AOSpine Advanced Level Simulated Bioskills Course Microsurgical Decompression and Fusion Procedures in Lumbar Spine

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1 Education AOSpine Advanced Level Simulated Bioskills Course Microsurgical Decompression and Fusion Procedures in Lumbar Spine December 11 12, 2016 Davos, Switzerland Preliminary Program Image copyright: St Olavs Hospital, University Hospital, Trondheim, Norway

2 Welcome from the course director WELCOME Welcome to the Simulated Bioskills Course 2016 Dear Colleagues, On behalf of AOSpine, it is my pleasure to welcome you to the Advanced Level Simulated Bioskills Course sessions an AOSpine educational highlight at the Davos Courses This simulated bioskills course is designed to provide you with an extraordinary learning experience. The course s interactive, case-based learning format presents the latest teaching system technology, and includes a 1:1 hands-on session at the bioskill simulator. In addition, the low, 3:1 participant to faculty ratio creates an exceptional setting for advanced learning. By attending one of the bioskills course sessions, you will be able to interact with worldrenowned experts, as they share their extensive knowledge and experiences in the field of spine surgery. You will also have the opportunity to observe one day of the AOSpine Master s Level courses at the Davos Courses Even though we present a demanding program, you will still have time to socialize with friends and colleagues. Exchange knowledge and experiences with spine experts from around the world, and extend your network within the AOSpine family in one of the most inspirational environments at the Davos Courses I wish you an exceptional and rewarding Simulated Bioskills Course experience at the Davos Courses Michael Grevitt AOSpine Education Commission Chairperson Course Director Davos Courses

3 Education AOSpine Curriculum A framework for continuing professional development to meet your lifelong learning needs Educational content based on competencies and learning outcomes across six areas of pathology Delivered through: Face-face education (eg. courses, symposia and fellowships) Online learning (eg. webinars & webcasts, online forums and elearning modules) Resources (eg. videos, books & journals, mobile apps and AO Surgery Reference) 6

4 Course Format COURSE FORMAT Goals of the Course This course aims to develop skills in minimally invasive spine surgery (MISS) focusing on microsurgical decompression and fusion procedures for treating degenerative conditions of the lumbar spine and to perform safe neural manipulation. It also focuses on an evidence-based approach to common degenerative disorders holistic treatment planning, and the management of complications. Target audience Senior residents, fellows, and surgeons in the early years of their career who: Have at least five years of experience in performing spine surgery Have completed the AOSpine Principles course or equivalent, and have time to complete three hours of online activities before the course Are able and willing to communicate well in English, and to discuss cases in an open manner Course objectives On completion of this course, participants will be better able to: Formulate an appropriate operative treatment plan for common degenerative disorders Perform safe entry into the lumbar spinal canal, manipulation of the dura and nerve roots, and discectomy Carry out the operative steps in microsurgical decompression of the lumbar spine Carry out the operative steps in fusion procedures in the lumbar spine, especially TLIF Use 2-D navigation for MIS pedicle screw placement Manage complications and repair a durotomy Use an operating microscope to optimize the outcomes of microsurgical and fusion procedures Course description This course features simulated bioskills exercises to practice several key microsurgical decompression and fusion procedures for the lumbar spine using a model simulator, an operating microscope, and instrumentation. It also features small group discussions, where groups of participants discuss cases with the expert faculty. Online pre-course activities This blended learning event uses online pre-course activities to ensure that all participants have a common basic knowledge of the content. 7

5 FACULTY Faculty Chairperson Roger Härtl Weill Cornell Medical College, USA Educational advisor Luca Papavero Schön Klinik Hamburg, Germany International faculty Harry Gebhard Clinics for Orthopedics and Trauma Surgery, Switzerland Andreas Korge MD Schön Klinik München, Germany Avelino Parajon MD Hospital Universitario Ramón y Cajal, Spain Steven Theiss MD University of Alabama at Birmingham, USA 8

6 Venue VENUE Congress Center Davos Talstrasse 49A 7270 Davos Platz Switzerland Phone: Fax: AOSpine registration opening hours Congress Center, main entrance Sunday, December 11 13:00 17:00 Main entrance information desk opening hours General information/registration for special events Congress Center, main entrance Sunday 13:00 17:00 Monday Wednesday 07:45 19:00 AO World and industry exhibition opening hours Sunday, December 11 15:00 19:00 (welcome ceremony starts at 17:00) Monday, December 12 09:00 17:00 Tuesday, December 13 09:00 17:00 Wednesday, December 14 09:00 20:30 (AO World Night) Local buses leave every 10 minutes from the Congress Center. 9

7 FLOORPLAN Congress Center Floorplan 1st Floor House C (take golden elevator) Room Schiahorn 1+2 Sunday and Monday Theoretical session and practical exercises on artificial bones AOSpine faculty and participant registration desk Entry level House A Room Flüela Sunday and Monday Bioskills: Hands-on training on stenosis 10

8 Course information COURSE INFORMATION Accommodation Please refer to the event page for more information about accommodation and special hotel rates for Davos Course participants. Accreditation An application has been made to the UEMS-EACCME for CME accreditation of this event. All AOSpine courses apply the same pre-evaluation, onsite and post-evaluation process, with audience response system (ARS). This will help AOSpine to ensure that we continue to meet your training needs. Insurance The course organization does not take out insurance to cover any individual against accidents, theft, or other risks. Mobile phone and camera use The use of mobile phones and cameras is strictly prohibited in the lecture halls and during practical exercises. Social evenings The AOSpine Meet Your Faculty reception will take place on Monday, December 12, at the restaurant Extrablatt, next to the Congress Center, following the scientific sessions. AO World Night, where participants can interact with participants and faculty from other clinical divisions, will take place on Tuesday, December 13, in the Congress Center. Travel by car Davos is located in the heart of Grisons (Graubunden) in the east of Switzerland, about 150 km from Zurich. It takes approximately two hours from Zurich. Four wheel drive and winter tires are strongly recommended at this time of the year. Depending on road conditions, you may need snow chains on the last few kilometers. Travel by plane The nearest airport is Zurich Airport. From there you can travel to Davos either by train or by car. Travel by train A regular train service will conveniently take you from Zurich main station or Zurich Airport to Davos Platz; travel time is approximately three hours. Tickets and train schedule available at:

