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Skeletal Traction for Cervical Dislocations: Perceptions and Use Amongst Specialists in South Africa
Dear Colleague,

Thank you for taking your valuable time to complete this survey of 13 questions which should take 5 minutes.

1. What is your registered speciality?
2. Describe your formal training in the use of cervical traction
3. Describe your practice:
4. Categorise your practice:
5. After hours, if presented with an acute cervical dislocation from the emergency room, choose the most applicable option
6. Give an indication of your medico-legal insurance status:
7. How many closed cervical reductions did you perform or supervise in the last year
8. A rugby player is referred by your emergency room 2 hours after injury with a C5/6 bifacet cervical dislocation diagnosed on x-rays, motor complete (Frankel A). Your immediate management is:
9. The same rugby player who presented within 2 hours of a C5/6 bifacet cervical dislocation diagnosed on x-rays, motor complete (Frankel A), has an MRI pre-reduction which shows an uncontained herniated cervical disc (disk at risk).
10. What is the shortest time you envisage you would be able to surgically open reduce a dislocated cervical spine after receiving the telephone call from the emergency room. Consider pre-operative imaging, arranging theatre and an anaesthetist, requesting sets, travel time, set-up in theatre and scrubbing etc.
11. In a cervical dislocation with normal or partial neurology, what do you feel is the risk of causing the neurological level to deteriorate during closed cervical traction reduction?
12. Do you feel an adequately trained emergency room doctor is competent to perform a closed cervical skeletal traction reduction if indicated?
13. In your practice, would you be able to reduce a cervical spine dislocation within 4 hours of referral
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