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Nikita G. Alexiades, Belinda Shao, Bruno P. Braga, Christopher M. Bonfield, Douglas L. Brockmeyer, Samuel R. Browd, Michael DiLuna, Mari L. Groves, Todd C. Hankinson, Andrew Jea, Jeffrey R. Leonard, Sean M. Lew, David D. Limbrick Jr., Francesco T. Mangano, Jonathan Martin, Joshua Pahys, Alexander Powers, Mark R. Proctor, Luis Rodriguez, Curtis Rozzelle, Phillip B. Storm, and Richard C. E. Anderson

or removal of all weight? 49. Cervical spine X-rays should be obtained in the event of any neurologic change. 50. Cervical spine MRI should be obtained in the event of any neurologic changes. 51. Would you be willing to alter any aspect of your standard practices regarding cervical spine traction as a result of evidence based or consensus driven findings? CVJ = craniovertebral junction. Delphi Round 1 Responses from the initial survey were used to generate 60 potential consensus statements ( Table 2 ). Questions covering

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Muhammad M. Abd-El-Barr, Brian D. Snyder, John B. Emans, Mark R. Proctor, and Daniel Hedequist

invagination after failed prior fusion surgery in children with Down's syndrome . Spine (Phila Pa 1976) 35 : E128 – E133 , 2010 11 Klimo P Jr , Coon V , Brockmeyer D : Incidental os odontoideum: current management strategies . Neurosurg Focus 31 : 6 E10 , 2011 12 Kyoshima K , Kakizawa Y , Tokushige K : Simple cervical spine traction using a halo vest apparatus: technical note . Surg Neurol 59 : 518 – 521 , 2003 13 Lerman JA , Haynes RJ , Koeneman EJ , Koeneman JB , Wong WB : A biomechanical comparison of Gardner

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David L. Kelly Jr., Eben Alexander Jr., Courtland H. Davis Jr., and Jack M. Smith

now be presented Operative Technique Crutchfield tongs for skeletal traction are inserted in the skull in the line of the mastoid tip. Usually reduction is achieved with 5 to 7 lbs of traction, but in some cases more weight may prove to be necessary. In the operating room the patient is intubated on a stretcher, care being taken not to flex or extend the cervical spine. Traction is maintained during intubation. The patient is then moved to the operating table and placed in a prone position. The head and neck are kept in a neutral position. The patient is

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Tim E. Darsaut, Muthana M. Sartawi, Perry Dhaliwal, and Richard J. Fox

instability in rheumatoid arthritis . J Bone Joint Surg Br 70 : 702 – 707 , 1988 7 Kinnaird RH , Jelsma RK : A portable traction device for cervical fractures. Technical note . J Neurosurg 76 : 544 – 545 , 1992 8 Kyoshima K , Kakizawa Y , Tokushige K : Simple cervical spine traction using a halo vest apparatus: technical note . Surg Neurol 59 : 518 – 521 , 2003 9 Matsunaga S , Sakou T , Onishi T , Hayashi K , Taketomi E , Sunahara N , : Prognosis of patients with upper cervical lesions caused by rheumatoid arthritis

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A longitudinal survey of adult spine and peripheral nerve case entries during neurosurgery residency training

Presented at the 2018 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves

Nitin Agarwal, Michael D. White, and D. Kojo Hamilton

Epilepsy 10 Critical Care  DC20 ICP monitor placement 5  DC21 External ventricular drain 10  DC22 VP shunt tap/programming 10  DC23 Cervical spine traction 5  DC25 CVP line placement 10  DC26 Airway management 10  DC27 Arterial line placement 10   Total Critical Care 60 Total All Defined Case Categories 400 Reportable but Non-Tracked Categories  Arteriography  Stereotactic frame placement CVP = central venous pressure; ICP = intracranial pressure; VP = ventriculoperitoneal. Copyright 2018 Accreditation Council for Graduate Medical Education. Published with permission

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Nitin Agarwal, Michael D. White, Jonathan Cohen, L. Dade Lunsford, and D. Kojo Hamilton

Epilepsy 10 Critical Care  DC20 ICP monitor placement 5  DC21 External ventricular drain 10  DC22 VP shunt tap/programming 10  DC23 Cervical spine traction 5  DC25 CVP line placement 10  DC26 Airway management 10  DC27 Arterial line placement 10   Total Critical Care 60 Total All Defined Case Categories 400 Reportable but Non-Tracked Categories  Arteriography  Stereotactic frame placement CVP = central venous pressure; ICP = intracranial pressure; VP = ventriculoperitoneal. Copyright 2018 Accreditation Council for Graduate Medical Education (ACGME). Reprinted with