William G Mackenzie1, Jayanth S Sampath, Richard W Kruse
1Alfred I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19899, USA. wmackenz@nemours.org.
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Heavy backpacks can cause adolescent back pain and affect posture, but do not cause spinal deformities. Early back pain increases adult disability risks, highlighting the public health impact of adolescent backpack use.
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