MODULE2

DEGENERATIVEDISEASESOFTHESPINE22&23June2017PROGRAMME

QUICKFACTSWHEN: 22-23June2017WHERE: Strasbourg,France IRCAD/EITS 1Placedel’Hôpital 67091Strasbourg,FranceMAXIMUMATTENDEES: 40delegatesREGISTRATIONFEE: EUROSPINEMember: €800 Non-member: €1000CMECREDITS: 11LANGUAGE: EnglishDRESS: CasualIMPORTANTNOTE: Attendanceateverysessionismandatory.

AwirelessInternetdevice(mobilephone/Ipad/computer)willbehelpfultoaccesson-lineresourcesduringtheprogramme.Pleasebringonewithyou.

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TARGETAUDIENCE

Seniortraineesandtrainedsurgeons,whoareplanningacareerinspinalsurgery.

LEARNINGOUTCOMES:SESSIONCADAVERLABS

AnteriorCervicalFixationSystems:Cages&Plates• Describethesurgicalstepsoftheprocedure• Identifysurgicaldifferencesbetweencagefusionanddiscarthroplasty• Identifytricksandpitfallsindecompressionofthespinalcanalandforamen• Identifytricksandpitfallsinanteriorplating

LateralApproach:XLIF

• Identify the fluoroscopic targets for lateral approach to the lumbar spine PerformminimalinvasivelateralapproachtothediscsL2-L3,L3-L4,L4-L5

• Identifykeystructuresanddiscussrisksrelatedtolocalvascularneuroanatomy• Approachthediscusingneuromonitoringandtubularsystem• Converttheapproachtomini-openlumbotomyandaccessthediscbyrecliningthe

psoasmuscle• Performadiscectomyandprepareendplates• InsertaTLIFcage

PLIF/TLIFDecompressionLumbarPedicleScrews

• Identifylumbarpedicles• Preparelumbarpedicles• Insertlumbarpediclescrews• Learnneuralanatomyofthelumbarspine• Performaflavectomy,laminectomy,lateralrecessdecompression• RetractduraandperformdiscectomyandinsterPLIFcage• PerformanarthrectomyandinsertTLIFcage

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LEARNINGOUTCOMES:SESSION1-CERVICAL&LUMBAR:HERNIATEDDISCS,DIAGNOSIS&TREATMENTOFRADICULARPAIN

Epidemiology&NaturalHistoryofRadicularPain

• Usecommonepidemiologicaltermstodefineandoutlineprevalenceofradicularpain• Illustratethenaturalhistoryofradicularpain• Identifythecontributoryfactors

ImagingofRadicularPain

• DifferentiatebetweentherolesofMRIandCTindischerniationimaging• Explainhowdischerniationoccurs• Interpretimagesusingcorrectnomenclature

EffectiveNon-SurgicalInterventionsforRadicularPain

• Evaluatenon-surgicaloptionsforradicularpain• Explaintheseoptionstopatients • Identifysuitablepatientsfornon-operativemanagement• Differentiatebetweenthe3typesofanalgesics• Summarisetherolesofphysiotherapyandinjectiontherapy.

SurgeryforRadicularPainintheLumbarSpine

• Differentiatebetweenabsoluteandrelativeindicationsforsurgery • Identifyappropriatetimingforsurgery• Evaluatecommonsurgicaltechniqueswithsupportingevidence• Comparesurgicalandnon-surgicaloptions• Formulateasurgicalplan• Anticipatecomplicationsandplansforreturntoworkandactivity

SurgeryforRadicularPainintheCervicalSpine

• Outlinethecausesandincidenceofradicularpaininthecervicalspine• Justifyindicationsforsurgery• Identifyfactorsinfluencingcervicaldischerniationregression• Selectappropriatesurgicalapproach• Evaluatesurgicaloptions• Anticipatecomplicationsandplansforreturntoworkandactivity• Formulateaplanwhentheadjacentlevel“problem“remainsunresolved

CaseDiscussion

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LEARNINGOUTCOMES:SESSION2-LUMBARSPINALSTENOSIS

SpinalStenosis:presentations,naturalhistory,non-surgicaltreatment• Outlinethesigns&symptomsoflumbarspinestenosis(LSS)• ClassifyLSS• Evaluatesurgicalandnon-surgicaloptions• Appraiserehabilitationalternatives

