MORE THAN 25 YEARS OF SUCCESS AS THE LEADING WINTER MEETING JANUARY 26 29, 2017 THE PARK HYATT BEAVER CREEK, CO CO-DIRECTORS JOINTLY PROVIDED BY:

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1 MORE THAN 25 YEARS OF SUCCESS AS THE LEADING WINTER MEETING JANUARY 26 29, 2017 THE PARK HYATT BEAVER CREEK, CO CO-DIRECTORS TODD J. ALBERT, MD SIGURD H. BERVEN, MD MICHAEL G. FEHLINGS, MD, PHD REGIS W. HAID, MD LAWRENCE G. LENKE, MD CHRISTOPHER I. SHAFFREY, MD JOINTLY PROVIDED BY:

2 CO-DIRECTORS Todd J. Albert, MD Hospital for Special Surgery New York City, NY Sigurd H. Berven, MD University of California San Francisco, CA Michael G. Fehlings, MD, PhD University of Toronto Toronto, Ontario, Canada Regis W. Haid, MD Atlanta Brain and Spine Care Atlanta, GA Lawrence G. Lenke, MD Columbia University New York, NY Christopher I. Shaffrey, MD University of Virginia Charlottesville, VA FACULTY Brian Kwon, MD Vancouver Spine Surgery Institute British Columbia, Canada Ron Lehman, MD Columbia University New York, NY Greg Mundis, MD San Diego Center for Spinal Disorders La Jolla, CA Frank Phillips, MD Rush University Chicago, IL Rick Sasso, MD Indiana Spine Group Carmel, IN Frank Schwab, MD Hospital for Special Surgery New York, NY Mohammed Shamji, MD University of Toronto Ontario, Canada Justin Smith, MD University of Virginia Charlottesville, VA Vincent Traynelis, MD Rush University Chicago, IL Juan S. Uribe, MD University of South Florida Tampa, FL Dear Colleague: With so many spinal meetings coming your way, why add another one to your plate? Great question! We ve got the answer. Each year, Base to Summit proves to be one of the most informative, engaging, and well-received meetings for spinal surgeons. With more than 25 years of success, Base to Summit continues to stand as the leading winter meeting for orthopaedic and neurological spine surgeons. Please take a minute to scan through the program. This year, sessions are packed with information that you will be able to apply in your practice immediately, covering degenerative, adult deformity, trauma, and more. Be sure to visit to reserve your spot as space fills up rapidly. We look forward to seeing you in January! Best regards, Todd Albert, MD Sig Berven, MD COURSE CO-DIRECTORS Michael Fehlings, MD, PhD Reg Haid, MD Larry Lenke, MD Chris Shaffrey, MD Outstanding. 2 SPINE: BASE to SUMMIT

3 COURSE OBJECTIVES Upon completion of this meeting, all attendees should be better able to: n Discuss ways to avoid and /or manage spinal surgery complications. n Describe the rationale and relative merits of various MIS and open surgical techniques for managing lumbar and cervical degenerative, adult deformity, trauma and tumor cases. n Discuss how the results of recent research into global spinal alignment can be applied in spine surgery cases to achieve better outcomes. This is the best course in spine today. That s why I come every year! WHO SHOULD ATTEND? This advanced course is offered for orthopaedic and neurological surgeons, fellows, and residents who specialize in spine surgery practices and procedures. ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Medical Education Resources (MER) and BroadWater. MER is accredited by the ACCME to provide continuing medical education for physicians. CREDIT DESIGNATION Medical Education Resources designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. SPONSORSHIP This activity is jointly sponsored by Medical Education Resources, Inc., a non-profit medical education company, and BroadWater, LLC. COMMERCIAL SUPPORT Various medical companies have been invited to exhibit at this course. Full disclosure of financial and other types of support will be included in the course syllabus materials. DISCLOSURE POLICY Medical Education Resources insures balance, independence, objectivity, and scientific rigor in all our educational activities. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in health care and not the business interest of a commercial interest. January 26 29, 2017 The Park Hyatt, Beaver Creek, CO 3

