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Emerging Technologies in Spine
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Category:
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Health and Wellness |
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Created:
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Dec 4, 2008 |
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Type:
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Public |
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Members:
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1 |
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Owner:
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Syndicom Blog
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Language:
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English |
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Country:
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5th Annual Emerging Technologies
Spine Education Summit
Steamboat Springs, CO
February 4 — 7, 2009
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.
AGENDA
Wednesday, February 4th
1:00 - 4:00 Registration
6:00 - 6:30 Faculty Meeting
6:00 - 6:30 Supporter Meeting
6:30 - 8:30 Welcome Reception
Thursday, February 5th
6:00 - 7:00 Breakfast
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)
7:55 - 8:45 ICL Session
7:55 - 8:45 Concurrent Non-Op Sesssion: Musculoskeletal Ultrasound
for Spine Conditions
* 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)
10:15 - 3:40 BREAK
3:30 - 4:00 Apres Ski Snacks
4:00 - 5:40 Degenerative Disc Disease
Lumbar Degenerative Disc Disease
* 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
5:40 - 6:10 Break for Food and Industry Workshops
6:10 - 7:50 Legal/Political/Ethical Issues
Legal Subsection
* 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)
7:00 - 8:00 Concurrent NON-Surgical Session: Sacroiliac Joint Pain
* 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
* BMP Use (10 min)
* Complications of Kyphoplasty and Vertebroplasty (10 min)
* Lumbar Disc Arthroplasty (10 min)
* Vertebral Artery Injuries (10 min)
* Nerve Root Injuries (10 min)
* Dural Tears (10 min)
* Hardware Complications (10 min)
* Infectious Complications (10 min)
* Complications of Cervical and Lumbar Injections and Management (10 min)
* Discussion (15 min)
5:45 - 6:15 Break for Food and Industry Workshops
6:15 - 7:40 Current Issues and Concerns
* 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)
Meeting Adjourns
English
