NewsFlashes
Cover Stories
TAC Staff
the-landmark-victory-for-surface-emgIn January of 2005, David Marcarian and his company, PBI/MyoVision, defeated a group representing most of the major insurance companies and the State of Florida, who questioned the validity of surface EMG.  The case was appealed to the Superior Court of Florida, with an attempted appeal to the Supreme Court of Florida. Marcarian and MyoVision again prevailed with a unanimous...
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TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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Palmer Chiropractic College (PCC)
the-palmer-academic-health-center The new, three-story building taking shape on the Palmer College of Chiropractic campus in Davenport, Iowa, is impressive from the outside, but it’s what will happen on the inside that has administrators, faculty and students buzzing on Palmer’s main campus, The Fountainhead of the chiropractic profession. The Palmer College of Chiropractic Academic Health Center will be a unique feature...
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Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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Fabrizio Mancini, D.C.
interview-with-fabrizio-mancini-dcFabrizio Mancini came to the United States in 1978 from Colombia, South America.  His dream was to become a doctor to help alleviate the suffering of others.  His journey began in Dallas as he studied pre-medicine at the prestigious University of Dallas where he was preparing to be a neurosurgeon.  He later discovered the chiropractic profession and enrolled at Parker...
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Jack Dolbin, D.C.
principles-of-a-sports-medicine-practiceIn the fall of 1993, I was attending a Villanova versus Northeastern University football game. My son was a red shirt freshman wide out and me, a retired NFL veteran. We sat together as spectators, dissecting the game and the individual player performances. In events that would decide the game, the Villanova field goal kicker, Frank Venezia, missed two very...
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Interviews
Harold McCoy, D.C.
mccoys-track-recordWith almost 30 years of experience in practice, Dr. Harold McCoy has established quite a track record in incorporating chiropractic to achieve optimal sports performance in world-class athletes. It all started in the 80’s, when Dr. McCoy treated Olympic athletes like Evander Holyfield and served seven years at the University of Washington as part of the Multidisciplinary Sports Medicine Staff,...
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William Koch, D.C.
chiropractic-biophysics-technique-interview-with-deed-harrison-dc Dr. Don Harrison has been a tireless Chiropractic researcher and scientist for more than 35 years.  Originator of Chiropractic BiophysicsTechnique (CBP), Dr. Don conducted his research and reported his findings according to established scientific standards and protocols. His diligence and expertise have been rewarded by a high level of acceptance by the scientific community. Dr. Don’s outstanding career as a Chiropractor,...
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TAC Staff
reflecting-on-the-past-and-focused-on-the-future-interview-with-dr-patrick-gentempoDr. Patrick Gentempo is the CEO of Action Potential Holdings, Inc. and is arguably one of the best-known figures in the chiropractic profession today. He has acted as cofounder and chief executive of well-known entities within the profession. These include the Chiropractic Leadership Alliance (CLA), Creating Wellness Alliance (CWA), and Chiro Finishing School. CLA has brought critical technology to the...
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TAC Staff
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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TAC Staff
can-cloud-computing-really-save-you-thousands-annuallyInterview with Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A., F.I.C.C. His vision to elevate the profession and increase chiropractic access The American Chiropractor recently heard about a new Electronic Health Records (EHR)/practice management software product from Future Health that the company has decided to give away free. Like many of you, we wondered, “What’s the catch?”  So we sat down with Future...
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TAC Staff
leading-care-through-innovation-and-passionDr. Kevin Jardine graduated from Canadian Memorial Chiropractic College in 2002 and has been in practice for just over a decade. Dr. Jardine comes from a background in exercise science from the University of New Brunswick.    Dr. Jardine is the co-creator of SpiderTech which has become a globally recognized brand delivering kinesiology taping products and education. On top of providing the...
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Nutrition
Dr. Richard Drucker, B.S., M.S., N.D., Ph.D.
the-gift-of-naturally-prolonged-healthy-and-sustained-lifeWhat took Mother Nature thousands of years to create, recent humanity has taken for granted and has selfishly destroyed. In the last 75 years, modern U.S. economic agricultural practices have nearly eradicated all of the naturally occurring organically (carbon containing) complexed trace minerals, poly-electrolytes and metalo-enzymes from our diet. Two-time Nobel prize winner and renowned scientist Linus Pauling categorically stated...