4 PROGRAM THURSDAY, JANUARY 26 3:45 PM Registration and Exhibits Open SESSION 1: The Winner for Best Technique is 4:30 Welcome MOD: R. HAID, MD, C. SHAFFREY, MD 4:35 Case #1: Low-grade degenerative scoliosis, loss of lumbar lordosis C. SHAFFREY, MD and spinal stenosis The best technique is 4:40 Open posterior with TLIF and decompression L. LENKE, MD 4:46 Open ALIF, posterior decompression and fusion C. SHAFFREY, MD 4:52 MIS indirect anterior and posterior percutaneous J. URIBE, MD 5:11 Case #2: L4-5 and L5-S1 severe disc degeneration R. HAID, MD The best technique 5:17 Includes TLIFs F. PHILLIPS, MD 5:23 Includes oblique / lateral R. LEHMAN, MD 5:29 Includes ALIFs R. HAID, MD 5:49 Case #3: Cervical stenosis with myelopathy with loss of lordosis M. FEHLINGS, MD The best technique is 5:54 Multilevel anterior discectomy and fusion V. TRAYNELIS, MD 6:00 Cervical laminoplasty C. SHAFFREY, MD 6:06 Posterior cervical decompression and fusion R. SASSO, MD 6:30 Adjourn Reception FRIDAY, JANUARY 27 6:30 AM Registration, Breakfast and Exhibits SESSION 2: Cervical and Lumbar Degenerative MOD: M. FEHLINGS, MD 7:00 Welcome The Best Tip I ve Learned for Avoiding Complications: 7:05 Tip #1: Pseudarthrosis after ACDF or cervical corpectomy R. SASSO, MD 7:09 Tip #2: Pedicle screw misplacement R. LEHMAN, MD 7:17 Neck pain in patients with substantial cervical disc degeneration. Is this a surgical condition and what is the best approach? V. TRAYNELIS, MD 7:34 L5-SI DDD pain, or L5-S1 facet pain, or SI joint pain: How to F. PHILLIPS, MD differentiate between the three entities? 7:51 When to say no to lumbar fusion S. BERVEN, MD MOD: V. TRAYNELIS, MD PANEL: DRS. BERVEN, FEHLINGS, MUNDIS, PHILLIPS, SASSO 8:10 Case #1: L4-5 Grade 1 mobile spondylolisthesis G. MUNDIS, MD 8:30 Case #2: Central cord syndrome in elderly patient w/stenosis M. FEHLINGS, MD 8:50 Special Lecture: Spine surgery: Risk reduction in complex adult spine surgery C. SHAFFREY, MD SESSION 3: A Practical Guide to Global Spinal Alignment MOD: R. HAID, MD 9:15 Debate: Lumbar and cervical degenerative: total spine radiographs and measurement of all angles are always needed Agree / Disagree F. SCHWAB, MD / F. PHILLIPS, MD 9:35 Debate: Spinal deformity surgery: total body biplane X-ray imaging is always needed Agree / Disagree L. LENKE, MD / G. MUNDIS, MD Crossfire: Multilevel anterior cervical discectomy and fusion with pseudarthrosis 9:55 Revision surgery using an anterior approach is the best R. HAID, MD 10:03 Revision surgery using a posterior approach is the best V. TRAYNELIS, MD 10:15 Adjourn 10:30 Morning Roundtables Participants invited to bring case(s) for discussion PANEL: M. SHAMJI, MD, J. SMITH, MD 4:00 PM Après Ski Refreshments 4:15 NON-CME Workshops SESSION 4: Case Discussions 5:15 Option 1: Cervical Degenerative MOD: V. TRAYNELIS, MD PANEL: DRS. M. FEHLINGS, R. HAID, B. KWON, M. SHAMJI, J. URIBE Option 2: Complex Thoracolumbar Deformity MOD: S. BERVEN, MD PANEL: DRS. R. LEHMAN, L. LENKE, G. MUNDIS, F. SCHWAB, C. SHAFFREY, J. SMITH 6:30 Adjourn 4 SPINE: BASE to SUMMIT

