AOSpine Advanced Level Specimen Course Degenerative spine

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1 EUROPE Program AOSpine Advanced Level Specimen Course Degenerative spine September 7 8, 2017 Poznan, Poland

AOSpine Advanced Level Specimen Course Degenerative spine 3 Welcome to Poznan Dear Colleagues, On behalf of AOSpine Poland I would like to invite you to Poznan for the AOSpine Advanced Level Specimen

Participants will have the opportunity to extend their experience in the field of minimally invasive modern spine surgery techniques.

2 AOSpine Advanced Level Specimen Course Degenerative spine 3 Welcome to Poznan Dear Colleagues, On behalf of AOSpine Poland I would like to invite you to Poznan for the AOSpine Advanced Level Specimen Course. This course will emphasise on covering wide range of the theoretic and practic aspects of the degenerative disease of thoraco-lumbar spine. Participants will have the opportunity to extend their experience in the field of minimally invasive modern spine surgery techniques. The course success depends on active engagement of both faculty and all participants during the two day intense discussions and knowledge sharing with our highly experienced faculty. Sincerely, Lukasz Antolak Chairperson Szpital Chirurgii Urazowej STOCER Warsaw Poland Patrick Tropiano Educational Advisor Hopital de la Timone Marseille France

3 4 AOSpine Advanced Level Specimen Course Degenerative spine AOSpine Curriculum This educational event carries the AOSpine Curriculum logo. This indicates that the program, content, and objectives have been developed based on the Curriculum framework and that the event meets the implementation criteria defined by the AOSpine Education Commission (AOSEC). For more information, visit Course description The Course will consist of both a symposium and cadaver workshops. The symposium will be divided into lectures, case presentations and round table discussions. The theoretic part will place emphasis on small group discussions which proved to be the best way of learning and retaining the information gained at our events. The cadaver workshops will be fully packed with modern minimally invasive techniques dedicated to address different aspects of degenerative spine disease. At this Advanced Level Specimen Course there will be a lot of expert opinion, experience sharing and interaction with participants. The participants will be encouraged to play an active role during the course. Target participants This event is targeted at certified surgeons with 3 to 8 years of experience in spine surgery who are aiming to further improve their knowledge and/or specialization in the management of spinal degenerative disease with focus on minimally invasive techniques. Learning objectives After the event, participants will be able to: Master pedicle screw fixation in thoracic and lumbar spine as well as apply TLIF technique with emphasis on MIS techniques Perform lumbo-pelvic fixation implementing MIS technique of SAI screws and iliac screws insertion Manage degenerative disc disease, facet joint syndrome and spinal stenosis Understand and apply the strategy of vertebral osteotomies Evaluate and treat isthmic and degenerative spondylolisthesis Recognize the role of spinal instability and sagittal balance Manage appropriate level of thoraco-lumbar fixation and prevent adjacent level syndrome Implement solutions for the fixation of an elder spine Recognize radiological pitfalls in degenerative spine

4 AOSpine Advanced Level Specimen Course Degenerative spine 5 Chairperson Lukasz Antolak Szpital Chirurgii Urazowej STOCER, Spine surgery consultant Warsaw, Poland Educational advisor Patrick Tropiano Hopital de la TIMONE, Head of Department, Orthopedic and Spine Surgery, Marseille, France Regional faculty Olivier Gille Ufuk Aydinli CHU Bordeaux, Unité d'orthopédie Traumatologie, Bordeaux, France Verom Spine Center, Bursa, Turkey National faculty Andrzej Maciejczak Grzegorz Miekisiak Szpital Wojewodzki,Head of the Department, Neurochirurgia Tarnow, Poland Specjalistyczne Centrum Medyczne, Assistant, Neurosurgery Polanica-Zdroj, Poland Piotr Palczewski Warszawski Uniwersytet Medyczny, I Zakład Radiologii Klinicznej - Warsaw, Poland Tomasz Potaczek Department of Orthopedic Surgery and Rehablitation, Jagiellonian University, Zakopane, Poland