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Dr. Dan Murphy, D.C.
nutrient-intake-and-plasma-beta-amyloid-neurologyColumnist Review by Dr. Dan Murphy, D.C.    Y. Gu, PhD, N. Schupf, PhD, S.A. Cosentino, PhD, J.A. Luchsinger,MD, N. Scarmeas, MD: From the Department of Neurology and Department of Medicine, Columbia University, New YorkKey Points From This Study: An important pathological hallmark of Alzheimer’s disease (AD) is B-amyloid (AB) peptide (mainly AB40 and AB42) deposition in the brain, resulting in formation of...
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Dr. James P. Cima, D.C.
why-high-cholesterol-by-itself-is-not-a-good-indicator-of-heart-disease Whenever I run a blood test on any patient, the first thing they all want to know is, "Doc, how is my cholesterol?" They think, because their cholesterol levels are normal, they have nothing to worry about. Unfortunately, they do not know that about 50 percent of patients who die from cardiovascular disease have "normal cholesterol levels". They also do...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iii  This article is the conclusion of a series on the short leg syndrome. Previously, I have discussed the importance of proper alignment of the hip, knee, and ankle joints to each other.  This month, we move into the pelvis and summarize the role of proper lower extremity mechanics on walking and maintaining proper spinal alignment.  Prone hip extension to verify pelvic...
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Michael P. Ciell, R.Ph.
a-new-approach-to-metabolic-syndromeThe Greatest Healthcare/Financial Crisis   Metabolic Syndrome (aka Syndrome X) with its four hallmark symptoms of obesity, hypertension, dyslipidemia and hyperglycemia is devastating our country as well as the whole of North America.  In March of 2005 the National Institutes of Health and the New England Journal of Medicine published a paper stating that because of this epidemic the current generation is...
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Roger D. Deutsch
food-factors-and-athletic-performanceWant to improve athletic performance?  Find your personalized eating plan. Avoid the foods you do not tolerate.  FOOD INTOLERANCE IS A RAPIDLY INCREASING PROBLEM THAT DIFFERS FROM FOOD “ALLERGY” IN THAT SYMPTOMS ARE USUALLY CHRONIC AND DELAYED, PERHAPS BY SEVERAL HOURS OR EVEN DAYS.  HENCE THEY HAVE RECEIVED RELATIVELY LITTLE ATTENTION. NONETHELESS, KNOWING WHAT FOODS YOU DO NOT TOLERATE MAY BE...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthitics-for-work-bootsMany people wear special footwear at work.  Occupational health guidelines and employers often require the use of protective work boots.  When fitting patients for orthotics, ask what type of footwear is worn throughout the workday, as well as during recreation and relaxation periods.  An orthotic designed for work boots can be very helpful.  While generic insoles and off-the-shelf foot supports...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
runner-for-the-cure-develops-heel-painHistory and Presenting Symptoms A 25-year-old female presents with pain around her right ankle and heel. The pain has been present for about three weeks and gets worse upon weightbearing activity. She also relates running about six times per week for five miles a day, in preparation for her first half-marathon run in support of breast cancer...
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TAC Staff
news-of-the-profession Chiropractic in Military Medicine Chiropractic services are offered at several United States military bases and veterans healthcare locations. An article in the June 2009 issue of the journal Military Medicine discusses, in an effort to increase awareness and improve interdisciplinary collaboration, when to refer patients for chiropractic care. The article titled "Chiropractic in US military and veterans’ health care" by Drs....
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Dr. John Danchik, D.C.
the-value-of-observing-gaitThe Value of Observing Gait by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   The patient is a 58-year-old female, who has recently started a personal health and wellness program. In addition to eating more sensibly, she has initiated a daily walking program. After four weeks, she has progressed to 30 minutes of brisk walking everyday. She reports that she ...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
chronic-facet-syndromeHistory and Presenting Symptoms A 46-year-old female presents with recurrent, sharp pain in her low back.  These episodes usually resolve within a few days, but she is concerned that they are becoming more frequent.  Using a Visual Analog Scale, she describes the usual pain level in her lower back as around 35mm.  She doesn’t recall any injury to her back, and...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
q-angle-problems-increased-running-increases-pain History and Presenting Symptoms The patient is a 22-year-old recent college graduate, who reports a history of participation in many team sports in school, including field hockey, soccer, and softball. She admits that she has always had occasional knee problems, especially on the left side. She is now running regularly for fitness, and her left knee is noticeably...
