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7% and the SSO rate was 34%; there were no flap losses. Greater age was significantly associated with nonunion (OR=1.1; 95% CI 1-1.2;p=0.003), whereas obesity was the only independent predictor of SSO (OR=9.2; 95% CI1.2-71.3; p=0.03). Functional metrics approached those of adult norms by three years postoperatively. Compared to IHP patients, patients receiving a TS had more comorbidities, a higher complication rate, and a worse functional outcome. Conclusions FFF for spinopelvic reconstruction is safe and effective, associated with a hi