5 6 AOSpine Advanced Level Specimen Course Degenerative spine Thursday, September 7, :30 08:00 Participants registration 08:00 08:20 Welcome L Antolak, P Tropiano Session 1 Generality 08:20 08:40 Spinal instability When to treat it surgically? A Maciejczak 08:40 09:00 Principles of sagittal alignment and ist evaluation U Aydinli 09:00 09:20 Radiological pitfalls in degenerative spine - part I P Palczewski 09:20 09:30 Safety video about radiation

6 AOSpine Advanced Level Specimen Course Degenerative spine 7 Thursday, September 7, :30 11:30 Groups 1, 2, 3, 4 : Cadaver Workshops U A yd i n l i A M a c i e j c z a k T P o t a c z e k P Tropiano Table 1 - Group 1 Table 2 - Group 2 Table 3 - Group 3 Table 4 - Group 4 Module B 1. Open pedicle screws - thoracic 2. Minimally invasive TLIF/PLIF Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) Module B 1. Open pedicle screws - thoracic 2. Minimally invasive TLIF/PLIF 09:30 11: 00 Groups 5, 6, 7, 8 : Symposium Session: Degenerative Disc Disease - Facet Joint Syndrome 09:30 09:40 Case presentation and voting G Miekisiak 09:40 10:00 Lecture: DDD/DH/FJS inidcation for surgical treatment. When to fuse? G Miekisiak 10:00 10:05 Outcome of the vote and case discussion Session: SS and degenerative spondylolisthesis 10:05 10:15 Case presentation and voting O Gille 10:15 10:35 Lecture: SS and degenerative spondylolisthesis indications for surgical treatment, direct vs indirect decompression. Is fusion obligatory? O Gille 10:35 10:45 Faculty s pros and cons 10:45 10:50 Outcome of the vote and case discussion 10:50 11:00 Time to rethink 11: 00 11:30 COFFEE BREAK

7 8 AOSpine Advanced Level Specimen Course Degenerative spine Thursday, September 7, :30 13: 00 Groups 1, 2, 3, 4: Symposium Session: Degenerative Disc Disease - Facet Joint Syndrome 11:30 11:40 Case presentation and voting G Miekisiak 11:40 12: 00 Lecture: DDD/DH/FJS inidcation for surgical treatment. When to fuse? G Miekisiak 12:00 12:05 Outcome of the vote and case discussion Session: SS and degenerative spondylolisthesis 12:05 12:15 Case presentation and voting O Gille 12:15 12:35 Lecture: SS and degenerative spondylolisthesis indications for surgical treatment, direct vs indirect decompression. Is fusion obligatory? O Gille 12:35 12:45 Faculty s pros and cons 12:45 12:50 Outcome of the vote and case discussion 12:50 13:00 Time to rethink 11:30 13: 00 Groups 5, 6, 7, 8: Cadaver Workshops U Aydinli A M a c i e j c z a k T P o t a c z e k L Antolak Table 1 - Group 5 Module B 1. Open pedicle screws thoracic 2. Minimally invasive TLIF/PLIF Table 2 - Group 6 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) Table 3 - Group 7 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) Table 4 - Group 8 Module B 1. Open pedicle screws thoracic 2. Minimally invasive TLIF/PLIF 13:00 14:00 LUNCH BREAK

8 AOSpine Advanced Level Specimen Course Degenerative spine 9 Thursday, September 7, :00 15:30 Groups 1, 2, 3, 4: Cadaver Workshops U Aydinli O Gille G Miekisiak P Tr o p i a n o Table 1 - Group 1 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) Table 2 - Group 2 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) Table 3 - Group 3 Module B 1. Open pedicle screws thoracic, osteotomy 2. Minimally invasive TLIF/PLIF Table 4 - Group 4 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) 14:00 15:30 Groups 5, 6, 7, 8: Symposium Session: UIV/LIV/ASD 14:00 14:10 Case presentation and voting T Potaczek 14:10 14:30 Lecture: UIV/LIV/ASD - short vs long fusion T Potaczek 14:30 14:35 Outcome of the vote and case discussion Session: Isthmic spondylolisthesis 14:35 14:45 Case presentation and voting A Maciejczak 14:45 15:05 Lecture: Isthmic spondylolisthesis: Do we always need to restore sagittal balance? A Maciejczak 15:05 15:15 Faculty s pros and cons 15:15 15:20 Outcome of the vote and case discussion 15:20 15:30 Time to rethink 15:30 16:00 COFFEE BREAK