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Practice Management
Peter Fernandez, D.C.
how-to-choose-a-hot-town-in-which-to-practice-starting-a-new-practice-ixIn the last article, "How to Choose a ‘Hot State’ in Which to Practice," I advised you, the start-up doctor, to drive the country with your spouse looking for the climate, geography and type of people you prefer in choosing a place to live. Having found your ideal area of the country, I recommended that you...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
get-unlimited-referrals-from-lawyersGet Unlimited Referrals from Lawyers by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   An orthopedic surgeon in a suburb of New York City gets 50+ referrals from lawyers a month. A neurosurgeon in southern Florida gets 40+ referrals from lawyers every month. A physical medicine specialist in Kentucky gets 50+ referrals from lawyers every month. Why can’t you? You can....
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Daniel Dahan, D.C.
compliance-departmentIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas is being dealt with sequentially in The American Chiropractor. By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need your...
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Mark Sanna, D.C.
what-do-you-see-chiropractic-looking-like-in-10-15-yearsA careful examination of recent legislation provides a profound insight on how health care will be delivered in the future and on how chiropractic will look in the decades ahead.  The current level of unemployment in our nation is low to none.  Practically the entire country is employed.  Private insurance carriers no longer hold the purse strings of reimbursement.  The...
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Maurice A. Pisciottano, D.C.
marketing-for-growthNew Patients are the lifeblood of any chiropractic practice.  New patients are critical for your expansion.  An important factor to consider when talking about expansion is the quality of care you offer your existing patients.  The primary reason to treat patients is to better their health.  By focusing on the health of your current patients and following some simple acquisition...
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Marc Swerdlick, D.C.
desire-and-direction Who doesn’t want to do better? regardless of whom you talk to, most people want to be in a better place than they are today. As you may have guessed, for many folks, enhancing their financial status is their number one concern. But, for other people, improving their health and improving their relationship with their spouse/family is what’s most...
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Radiology
Larry Willkins, D.C.
adding-decompression Dr. Larry Wilkins, Founder and Director of Laurel Mountain Chiropractic Clinic in Mt. Pleasant, PA, has added post-graduate hours in such studies as rehabilitation, manipulation under anesthesia, nutrition, pediatrics, exercise, and advanced work in the Pierce Chiropractic Method. As an involved professional, Dr. Wilkins has many accomplishments to his credit. He has served as a board member of two chiropractic...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
thoracic-spine-compression-fractures CASE HISTORY This 70-year old female lost her balance and stepped off the curb and experienced severe lower thoracic pain. DIAGNOSIS Observe the compression fractures of the T7, T8 and T9 vertebral bodies. Note the osteoporosis which contributed to the weakening of the vertebrae allowing these fractures to occur with minimal trauma. GENERAL CONSIDERATIONS   Radiographic Signs of Vertebral Compression Fracture....
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
partial-agenesis-of-the-c1-posterior-archEmbrylology.  Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses, and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
fracture-of-the-wrist-affecting-the-young-and-oldCASE HISTORY: This 8-year-old fell and hyperextended his wrist. Diagnosis: Torus fracture–distal radius. FRACTURES OF THE WRISTDistal Radius Fractures. The distal radius is one of the most common sites of fracture in the wrist. Care must be taken to search all projections for these fractures, many of which are often subtle and obscure. In the...
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Rehabilition
Roger R. Coleman, DC and Stephan J. Troyanovich, DC
lack-of-spinal-movementFor every doctor of chiropractic, a factor for consideration in patient care is spinal motion.  Abnormal movement is one of the most frequent findings, whether in the form of, “Doc, I just can’t bend,” or  “There is a lack of normal motion on examination.” Or perhaps, “There is a fixation of C4.”  But, in whatever form it occurs, abnormal motion...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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Dr. Mark R. Payne, D.C.
crac-traction-kicking-corrective-care-into-high-gearFeeling frustrated with the long time frames required for corrective care programs? Maybe you should try a little C.R.A.C. No…I’m not recommending you seek solace in some vicious street drug. Instead, you might want to try combining a well accepted muscle stretching technique with extension traction to speed up the corrective process. Here’s how it works. The acronym...
