EUROSPINESpring Speciality Meeting 2015

Delegates’ Survey

1

powered by APACE | AMFORT

< 35 years

35-45 years

46-55 years

over 55

23% 10%

40%

27%

2

How old are you?

21%79%

3

male female

Spinal Surgery

Trauma Surgery

Paediatric Surgery

Orthopaedic Surgery

Research

Other

4

What are your main fields?

What did you like most about the conference?

5

"The speakers and lots of time for interaction"

"Expert speakers, In depth discussion,

Great Q/A"

"Topics, presentations, ample time for discussion, having controversial issues,

spectrum of deformity discussed"

"Great Presentations and Hot Discussion"

"Case discussions"

"High end lectures given by seasoned and experienced

clinicians"

"The debates setup by the experts"

"Selection of faculty, intensive program"

"Expert meeting, networking"

"Multi-national faculty and participants"

"Enough time for case discussions"

"The cross section of faculty and thought processes"

"Comprehensive program"

"Very high quality of lectures"

"The mixtures of literature presentations and cases"

"Comprehensive coverage of deformity

& the interactive discussions"

What were the most important take home messages for you?

6

"Think before starting and planning an

operation and think again!"

Due to the high number of qualitative answers (impossible to cluster

efficiently), please compare with appendix for further input.

31

"We need to say no sometimes!"

2

Any suggestions for improvement for future EUROSPINE meetings?

7

"Better distribution of workshops (2

on each day) or to be repeated on

both days"

"Extreme cases presented are interesting however normal cases are more

clinically applicable for the audience"

"Small group discussions, or the use of voting device during discussions"

"Surgical technique presentations"

"Debates were good, case presentations better; excellent Q/A after lectures often very helpful in

elucidating further clarity."

"More case discussions"

"Opposite speakers and presentations can animate the

discussions more"

"It’s already good...keep it up... definitely will improve"

"Continue focused spring meetings on specialist topics"

"Attract the audience to be more active. Maybe less offcial style of

meeting"

"Same format next year!"

"Shorter sessions with more breaks, these were long days"

„Provide screens closer to the audience, in order to better see radiographs"

"Longer time for case discussion and a time

for round table"

What can EUROSPINE do in order to better serve your needs within

the spine community?

8

"Keep me informed about what's happening"

"Try to conduct these type of meetings outside Europe"

"Highlight the need for spinal surgery to be

recognized as a speciality of its own"

"Some more basic science research projects (gait lab analysis, biomechanical

models, animal models…)"

"Overview articles and guidelines for good practice"

"Bring diverse educational opportunities

from global faculty"

"Continue to run such meetings jointly with

prominent spine societies"

"Organize educational visits in spine centers"

"Keep doing educational activities"

"Add the session of focus group interesting research"

"EUROSPINE times (weekly or monthly)"

"Add small group discussion sessions with world's experts, maybe from 5pm to 6:30pm"

"Keep me informed about what's happening"

"Guide young surgeons for fellowships"

There was a good balance between clinical and

academic presentations

There was too much emphasis on clinical practice

There was too much emphasis on academic presentations

None of the above

2%

84%

10%

4%

9

How do yourate the balance between clinical and academic presentations?

The programme was for specialists

None of the above

There was too much in the programme for generalists

There was not enough in the programme for specialists

10%

84%2%

4%

10

What do you think of the

programme?