10 AOSpine Advanced Level Specimen Course Degenerative spine Thursday, September 7, 2017 16:00 17:30 Groups 1, 2, 3, 4: Symposium Session: UIV/LIV/ASD

and case discussion Session: Isthmic spondylolisthesis 16:35 16:45 Case presentation and voting A Maciejczak 16:45 17:05 Lecture: Isthmic

17:05 17:15 Faculty s pros and cons A Maciejczak 17:15 17:20 Outcome of the vote and case discussion 17:20 17:30 Time to rethink 16:00 17:30 Groups 5, 6,

Minimally invasive pedicle screws thoracic (C-arm) Table 2 - Group 6 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2.

9 10 AOSpine Advanced Level Specimen Course Degenerative spine Thursday, September 7, :00 17:30 Groups 1, 2, 3, 4: Symposium Session: UIV/LIV/ASD 16:00 16:10 Case presentation and voting T Potaczek 16:10 16:30 Lecture: UIV/LIV/ASD - short vs long fusion T Potaczek 16:30 16:35 Outcome of the vote and case discussion Session: Isthmic spondylolisthesis 16:35 16:45 Case presentation and voting A Maciejczak 16:45 17:05 Lecture: Isthmic spondylolisthesis: Do we always need to restore sagittal balance? 17:05 17:15 Faculty s pros and cons A Maciejczak 17:15 17:20 Outcome of the vote and case discussion 17:20 17:30 Time to rethink 16:00 17:30 Groups 5, 6, 7, 8: Cadaver Workshops L Antolak U Aydinli O Gille G Miekisiak Table 1 - Group 5 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) Table 2 - Group 6 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm Table 3 - Group 7 Module B 1. Open pedicle screws thoracic 2. Minimally invasive TLIF/PLIF Table 4 - Group 8 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) 17:30 17:45 Take home message day 1 L Antolak 19:00 COURSE DINNER

10 12 AOSpine Advanced Level Specimen Course Degenerative spine Friday September 8, :00 08:10 Summary of day 1 L Antolak 08:10 08:30 Lecture: Vertebral osteotomies current concepts U Aydinli 08:30 08:50 Lecture: How to treat recurrent disc herniation? O Gille 08:50 08:10 Lecture: MISS application, advantages and limits L Antolak 08:10 09:30 Lecture: Radiological pitfalls in degenerative spine part II P Palczewski

11 AOSpine Advanced Level Specimen Course Degenerative spine 13 Friday, September 8, :30 11: 00 Groups 1, 2, 3, 4: Cadaver Workshops U Aydinli O Gille A Maciejczak P Tropiano Table 1 - Group 1 Table 2 - Group 2 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) Module B 1. Open pedicle screws thoracic 2. Minimally invasive TLIF/PLIF Table 3 - Group 3 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) Table 4 - Group 4 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) 09:30 11: 00 Groups 5, 6, 7, 8: Symposium Session: Recurrent Disc Herniation 09:30 09:40 Case presentation and voting T Potaczek 09:40 10:00 Lecture: Pe l v ic f i x a t i o n ho w to ac hie ve b e s t r e sul t s? T Potaczek 10:00 10:05 Outcome of the vote and case discussion Session: Solution for Elder bone 10:05 10:15 Case presentation and voting G Miekisiak 10:15 10:35 Lecture: Solution for elder bone G Miekisiak 10:35 10:45 Faculty s pros and cons 10:45 10:50 Outcome of the vote and case discussion 10:50 11:00 Time to rethink 11: 00 11:30 COFFEE BREAK

12 14 AOSpine Advanced Level Specimen Course Degenerative spine Friday September 8, :30 13: 00 Groups 1, 2, 3, 4: Symposium Session: Recurrent Disc Herniation 11:30 11:40 Case presentation and voting T Potaczek 11:40 12: 00 Lecture: Pelv ic f i xation how to achieve bes t result s T Potaczek 12:00 12:05 Outcome of the vote and case discussion Session: Pelvic Fixation 12:05 12:15 Case presentation and voting G Miekisiak 12:15 12:35 Lecture: Solution for elder bone G Miekisiak 12:35 12:45 Faculty s pro and cons 12:45 12:50 Outcome of the vote and case discussion 12:50 13:00 Time to rethink 11:30 13: 00 Groups 5, 6, 7, 8: Cadaver Worshops U Aydinli O Gille A Maciejczak P Tropiano Table 1 - Group 5 Table 2 - Group 6 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) Module B 1. Open pedicle screws - thoracic 2. Minimally invasive TLIF/PLIF Table 3 - Group 7 Module C 1. Open iliac screws (C-arm) 2. Minimally invasive pedicle screws thoracic (C-arm) Table 4 - Group 8 Module A 1. Minimally invasive pedicle screws lumbar (C-arm) 2. Minimally invasive screws - S1, SAI (C-arm) 13:00 14:00 LUNCH

