MODULE 2 DEGENERATIVE DISEASES OF THE SPINE … · module 2 degenerative diseases of the spine 22 &...
Transcript of MODULE 2 DEGENERATIVE DISEASES OF THE SPINE … · module 2 degenerative diseases of the spine 22 &...
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:[email protected]:+41764179003MsSandySutterManagerofEducationandResearchE:[email protected]:+41793169278SCIENTIFICCONTENTProf.BernhardMeyerChairman,EducationCommitteeofEUROSPINE