11

not mandatory, but serves as

attendance confirmation

49%

97%

important for my professional validation

important as indicator of the

educational level and meeting quality

41%37%

CME accreditation is…

Lectures

Debates

Case Discussions

4,1

4,0

4,2

12

Quality Ratings

Commercial exhibition

Quality Ratings

Pre-congress registration procedure

On-site registration procedure

Congress publications

13

2,9

4,4

4,4

3,8

Staff friendliness

Quality Ratings

On-site catering

4,4

4,1

14

15

About the Survey

68 responses 46 complete responses

Online: April 23 – May 23, 2015

68% completion rate

16

Appendix – What did you like most about the conference? • Agenda

• Case based discussion

• Case Discussions, Lectures, Coffee Break

• Cases presentation

• Comprehensive coverage of deformity & the interactive discussions

• Comprehensive program

• Content and venue

• Degenerative, De Novo Adult Scoliosis

• Early onset scoliosis

• Enough time for case discussions

• Expert meeting, networking

• Expert speakers, In depth discussion, Great Q/A

• Good talks and discussions

• Great Faculty

• Great Presentations and Hot Discussion

• High end lectures given by seasoned and experienced clinicians

• Informative, open atmosphere

• Interactivity

• Lectures and case discussion

• Lectures and discussion

• Many ideas from discussion of the expert

• Multi-national faculty and participants

• Networking

• Organisation, case discussions, friendly atmosphere

• Selection of faculty, Intensive program.

• SRS - SSE MIXED FACULTY AND SUFFICIENT TIME FOR DISCUSSION

• That is was all about deformity

• The complete study of all the practical aspects of the spinal deformities

• The cross section of faculty and thought processes

• The debates setup by the experts

• The learned speakers and lots of time for interaction.

• The lectures and case discussions. The faculties showed real cases, nas resulta and a suggestion to solve than. Another positive point is the access to the staff.

• The mixtures of literature presentations and cases

• The setup with lectures, discussion and case discussions

• Topics, presentations, ample time for discussion, having controversial issues, spectrum of deformity discussed

• Updated lectures, nice discussions, good faculty

• Upset of the program

• Very high quality of lectures.

• Was deformity from A to Z

17

Appendix – What were the most important take home messages for you? (1st)• A new way to think and plan surgeries, and that some times I

can and should day "no".

• Additional bracing after surgery for preventing PJK

• AIS-BRACE TREATMENT/OTHER NON OPERATIV THERAPIES, outcomes of non-surgical treatment (Manuel Rigo)

• Anticipate complications, case reviews were great for demonstrating a wide variety of these

• Avoid early surgery

• Balance is more than alignment

• Benefits of casting in EOS

• Braces may reduce incidence of PJK after deformity surgery

• Case discussion on AIS

• Challenging speciality

• Choice of the construct in EOIS if the curvature is short or long sweeping

• Clinical of patient is important

• Consensus is growing but there's still a long way to go in understanding the behavior of the spine

• Cost of adult deformity surgery for QALY not viable

• Deformity Corrections in different ways

• Don't fuse to early

• Double rod in adult deformity

• Early adult deformity versus elderly adult deformity

• Follow the principles that have proven themselves important

• I would do uninstrumented A+P fusion in high degree slip

• increasing understanding of adult spinal deformity

• Interaction between speakers and audience

• Less can be more

• Management of adult scoliosis

• Patient safety

• Plaster treatment for juvenile/infantile

• Postpone Surgery in very young patients

• Preventing pjk in sk.prof. alanay

• Principles of treating degen scoli

• Reduction technique in high grade spondylolisthesis

• See deformity patients carefully

• Think before starting and planning an operation and think again!

• Treatment of spinal deformities

• When to say no to surgery.

18

Appendix – What were the most important take home messages for you? (2nd)• Adult deformity is very complex and not so easy to deal with

• Adult scoli maybe over treated

• Anchor fixation in GR technique for EOS is still a subject of debate...

• Anterior surgery for high grade spondylolisthesis is effective

• Benefits of anterior surgery in rigid scoliotic deformities - AIS & Degen scoliosis

• better way will come up every year

• Big challenges remain with EOS

• Bracing in scoli do play a role given the right indications

• But if compl can be treated patients end up improved

• Clinical examinations

• Consider cast for EOS

• Cost benefit of American adult surgery not applicable to Europe, but very good lecture on topic. Thought provoking for value of what we do in Europe

• Different osteotomies offer different option but also associated complications

• Fixation to the pelvis

• Great cases from everyday practice

• Growing rods seem to be most effective in eos patients

• Identify them early

• Importance of preoperative evaluation

• Lowest instrumented vertebra in scheuermann

• Pre op planning

• Pre-operative planning

• Sagittal balance matters!

