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CHARLOTTE, Mich. (AP) – Former sports doctor Larry Nassar has been sentenced to 40 to 125 years in prison, marking his final criminal punishment in a sex abuse scandal that has roiled Michigan State University and major U.S. sports associations.

A judge sentenced Nassar on Monday morning in a case out of Eaton County, Michigan. The case centers on sexual assaults at Twistars, a gym for elite gymnasts.

The judge who sentenced Nassar to decades in prison for sexually abusing patients at an elite gymnastics club says the depth of his crimes is “incomprehensible.”

Judge Janice Cunningham says Nassar’s conduct “spans the country and the world.” She told Nassar she didn’t believe “there is a likelihood that you could be reformed.”

Nassar told the court: “It’s impossible to convey the breadth and depth of how sorry I am to each and everyone.”

But more than 260 women and girls say Nassar sexually abused them under the guise of medical treatment. Some of the women say the abuse occurred decades ago.

The 54-year-old Nassar has admitted that he molested girls and young women during his time also working at Michigan State University and USA Gymnastics, which trains Olympians.

Nassar was sentenced earlier this month to 40 to 175 years in prison in a separate Michigan case. He also was previously sentenced to 60 years in federal prison for child pornography crimes.

(Copyright 2018 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.)

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