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Tim Maggs, D.C.
high-school-athletes-and-structural-managementrDid you know...?  • All high school athletes in this country must undergo a physical exam prior to participating in their sport. That exam, however, is a medical exam (eyes, ears, nose and throat). (See Fig. 1)   Eyes______________________________ Skin (Non- communicable)_________________  Ears (Otoscope) ___________________ Epilepsy __________________________________ Lymph Nodes _____________________ Nervous System ___________________________  Thyroid __________________________ Speech ___________________________________ Nose _____________________________  Nutrition __________________________________  Tonsils ___________________________  Height ______________ Weight ______________  Teeth ____________________________  Vision ____________________________________  Heart _____________________________  Hearing __________________________________  Blood Pressure ____________________  Orthopedic _______________________________  Lungs ____________________________                  Feet...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
children-and-rehabilitationChildren, like adults, often need to do some exercises as part of their chiropractic treatment.  But, how safe is exercise for children, especially exercise with resistance?  How much weight is appropriate for a growing body?  And which exercises are most effective?  Because of these and similar questions, doctors of chiropractic may hesitate to recommend exercises for their younger patients.  Let’s...
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Mark R. Payne D.C.
healthy-doctors-practicing-and-preachingHealthy Doctors: Practicing and Preaching by Dr. Mark R. Payne D.C.   Can you imagine an overweight doctor counseling patients on nutrition? How about a physician who smokes urging patients to quit? Or a well-intentioned couch potato handing out exercise advice? We’ve all encountered doctors who dispense advice freely but rarely seem to follow it themselves. The inevitable result,...
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Techniques
Ted Koren, D.C.
are-you-missing-an-important-subluxation Doctor: "You feel tired much of the time, don’t you?" Patient: "Yes, I feel exhausted all the time. How did you know?" Doctor: "Your femur heads are anterior. Most of your energy is being used to hold your body up." One of the most fascinating subluxations is of the femur heads. The femur head is ball-shaped and located at the top of...
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Ted Koren, D.C.
adjusting-disksAn alternative to spinal surgery Sometimes the most difficult cases are not due to subluxations of the vertebrae but to subluxations of the disks. As Richard Van Rumpt, DC, developer of directional non-force technique (DNFT) said decades ago, “If the disks are subluxated, the vertebrae won’t hold.” Is it possible to adjust disks? Yes, it is possible to easily...
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Warren Hammer, D.C.
the-benefits-of-instrument-assisted-soft-tissue-mobilizationExperts agree that a crucial component of healing is soft-tissue treatment. Indeed, since the works of British orthopedist James Cyriax, clinicians have routinely employed cross-friction massage as a means of breaking up the web of adhesions and restrictions that normally form after injury. However, it is my contention that our profession is insufficiently informed about the advantages of soft-tissue methods...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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Rebecca S. Fischer, D.C.
the-qchiropracticq-headache Headache disorders account for about 120 million lost workdays per year in the United States, alone.  Controversy exists to explain the “mechanism” of all types of headaches, particularly cervicogenic headaches. Tension-type headaches account for 78% of all headaches and statistically this includes the so-called “cervicogenic headache”.  Because of the results we see in our offices treating headache, it seems most...
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Dennis Woggon, DC, B.Sc.
posterior-to-anterior-thoracic-spinal-adjusting-in-the-scoliosis-patient-is-contraindicated-by-spinal-biomechanicsPosterior to Anterior Thoracic Spinal Adjusting in the Scoliosis Patient Is Contraindicated by Spinal Biomechanics by Dennis Woggon, DC, B.Sc.   It would make sense to understand normal spinal biomechanics when putting adjustive forces into the spine, especially in a complicated spine such as a scoliosis. It seems that spinal biomechanical forces are frequently ignored when it comes to ...
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