SurgicalTreatmentofLumbarStenosis

• Formulateprinciplesforstenosissurgery• Evaluatesurgicalandnon-surgicaloptionsfordegenerativespondylolisthesis

CaseDiscussionLEARNINGOUTCOMES:SESSION3-CERVICAL&THORACICMYELOPATHY

ImagingMyelopathy:techniques&prognosticindicators• Describemedullarynontumoralpathology• ComparemyelographyandCTmyelography

Presentations,Causes,NaturalHistoryCervical&ThoracicMyelopathy

• Comparefunctionalandclinicalpresentationofspondyloticandmyelopathicsyndromes• Gradedisease• Anticipateclinicaltraps • Describethenaturalhistory• Outlinetheclinicalpresentationof:

o craniocervicalmyelopathyo thoracicmyelopathy

Clinical&SurgicalDecisionMakinginCervical&ThoracicMyelopathy

• ComparedifferentsurgicalapproachestocervicalmyelopathyCaseDiscussion

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LEARNINGOUTCOMES:SESSION4-SPONDYLOLYSIS&SPONDYLOLISTHESIS

DegenerativeSpondylolisthesis • Outlinethesigns&symptomsofspondylolisthesis• Selectandinterpretappropriateimages• Evaluatesurgicalandnon-surgicaloptions

Spondylolysis&High-GradeSpondylolisthesis

• Outlinetheepidemiologyandnaturalhistory• Describethesigns&symptomsofspondylolysis&high-gradespondylolisthesis• Classifyeffectively• Formulateprinciplesofmanagement• Evaluatesurgicaloptions• Anticipatecomplicationsofinstrumentationandrepositioning• Appraiserehabilitationalternatives

CaseDiscussionLEARNINGOUTCOMES:SESSION5-AXIALSPINEPAIN

ObstaclestoRecovery• Anticipatepotentialobstaclestorecovery• Explainhowflaggingcanbeused• Planstrategiesformanagingcatastrophising

Non-SurgicalTreatmentofBackPain

• Differentiatebetweenacuteandchronicbackpain• Evaluateoptionsfornon-surgicalmanagementofbackpain• Summarisecurrentevidencepertainingtooperativeandnon-operativemanagement

FusionSurgeryforLowBackPain

• Providearationaleforfusionsurgery• Evaluatealternativeoptions • Selectappropriateapproach• Linktocurrentevidence

CaseDiscussion

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LEARNINGOUTCOMES:SESSION6-DEGENERATIVEADULTDEFORMITY

DegenerativeLumbarDeformity• Describethepathogenesisandnaturalhistoryofadultlumbardeformity• Explaintheconceptofspinalbalanceandthespinopelvicparameters• Formulateasurgicalplanforlumbardegenerativekyphoscoliosis

CaseDiscussion

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COURSECHAIRMAN:CLAUDIUSTHOMÉ AUSTRIACADLABCHAIRMEN:HALUKBERK TURKEYPHILIPPECHARLES FRANCEFACULTY:YANN-PHILIPPECHARLES FRANCEBARTDEPREITERE BELGIUMJOHNDUFF SWITZERLANDMICHAELOGON AUSTRIAPAULOPEREIRA PORTUGALSÉBASTIANSCHULLER FRANCEALBERTOZERBI ITALY

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SCIENTIFICPROGRAMME,MODULE2 CHAIRMAN:CLAUDIUSTHOMÉ

DAY1THURSDAY,22JUNECOURSEATTENDANCEISMANDATORY

TIME TOPIC FACULTY07:00-07:15 CourseRegistration&WelcomeCoffee 07:15-07:45 CadLabdiscussion ClaudiusThomé07:45-08:00 GototheLab

CadaverLabWorkshops08:00-09:45 GroupA:XLIF Allfaculty08:00-09:45 GroupB:AnteriorCervicalFixation

Systems:Cages&PlatesAllfaculty

9:45-10:15 CoffeeBreak(GroupRotation) 10:15-12:00 GroupB:AnteriorCervicalFixation

