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Author disclosures: MFSD (royalties, Medtronic; stock ownership, including options and warrants, Medtronic; consulting, Medtronic; research support: staff/materials, Medtronic; grants, Medtronic , DePuy Spine , Rick Hansen Foundation ; fellowship support, Medtronic, Synthes, DePuy); CGF (royalties, Medtronic; consulting, Medtronic; speaking/teaching arrangements, Medtronic, DePuy, AO; trips/travel, Medtronic, DePuy, AO; research support: staff/materials, Medtronic, DePuy; fellowship support, Medtronic, Synthes).