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The relationship between adolescent idiopathic scoliosis (AIS) and pectus excavatum (PE) is not well understood. We hypothesize that the combined thoracic malformations of AIS and PE may lead to a “double crush to the thorax” resulting in greater cardiopulmonary impairment than either thoracic malformation in isolation. We evaluated the Haller index (HI) and thoracic volume changes that occur pre-...