9 PROGRAM Program Sunday, December 11 Time Activity Room Faculty 07:30 08:00 Introduction to the course Schiahorn R Härtl 08:00 08:40 Introduction to MISS 10 min Introduction to MISS 10 min How to use a microscope Schiahorn R Härtl, A Korge, A Parajon 10 min How to use a drill 10 min How to use microsurgical tools 08:40 09:00 Theoretically explaining procedures on the simulator Schiahorn S Theiss 09:00 09:30 Coffee Break 09:30 12:30 Group 1: Hands-on Training on Stenosis Start with 20 min presentation on master s table, following R Härtl, A Parajon, S Theiss 3 X 45 min sessions for hands-on training with participants 09:30 12:30 Group 2: Correct Diagnosis is the Key to Success in MISS A Korge Participants discuss different classifications of back pain and how to differentiate between them. They learn which types of back pain require additional work up and which may be amenable to surgical treatment Moderator: A Korge Faculty: H Gebhard Cases MIS decompression cases in the lumbar spine: Herniated lumbar disc Intraforaminal disc herniation Far lateral disc herniation Synovial cyst Lumbar spinal stenosis with and without spondylolisthesis 12:30 13:15 Lunch Break 13:15 16:15 Group 2: Hands-on Training on Stenosis Flüela Start with 20 min presentation on master s table, following R Härtl, A Parajon, S Theiss 3 X 45 min sessions for hands-on training with participants 13:15 16:15 Group 1: Correct Diagnosis is the Key to Success in MISS Schiahorn A Korge Participants discuss different classifications of back pain and Moderator: A Korge how to differentiate between them. They learn which types of back pain require additional work up and which may be Faculty: H Gebhard amenable to surgical treatment Cases MIS decompression cases in the lumbar spine: Herniated lumbar disc Intraforaminal disc herniation Far lateral disc herniation Synovial cyst Lumbar spinal stenosis with and without spondylolisthesis 16:15 16:45 Feedback session closure of the day R Härtl, L Papavero 16:45 17:00 Break 17:00 18:00 Davos Courses opening ceremony Davos Congress All Center 12

10 Program PROGRAM Monday, December 12 Time Activity Room Faculty 08:00 08:30 Introduction to the course day Schiahorn R Härtl 08:30 09:30 Theoretical introduction to Complications Management Schiahorn A Korge 09:30 10:00 Coffee break 10:00 13:00 Group 1: Hands-on Training TLIF and Complications Management (Dura Repair) Flüela A Korge, L Papavero, A Parajon 10:00 13:00 Group 2: H Gebhard, S Theiss Small group discussions 2: Schiahorn Moderator: S Theiss L4/5 spondylolisthesis case: TLIF, PLIF, open, MIS? XLIF, OLIF etc L5/S1 severe foraminal collapse case: TLIF / ALIF? TLIF complication management: intraop CSF leak, postop headaches Faculty: H Gebhard Hands-on workshops on artificial bones 13:00 13:45 Lunch break 13:45 16:45 Group 1: Hands-on Training TLIF and Complications Management (Dura Repair) Flüela A Korge, L Papavero, A Parajon 13:45 16:45 Group 2: Flüela H Gebhard, S Theiss Small group discussions 2: Moderator: S Theiss L4/5 spondylolisthesis case: TLIF, PLIF, open, MIS? XLIF, OLIF etc L5/S1 severe foraminal collapse case: TLIF / ALIF? TLIF complication management: intraop CSF leak, postop headaches Faculty: H Gebhard Hands-on workshops on artificial bones 16:45 17:15 Feedback session closure of the day Schiahorn R Härtl, L Papavero 17:15 18:15 AOSpine Participants "Meet Your Faculty" reception with faculty members and participants from the Masters' Level Davos Courses Café Extrablatt All 13

11 Exhibitions EXHIBITIONS AO World Visit the AO World in the main foyer, home to the AO Clinical Divisions, AO Institutes, and the AO Foundation Initiatives. Here you can explore membership opportunities, browse our print and electronic publications, and learn about groundbreaking activities within the AO. Discover research, development, fellowships, and other opportunities available to you by visiting all the booths in the AO World. Industry exhibition Visit the exhibitions of our major industry partners DePuy Synthes and Siemens, who are also contributing in-kind support (material and logistics), and the other exhibitors: SYNBONE, ZEISS, Invibio, HECTEC, OPED, Victorinox, Credit Suisse, and Moticon. Further exhibitors to be confirmed (pending). Media exhibitors Lehmans Media can be found at the entrance to the Congress Center. Credit Suisse, and Moticon. Further exhibitors to be confirmed (pending). 17

12 SPONSORS Sponsors We thank our major industry partners DePuy Synthes, Siemens, and Zeiss for contributing with in-kind support (material and logistics) without which this event would not be possible. A special thanks to DePuy Synthes for providing an unrestricted educational grant for this event. We also extend our thanks to the following co-sponsors. AOSpine International Stettbachstr Dübendorf Switzerland T F education@aospine.org

13 The Global Spine Congress heads to Europe REGISTER NOW Early bird registration ends on December 21, 2016 Global Spine Congress Milan, Italy May 3 6, AOSpine International. All rights reserved. E & OE.