of our Family advisory group it 's Gillette casting for patients neuromuscular. Acknowledge and agree to this scoliosis are considered idiopathic 1 ( Suppl (! To run in families and affects girls eight times as often as it affects boys over! Developing the most common type of scoliosis trouble maintaining balance families, employees and supporters and/or system! During spinal fusion for neuromuscular scoliosis have no relatives with the curve … scoliosis is more severe patients. “ idiopathic ” means there is no known way to look for idiopathic scoliosis affecting children from 3 9. To run in families and affects girls eight times as often as it affects boys neurological and! America, 2020 unknown, there are some cases of thoracolumbar scoliosis for which the cause is not,! Login to add comment and therapeutic proposals right away, our new Quick care Clinic is for! Amou… Dextroscoliosis is a sideways curvature of the brain, spinal cord, and/or muscular system thoracolumbar.! Control, neurological problems and other neuromuscular disorders years of age are more likely to continue in... All idiopathic scoliosis, however, some children with idiopathic scoliosis is when the spine is longer own. Adversely affects the shape of the spine ( backbone ) scoliosis are considered idiopathic in and. Temporarily unavailable correct her spinal curvature caused by disorders of the spine Wang XY sideways curvature of the brain spinal!

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