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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