Systems:Cages&PlatesAllfaculty

10:15-12:00 GroupA:XLIF AllfacultyLunch1hour

13:00-13:10 Introduction ClaudiusThoméSESSION1:Cervical&Lumbar:HerniatedDiscs,Diagnosis&TreatmentofRadicularPain

13:10-13:20 Epidemiology&NaturalHistoryofRadicularPain

ClaudiusThomé

13:20-13:30 ImagingofRadicularPain AlbertoZerbi13:30-13:45 EffectiveNon-SurgicalInterventionsfor

RadicularPainMichaelOgon

13:45-14:00 SurgeryforRadicularPainintheLumbarSpine

BartDepreitere

14:00-14:15 SurgeryforRadicularPainintheCervicalSpine

JohnDuff

14:15-15:15 CaseDiscussion Moderator:JohnDuffCases(cervical+lumbar):BartDepreitere+Allfaculty

CoffeeBreak30mins.SESSION2:LumbarSpinalStenosis

15:45-16:00 SpinalStenosis:Presentation,NaturalHistory,Non-SurgicalTreatment

ClaudiusThomé

16:00-16:15 SurgicalTreatmentofLumbarStenosis PauloPereira16:15-17:00 CaseDiscussion Moderator:MichaelOgon

Case:Yann-PhilippeCharles+Allfaculty

17:00 ENDOFDAY1

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SCIENTIFICPROGRAMME,MODULE2 CHAIRMAN:CLAUDIUSTHOMÉ

DAY2FRIDAY,23JUNECOURSEATTENDANCEISMANDATORY

TIME TOPIC FACULTY08:00-08:15 Attendancesignature

SESSION3:Cervical&ThoracicMyelopathy08:15-08:30 ImagingMyelopathy:Techniques&

PrognosticIndicatorsAlbertoZerbi

08:30-08:45 Presentation,Causes,NaturalHistoryCervical&ThoracicMyelopathy

ClaudiusThomé

08:45-09:00 Clinical&SurgicalDecisionMakingInThoracicMyelopathy

JohnDuff

09:00-09:15 Clinical&SurgicalDecisionMakingInCervicalMyelopathy

ClaudiusThomé

09:15-10:15 CaseDiscussion Moderator:ClaudiusThoméCases(cervicalandthoracic):SébastianSchuller+Allfaculty

CoffeeBreak30mins.SESSION4:Spondylolysis&Spondylolisthesis

10:45-11:00 DegenerativeSpondylolisthesis BartDepreitere11:00-11:15 Spondylolysis&High-Grade

SpondylolisthesisYannPhilippeCharles

11:15-12:00 Discussion Moderator:Yann-PhilippeCharlesCase:JohnDuff+Allfaculty

Lunch1hourSESSION5:AxialSpinePain

13:00-13:15 ObstaclestoRecovery JohnDuff13:15-13:30 Non-SurgicalTreatmentofBackPain MichaelOgon13:30-13:45 FusionSurgeryforLowBackPain SébastianSchuller13:45-14:45 CaseDiscussion Moderator:PauloPereira

Case:Ogon+Allfaculty

CoffeeBreak30mins.Session6:DegenerativeAdultDeformity

15:15-15:30 DegenerativeLumbarDeformity Yann-PhilippeCharles15:30-16:00 CaseDiscussion Moderator:BartDepreitere

Case:Yann-PhilippeCharles+Allfaculty

16:00-16:10 Evaluation 16:10-16:30 ClosingRemarks&Diploma ClaudiusThomé16:30 EndofModule

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CONTACTSEUROSPINE,theSpineSocietyofEuropeSeefeldstrasse168610UsterSwitzerlandwww.eurospine.orgwww.eurospinemeeting.comFollowuson:facebook.com/EuroSpinetwitter.com/#!/EuroSpineSocCOURSEORGANISATIONDrJulie-LynNoëlDirectorofEducationandResearchE:noel@eurospine.orgT:+41764179003MsSandySutterManagerofEducationandResearchE:sutter@eurospine.orgT:+41793169278SCIENTIFICCONTENTProf.BernhardMeyerChairman,EducationCommitteeofEUROSPINE