Bone loss below the level of injury is quite common during the first 6-18 months post spinal cord injury. Prevention of bone loss and treatment of osteoporosis below the level of injury lack internationally accepted guidelines. Your experience and everyday clinical practice will add important information to this unclear treatment approach in a serious secondary condition, that causes complications as low force fractures.

To avoid misinterpretations, we suggest a joint agreement on: acute phase: up to 3 months post-SCI, post-acute phase: 4-18 months post-SCI, chronic phase: more than 18 months post-SCI.

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* 1. What is your specialty?

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* 2. For how many years have you practiced your specialty?

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* 3. Do you measure bone loss in persons with SCI? (more than one answer can be chosen)

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* 4. How frequently do you screen persons with SCI for bone loss?

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* 5. If you measure bone loss in persons with SCI, which tests do you use? (more than one answer can be chosen)

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* 6. How do you prevent bone loss in the acute & post-acute phase of SCI?

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* 7. Which therapeutic approach do you prefer for continued bone loss (abnormal blood and urine tests) during the acute & subacute phase in order to stop bone loss (more than one answer can be chosen)

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* 8. Which therapeutic approach do you prefer in the chronic phase of SCI in order to manage osteoporosis below the level of injury? (more than one answer can be chosen)

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* 9. When do you prescribe calcium?

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* 10. Do you prescribe vitamin D, if levels of 25(OH) Vit D are low?

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* 11. Which therapeutic approach do you prefer when a patient has had a low trauma fracture? (more than one answer can be chosen)

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* 12. In your opinion, what scores in DXA reflect osteoporosis in persons with SCI? (more than one answer can be chosen)

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* 13. Do you use other methods to promote bone mineral density (BMD) (i.e. FES, vibration)?

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