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The aim of this trade document is to contract the analytical services to evaluate a comprehensive panel of over 15 epigenetic clocks - including PC Horvath, PC Hannum, PC PhenoAge, PC GrimAge, DunedinPACE, DNAmTL telomere length, and OMICm Age – using preoperative blood samples from patients with adult spinal deformity (ASD). This work is part of the Project PI24/01574 titled “Biomarcadores para el Tratamiento Personalizado de la Deformidad Vertebral del Adulto: Enfoque del Envejecimiento y la Fragilidad” awarded to the Fundació Hospital Universitari Vall Hebron – Institut de Recerca (VHIR), funded by Instituto de Salud Carlos III (ISCIII) and co-funded by the European Union.