13 AOSpine Advanced Level Specimen Course Degenerative spine 15 Friday September 8, :00 16:00 General Session 2 14:00 15:00 Round tables and Participants' cases A Maciejczak 15:00 15:30 Final remark s, cer tificate L Antolak P Tropiano 15:30 End of the course

14 16 AOSpine Advanced Level Specimen Course Degenerative spine Event organization AOSpine EMEA Catherine Antonetti Stettbachstrasse 6 CH 8600 Dübendorf Phone: Fax: cantonetti@aospine.org AO funding sources Unrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/ commercial partners for in-kind support to run simulations/skills training if educationally needed. Event information and logistics AO Courses Poland Marta Lowicka Phone: + (48) lowicka.marta@ao-courses.com Event organisation compliance: In certain countries where AO has no office but offers educational events, the AO cooperates with third party companies to conduct local organization and logistics, as well as to communicate with participants in the local language. In these cases the AO has put rules and guidelines in place (Letter of Secondment, AO Foundation Principles of AO Educational Events) to ensure that this cooperation has no impact on the curricula, scientific program, or faculty selection. Registration and venue Registration fee AOSpine Members EUR 585. AOSpine non-members EUR 650. Included in registration fee Conference bag with documentation, coffee breaks, lunches, course dinner and course certificate. Online registration and payment: Event venue POZNAN LAB Instytut Medycyny Praktycznej ul. Lesna 42a Przezmierowo k/poznania Poland European CME Accreditation For this event the UEMS-EACCME in Brussels have granted 11 European CME credits (ECMEC) Evaluation guidelines All AOSpine events apply the same evaluation process either online (preand post- evaluation) or/and on-site by audience system ARS) or paper and pencil questionnaires. This will help us to ensure that we continue to meet your training needs.

15 AOSpine Advanced Level Specimen Course Degenerative spine 17 AO Foundation Principles of AO Educational Events 1) Academic independence Development of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute ( Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias. 2) Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education: Accreditation Criteria of the Accreditation Council for Continuing Medical Education, USA ( ACCME Standards for Commercial Support: Standards to Ensure Independence in CME Activities ( Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education ( Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: Eucomed Guidelines on Interactions with Healthcare Professionals ( AdvaMed Code of Ethics on Interactions with Health Care Professionals (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals ( 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place. Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson. 4) Use of technologies and products in simulations If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK) a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: www. aofoundation.org). 5) Personnel Industry staff is not allowed to interfere with the educational content or engage in educational activities during the event.

16 18 AOSpine Advanced Level Specimen Course Degenerative spine General information No insurance: The event organization does not take out insurance to cover any individual against accidents, theft, or other risks. Security: Access permitted with badge only. Dress code: Casual Course language: English Mobile phone use is not allowed in the lecture halls and in other rooms during educational activities. Please be considerate of others by turning off your mobile phone. Intellectual property: Course materials, presentations, and case studies are the intellectual property of the faculty. All rights are reserved. Check hazards and legal restrictions on Recording, photographing, or copying of any course materials is absolutely forbidden. The AO Foundation reserves the right to film, photograph, and audio record during their events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for AO marketing and other purposes, and made available to the public. AOSpine Webinars 27 July 2017 AOSpine Principles Webinar Augmentation and Instrumentation in Osteoporosis B Depreitere 21 September 2017 AOSpine Masters Webinar Cervical Fractures Z Klezl 13 October 2017 AOSpine Principles Webinar Myélopathie Cervicale et Déformation (in French) R Assaker 30 November 2017 AOSpine Principles Webinar Cervical Disc Replacement J Duff

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