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Nishit Mummareddy, Michael C. Dewan, Michael R. Mercier, Robert P. Naftel, John C. Wellons III, and Christopher M. Bonfield

, McLone DG , Grant JA , Tomita T , Ito JA : Spina bifida outcome: a 25-year prospective . Pediatr Neurosurg 34 : 114 – 120 , 2001 10.1159/000056005 11359098 6 Bowman RM , Mohan A , Ito J , Seibly JM , McLone DG : Tethered cord release: a long-term study in 114 patients . J Neurosurg Pediatr 3 : 181 – 187 , 2009 10.3171/2008.12.PEDS0874 19338463 7 Cahill PJ , Warnick DE , Lee MJ , Gaughan J , Vogel LE , Hammerberg KW , : Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a

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Nikita G. Alexiades, Edward S. Ahn, Jeffrey P. Blount, Douglas L. Brockmeyer, Samuel R. Browd, Gerald A. Grant, Gregory G. Heuer, Todd C. Hankinson, Bermans J. Iskandar, Andrew Jea, Mark D. Krieger, Jeffrey R. Leonard, David D. Limbrick Jr., Cormac O. Maher, Mark R. Proctor, David I. Sandberg, John C. Wellons III, Belinda Shao, Neil A. Feldstein, and Richard C. E. Anderson

asymptomatic (94.12%) patients. While preoperative urinary tract infections are an identified modifiable risk factor in the neuromuscular pediatric spinal deformity surgery population, 15 , 32 expert opinion among our group held that this was unnecessary in the complex tethered spinal cord population. Intraoperative Best Practice Statements A total of nine intraoperative interventions were identified as consensus best practices following the first Delphi survey round. The interventions identified are a mix of practical modifications without proven risk to patients along