5 SATURDAY, JANUARY 28 6:30 AM Registration, Breakfast and Exhibits SESSION 5: Degenerative Deformity 7:00 Welcome MOD: L. LENKE, MD The Best Tip I ve Learned for Avoiding Complications is: 7:05 Tip #1: Rod fracture after PSO J. SMITH, MD 7:09 Tip #2: Positioning M. SHAMJI, MD 7:15 Cervical sagittal deformity: What are our surgical goals? V. TRAYNELIS, MD 7:30 What is new for prevention of proximal junctional kyphosis? J. SMITH, MD 7:45 What advances and lessons learned in MIS deformity surgery? J. URIBE, MD MOD: S. BERVEN, MD PANEL #1: DRS. LEHMAN, LENKE, MUNDIS, SCHWAB, URIBE PANEL: #2: DRS. FEHLINGS, HAID, KWON, SASSO, TRAYNELIS 8:00 Case #1: Lumbar degenerative scoliosis with increased thoracic kyphosis G. MUNDIS, MD 8:20 Case #2: Cervicothoracic kyphosis with marked C2 SVA R. SASSO, MD 8:40 Special Lecture: Extreme Deformity: Lessons Learned over 10 years L. LENKE, MD SESSION 6: Trauma MOD: R. SASSO, MD 9:05 How and why are we treating TL trauma differently than 10 years B. KWON, MD ago? What is the current state of the art? 9:20 How and why are we treating cervical central cord injury differently than M. FEHLINGS, MD 10 years ago? What is the current state of the art? 9:35 Case: Displaced odontoid fracture in a frail octogenarian R. SASSO, MD PANEL: DRS. M. FEHLINGS, B. KWON, V. TRAYNELIS Crossfire: ASIA A, younger patient with C6-7 bilateral facet dislocation presenting at midnight 9:55 Try closed reduction with traction M. FEHLINGS, MD 10:02 Take immediately directly to surgery R. SASSO, MD 10:30 Morning Roundtables Participants are invited to bring case(s) for discussion PANEL: M. SHAMJI, MD, J. SMITH, MD 4:00 PM Après Ski Refreshments 4:15 NON-CME Workshops SESSION 7: Case Discussions 5:15 Option 1: Cervical MOD: M. FEHLINGS PANEL: DRS. F. PHILLIPS, R. SASSO, M. SHAMJI, V. TRAYNELIS 6:20 Option 2: Complex Deformity MOD: L. LENKE PANEL: DRS. S. BERVEN, R. LEHMAN, G. MUNDIS, F. SCHWAB, C. SHAFFREY, J. SMITH SUNDAY, JANUARY 29 6:30 AM Registration, Breakfast and Exhibits SESSION 8: Techniques, Technology, and Complications MOD: F. SCHWAB, MD 7:00 Welcome The Best Tip I ve Learned for Avoiding Complications is: 7:05 Tip #1: Reducing blood loss F. SCHWAB, MD 7:09 Tip #2: Rod placement in MIS cases J. URIBE, MD 7:15 Navigation / Robotic Assisted Surgery Why? Outcomes? R. LEHMAN, MD Learning Curve? 7:30 Anterior Column Release through Lateral Approach: Perfected or G. MUNDIS, MD Experimental? 7:45 Cortical screws Why, when, how? B. KWON, MD 8:00 Advances in surgical adjuncts to reduce perioperative wound infection R. LEHMAN, MD 8:15 Case: Patient with multiple prior surgeries and history of prior deep wound infection who develops new infection C. SHAFFREY, MD SESSION 9: In My Practice R. HAID, MD 8:27 Here s how I make decisions re: use of osteobiological agents in adult S. BERVEN, MD degenerative and deformity cases. The challenge of balancing cost, complications and effectiveness 8:45 These are the measurements that I believe matter for cervical and G. MUNDIS, MD lumbar degen. cases (the rest are just fluff ) 9:02 I rarely do lumbar PSO s anymore for sagittal realignment as TLIF s L. LENKE, MD and PCO s will usually suffice 9:18 Here s my rationale for doing a case posterolaterally alone S. BERVEN, MD 9:34 In degenerative cases, here s my rationale for when to use F. PHILLIPS, MD interbody support Crossfire: MIS Fusion TL junction to the sacrum for deformity 9:50 Iliac fixation is required G. MUNDIS, MD 9:58 Iliac fixation is not required J. URIBE, MD 10:15 Meeting Adjourns January 26 29, 2017 The Park Hyatt, Beaver Creek, CO 5

6 HOTEL AND REGISTRATION HOTEL RESERVATIONS n Room rates: Single / double $419 (plus resort fees and taxes) n Call: (888) Book by January 3rd to receive the discounted rates! n State that you are attending the Base to Summit Spine Meeting to receive the special room rates n Book online at n Book ASAP Space will fill rapidly! The program and related activities will be held at the Park Hyatt, Beaver Creek, CO. REGISTRATION FEES FEATURES: n Ski-in, ski-out convenience n Located in Beaver Creek Village n Snow Country Best Ski Lodge n Conde Nast Traveler Reader s Choice Award n Travel & Leisure Top 100 Hotel n AAA Four Diamond ratings of excellence Surgeons $845 Fellows/Residents/Allied Health $595 Guests Adult $195 Guests Children Ages 5 12 $95 Late Registration Fee (after December 28, 2016) $50 Fast, Easy, and Secure Online Registration: Register early as the limited space will fill very rapidly! n Registration fee includes daily buffet breakfast, après-ski refreshments, course reception, and course materials n Guest registration fee includes daily buffet breakfast and course reception 6 SPINE: BASE to SUMMIT

7 SKI LIFT TICKETS n Specially discounted lift tickets are available until December 28, 2016 via advance order using the online registration at SKI LIFT TICKET RATES Adult (ages 13+) Child (ages 5 12) 1 Day $131 $90 2 of 3 Days $256 $176 3 of 5 Days $357 $246 4 of 6 Days $440 $304 5 of 8 Days $515 $355 6 of 9 Days $582 $402 QUESTIONS Please call BroadWater at (630) REFUNDS Upon request for a refund, a non-refundable $150 administrative fee will be deducted if written notice is received by December 28, Refunds will not be made after this date. Substitutions will be accepted at any time but must be submitted in writing. If registrant(s) are unable to attend the meeting due to weather delays, strikes, Acts of God, civil disturbance, or other reasons not directly controlled by the meeting organizers; registration fees, airline, hotel, and other costs incurred by the registrant(s) will not be refunded. ATTENDANCE The course chairmen reserve the right to refuse admission to anyone whose presence is considered to be incompatible with course objectives. COURSE CANCELLATION In the unlikely event of insufficient enrollment, we reserve the right to cancel the course 21 days prior. Registrants will be notified by certified mail and registration fees will be refunded. Airline and other costs incurred by the registrant are the responsibility of the registrant and will not be refunded. Congratulations. This year is even better than before. January 26 29, 2017 The Park Hyatt, Beaver Creek, CO 7

8 301 S. County Farm Road, Suite L Wheaton, IL USA Return Service Requested Presort Standard U.S. Postage PAID Carol Stream, IL Permit No. 475 JANUARY 26 29, 2017 THE PARK HYATT BEAVER CREEK, CO I love this meeting.