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Geovanny Ruiz Ponce Health Sciences University, School of Medicine, Ponce, Puerto Rico

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Norberto J Torres-Lugo Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Pablo Marrero-Ortiz Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Humberto Guzmán Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Gerardo Olivella Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Norman Ramírez Department of Orthopaedic Surgery, Mayagüez Medical Center, Mayagüez, Puerto Rico

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increase is labeled as a percent of adult volume. Histographic sections of alveoli at the various stages of development are also shown. (Reproduced, with permission, from Campbell RM Jr, Smith MD. Thoracic insufficiency syndrome and exotic scoliosis. J Bone

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Ilkka J. Helenius Department of Pediatric Orthopedic Surgery, University of Turku and Turku University Hospital, Turku, Finland

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; 97 : 1578 - 1584 . 15. Campbell RM Jr Smith MD Mayes TC . The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis . J Bone Joint Surg [Am] 2003 ; 85-A : 399

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Amer Sebaaly Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Mohammad Daher Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Bendy Salameh Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Ali Ghoul Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon

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Samuel George Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sami Roukoz Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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upper and lower limbs ( 28 ). A very important part of the evaluation of the CS patient is the assessment of thoracic insufficiency syndrome which is evaluated by the thumb excursion test. Imaging studies starts with anteroposterior (AP) and lateral

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