The 5th annual Emerging Technologies Spine Education Summit will present the most current thinking and evidence-based medicine in new technologies related to spine care from both operative and non-operative perspectives.
7:00 - 7:50 Barriers to Adoption of New Technologies in Spinal Care
* Surgeon Perspective: To Keep Up or Keep Clear of the Merry-Go-Round (10 min) * Industry's Role and Responsibilities (10 min) * Government's Role: Clearing House, Watch Dog or What? (10 min) * Should the Insurance Companies Have a Role in New Tech Adoption? - (10 min) * Panel Discussion (10 min)
* Ultrasound in Spine Rehab (10 min) * Is there any Utility in Ultrasound with Spinal Procedures? (10 min) * Piriformis, SI Joint, and Other Confounding Diagnosis (20 min) * Question and Answer (10 min)
8:50 - 10:15 Facet Arthrosis
* Cascade of Facet Degeneration (10 min) * Identifying the Facet as a Pain Generator (10 min) * Imaging Correlates of Facet Degeneration - 10 min) * Update on Facet Solutions, Archus, and TOPS (10 min) * Update on Facet Resurfacing Zyre (10 min) * Facets and Lunmbar ADR Is it a problem? (10 min) * Case-based debate: Facet Mediated Pain (5 min) o Non-Op (Includes Injection, Ablation, PT, Chiropractic) - (10 min) o Op (Fusion, Arthroplasty) (10 min)
* Introduction, case of lumbar disc disease (5 min) * Non-Op care: Can we isolate the pain? (10 min) * Can a specific diagnosis be made for patients with chronic back pain? (10 min) * Discussion/debates on whether to proceed with surgery (10 min) * Nucleus replacements/injectables (10 min) * Lumbar arthroplasty: Evidence for technology (10 min) * Lumbar fusion (ALIF); evidence for fusion (10 min) * Novel technology options: interspinous, pedicle-based as it relates to mechanical pain (10 min) * Panel Discussion (15 min) * Case: Lumbar degenerative Spondylolisthesis (5 min) * Panel Discussion: Review of technologies presented and discuss treatment as it pertains to this new case/pathology (15 min) * Case: Stenosis/slight deformity/multi-level discuss as time permits
* Latest Legal News (10 min) * Alternate Dispute Resolution in Med Mal - (10 min) * Update on Ortho Specialty Hospitals (10 min) * Implications of 2008 Election for Spine Surgeons (10 min) * Discussion (10 min)
Ethical Issues Subsection
* Relationships with Industry: How We Can Preserve the Integrity of the Profession? (10 min) * Considerations in Physician-Owned Companies: Divesting or Disclosure? (10 min) * Conflicts of Interest, Bias, and Influence: Subconscious Processes - (10 min) * Discussion (20 minutes)
Friday, February 6th
6:00 - 7:00 Breakfast
7:00 - 8:00 Surgical Spine Trauma
* The STASCIS Trial: What have we learned in regards to timing of surgery in the setting of acute cervical spinal cord injury (10 minutes) * Minimally invasive surgery in the management of thoracolumbar spinal trauma: Is fixation without fusion a viable option? (7 minutes) * Discussion (7 minutes) * Debate: o Traumatic L1 burst fracture in the setting of an Incomplete Neurologic Deficit o Immediate Surgery is Necessary (7 minutes) o Immediate Surgery is Not Necessary (7 minutes) * Central Cord Syndrome (15 minutes) o Nonoperative care is better o Early surgery is better o Delayed surgery is better * Discussion (7 minutes)
* SI Anatomy (10 min) * Diagnosing Posterior Buttock Pain and SI Dysfunction (10 min) * Role for Physical Therapy (10 min) * Role for Injections and Emerging Denervation Protocols (RF/Pulsed RF) (10 min) * SI Joint Imaging (10 min) * Discussion (10 min)
8:05 - 8:55 ICL Session
8:05 - 8:55 Concurrent Non-Op Session: Spine Conditions in the Pregnant and Post-Partum Population
* Incidence of Lumbar Radiculopathy During Pregnancy (10 min) * Natural History of Spine Pain During Pregnancy (10 min) * Role of Physical Therapy and Evidence for Bracing (10 min) * Question and Answer (10 min)
9:00 - 10:00 Spinal Stenosis
* Non-Operative treatments for spinal stenosis, evidence for efficacy (10 min) * Defining Spinal Stenosis, defining pathology, predictors for recovery (10 min) * Case presentation: degenerative stenosis lumbar spine (5 min) * Laminectomy for spinal stenosis, evidence for efficacy (5 min) * MIS decompression: evidence, indications, techniques (5 min) * Interspinous spacer for spinal stenosis : evidence and indications (5 min) * Panel discussion to debate treatment options: (20 min)
10:00-3:30 BREAK
3:30 - 4:00 Apres Ski Snacks
4:00 - 5:30 Decision-Making in Cervical Spine Surgery
* Case Presentation in Cervical Degenerative Disease o Two Cases, one of 3-level disease, another with remote levels of involvement (30 minutes) * Which levels to include? (10 min) * When to consider adding posterior stabilization (10 min) * Which allograft to choose? (10 min) * Cervical Arthroplasty: Mistakes Made, Lessons Learned (10 min) * When to give selective nerve blocks a try (10 min) * Discussion (10 min)
5:30- 6:00 Break for Food and Industry Workshops
6:00 - 7:15 Overview of the Spinal Implant Industry
* State of the Industry Address (15 min) * Industry VIP Roundtable
Saturday, February 7th
6:00 - 7:00 Breakfast
7:00 - 8:35 Deformity
* Idiopapthic scoliosis Natural History and Fusion Principles, levels (10 min) * Degenerative Scoliosis / Idiopathic Scoliosis: What's the difference? (10 min) * Panel: Degenerative Scoliosis in Pre-Existing Idiopathic Scoliosis (talks arguing from point of reference, using literature) o Case Presentation (5 min) o Physical Therapy, Meds and Brace Treatment (10 min) o Limited Decompression (10 min) o Limited Fusion (include hybrid techniques) (10 min) * Sagittal Balance Reconstruction (Planning Surgical Strategy) (10 min) * Is There a Role for XLIF in Thoracolumbar Spinal Deformity Treatment? (10 min) * Discussion (15 min)
8:40 - 9:30 ICL Session
8:40 - 9:30 Concurrent Non-Op Session: Evidence-Based Treatments for Special Populations with Spine Conditions
* Spine Injuries in the Disabled Athlete: Data from the Paralympic Injury Surveillance System (10 min) * Spine Injuries in Skiing and Snowboarding: Data from the University of Utah Ski and Snowboard Injury Surveillance System (10 min) * Geriatric (10 min) * Psychological Interventions for Chronic Low Back Pain: Evidence-Based Practice (10 min) * Question and Answer (10 min)
9:35 - 10:05 KEYNOTE ADDRESS
10:05 - 3:30 BREAK
3:30 - 4:00 Apres Ski Snacks
4:00 - 5:45 Complications and Management Real Cases to Illustrate, Diagnosis, Management and Pearls to Prevent Complications
* Medicare Reimbursement: What is the Problem and Where is it going? (10 min) * Sustainable Healthcare Delivery: A New Approach (10 min) * Current Status of DOJ Investigations (10 min) * Panel Discussion (10 minutes) * Changes in Technology Assessment/Reimbursement Determine the Future of New Devices (10 min) * Economic Credentialing (10 minutes) * Panel Q&A with NASS Presidents - "All The Presidents Men" (25 minutes)