 So, doctor now this final conditions are this specific to any age groups or how does it work? Final conditions definitely there at one end of our spectrum that is when we are children. In the children we see a different set of problems. You see deformities of the spine, you see malformations of the spine, you see when the child is in the mother's womb itself a lot of the formation of the spine happens. So, if you look at the spine it is a central it is a bone it is multiple bones one on top of the other with this nerves right in the center. Now the bones are for protecting the spinal cord which is the nerves in the center and the bones are also for movement of the spine of the individual so that they can stand up and walk around. So it is very critical that the formation of the bone around the nerve happens and these kind of loss of formation can lead to what the conditions what we call as myelomeningosil, diastematomalia a lot of complex problems. If there is a child who has such a problem then they have to be identified at birth or even before birth and it has to be addressed and the child has to be under close follow up with their doctor with the spine surgeon from the very beginning. There are other problems like deformities of the spine that I was talking about what we call as scoliosis where there is a sideward bending of the spine. Now that is another problem which can start at birth can be there in when they are infants or when they are adolescents it can start at any time. There are other problems like kyphosis where there is a forward bending of the spine. Now that again can be picked up at birth or a little later. The regular other problems which any individual can face is that of infections or tumors. There are specific infections which happen in children there can be tuberculosis or other infections related to the lung infection and then the infection spread to the spine. There can be growth problems small cracks because of mismatched growth in the spine. So there are a host of problems which are unique to the child and which may not be found in the adult.