Scoliosis onset in Duchenne typically coincides with which event?

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Multiple Choice

Scoliosis onset in Duchenne typically coincides with which event?

Explanation:
In Duchenne, scoliosis usually appears as the child loses the ability to walk and becomes wheelchair-dependent. The progressive weakness of the trunk and proximal muscles leads to an imbalance that the spine cannot compensate for, so a spinal curve develops during the transition from ambulation to non-ambulation. While respiratory decline and age can influence progression, the defining trigger for the onset of scoliosis is reaching the point where wheelchair use is required.

In Duchenne, scoliosis usually appears as the child loses the ability to walk and becomes wheelchair-dependent. The progressive weakness of the trunk and proximal muscles leads to an imbalance that the spine cannot compensate for, so a spinal curve develops during the transition from ambulation to non-ambulation. While respiratory decline and age can influence progression, the defining trigger for the onset of scoliosis is reaching the point where wheelchair use is required.

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