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Osteopenia and osteoporosis, dorsal hyperkyphosis, cervical spine curvature anomalies, pectus deformities, disk hernias/protrusions, and spondylolisthesis as well as severe back pain ( 7 NRS numeric pain rating scale), which in general associated with the presence of radiological vertebral fractures (Additional Table 1), were less frequent but all more recurrent in adults, except for dorsal hyperkyphosis and pectus anomalies

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Interestingly, it was first used this way by Australians, with the term later finding its way into Canadian lingo