• Scheuerman LIV/UIV

• Selection of LIV

• Surgical skills are important

• Techniques and measures to avoid and manage junctional problems

• The limitations of lenke classification to determine the best Lower vertebra to stop and he degree of correction

• The management of spondylolisthesis and coexistent (idiopathic) scoliosis) and Choice of implants for AIS (David Clements)

• Try to say "no" when necessary

• Uninstrumented alif for high grade spondylolisthesis-prof marinus

• Very high complication rates in 3CO

• When to say no!

19

Appendix – What were the most important take home messages for you? (3rd)• Address them aggressively

• American surgical practice not so relevant outside america

• Anterior support

• Avoid complications if possible, but deal w them forthright when they occur

• Avoidance of complications

• Be a physician who knows how to operate

• Continuous learning is important

• Degenerative scoliosis concept

• Diverse methods are available to treat each problem

• Everyone has complications...

• How to reduce risk of PJK

• If, at a dinner, you pour wine into your mouth , there will be consequences, wet shirt etc but good fun

• Importance of clinical evaluation of the patient

• Importance of recognizing concave vs convex coronal alignment

• More can be less

• Revolutionary ideas: uninstrumented reduction en fusion for spondylolisthesis. Less coronal correction in scoliosis to keep the spine balance?

• Sagittal alignment and age

• Sagittal profile is of extreme importance

• Scheuerman Kyphosis. Overview of surgical treatment over the last 20 years, where do we stand now? (Haluk Berk)

• Scheuermann Kyphosis

• Serial casting for idiopathic EOS is effective

• Sometimes say no

• Technique of correction of kyphosis

• Technology hides principles of treatment

• The selection of the surgery candidates is stil controversial

• The strategy to correct a ASD following the I. Obeid two categories of coronal deformaties

• We can say no to an operation!

• We need to say, No, sometimes...

• Writing papers

20

Appendix – Any suggestions for improvement for future EUROSPINE meetings?• A lot of workshops

• Attract the audience to be more active. Maybe less official style of meeting

• Better distribution of workshops (2 on each day) or to be repeated on both days

• Continue focused spring meetings on specialist topics

• Debates were good, case presentations better, excellent Q/A after lectures often very helpful in elucidating further clarity.

• Electronically prepared some abstract-presentation materials, include more lectures on spinal disorders non-operative treatment

• Extreme cases presented are interesting however normal cases are more clinically applicable for the audience.

• Get it a little less dense

• History of Spine surgery (presentations)

• Its already good....keep it up... definitely will improve

• Less lectures, 8-18 o´clock, ten hours - too much info in short time

• Longer time for case discussion and a time for round table

• More case discussions

• More case discussions

• More cases from the floor

• More interesting hotel

• Opposite speakers and presentations can more animate the discussions

• Perfect meeting

• Provide screens closer to the audience, in order to better see radiographs

• Provide the next meeting like this

• Same format next year!

• Shorter sessions with more breaks, it were long days

• Small group discussions, or the use of voting device during discussions

• Surgical technique videos

• Surgical technique presentations

• The course was very well organized

• Theatre style venue if possible

• Audience response systems work well in case discussions? Apps

21

Appendix – What can EUROSPINE do in order to better serve your needs within the spine community?

• Add small group discussion sessions with world's experts, maybe from 5pm to 6:30pm

• Add the session of focus group interesting research

• As currently

• Bring diverse educational opportunities from global faculty

• continue to run such meetings jointly with prominent spine societies

• EUROSPINE times (weekly or monthly)

• Go on

• Guide young surgeons for fellowships

• Highlight the need for spinal surgery to be recognized as a speciality of its own

• I am not a member...

• Involve auditorium even more

• Keep doing educational activities

• Keep me informed about what's happening.

• Lectures and Case Discussions for hot topics

• Offer travel grants for the small meetings for junior delegates

• Operative courses

• Organize educational visits in spine centers

• Overview articles and guidelines for good practice

• Pre-learning materials before meetings like this?

• Propose multiple courses per year wit spinal pathologies

• Some more basic science research projects (gait lab analysis, biomechanical models, animal models...)

• Spinal deformity registry

• Try to conduct these type of meetings outside Europe

• Will the lectures be available for viewing and re review?

• Workshop