Spine: Base to Summit 2018 Beaver Creek, CO ǀ January 18-21, 2018 Program

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1 THURSDAY, JANUARY 18 3:30 Registration & Exhibits Open Heritage Hall Foyer/Brown Dempsey Room 4:00 Welcome C. Shaffrey, MD Session 1: The Best Technique Is Mod: R. Haid, MD Cervical deformity with myeloradiculopathy: The best technique is 4:05 Posterior spine decompression and fusion, without osteotomies. What characteristics make this an option? T. Albert, MD 4:13 Multilevel anterior decompression: When is posterior surgery not needed? J. Smith, MD 4:21 Correction of entire cervical deformity with three column osteotomies J. Rhee, MD 4:29 The enemy of good is perfect. When is a multi-level ACDF with good but not perfect correction good enough? When should you go for a home run with osteotomies but higher complications? R. Haid, MD 4:37 Discussion Thoracolumbar trauma: The best technique is 4:50 Open treatment of burst fracture - posterior only. Is there any role for direct decompression? A. Vaccaro, MD, PhD 4:58 Percutaneous stabilization G. Mundis, MD 5:06 Non-operative only J. Dimar, MD 5:14 Discussion L4-L5 spondylolisthesis with central stenosis with back and leg pain: The best technique is 5:25 Instrumentation and posterolateral fusion alone J. Dimar, MD 5:33 Open TLIF C. Shaffrey, MD 5:41 MIS TLIF H. Bae, MD 5:49 Discussion 6:00 Special Lecture: On our own two-feet: The remarkable story of the evolution of human upright posture. J. Dimar, MD 6:25 Adjourn 6:30 Welcome reception Crooked Hearth (8100 Dining Room) 6:30 Non-CME Demo: Globus Medical Crooked Hearth (8100 Dining Room) ExcelsiusGPS First Clinical Experiences and Live Demonstration Faculty: Kade Huntsman, MD 1

2 FRIDAY, JANUARY 19 6:30 Registration, Breakfast and Exhibits Open Heritage Hall Foyer/Brown Dempsey Room 7:00 Welcome S. Berven, MD Session 2: Patient Safety in Spine Surgery Mod: S. Berven, MD PREOPERATIVE 7:05 Patient selection, case selection for surgery at an ASC H. Bae, MD 7:15 Risk stratification: Practical applications/predictive modeling and patient informed choice including contraindications to surgery 7:25 Discussion 7:35 Case Discussion: Complex adult deformity with comorbidities: Operate now because comorbidities are not reasonably modifiable, or optimize preoperatively Panel:T. Albert, MD; L. Lenke, MD; R. Lehman, MD; J. Smith, MD J. Smith, MD Mod. S. Berven, MD INTRAOPERATIVE 7:50 Which cases do we really need to monitor and how? SEP, EMG, running EMG, motor: Far lateral, ALIF, pedicle screws, deformity, cervical deformity R. Lehman, MD 8:05 Management of blood loss in ALL cases, and how to manage large blood loss C. Shaffrey, MD 8:20 Discussion PERIOPERATIVE 8:30 Perioperative pain management in all cases, from ASCs to major deformity: What to for the narcotic dependent patient, PO, IV, PCA, and management of ileus G. Mundis, MD 8:45 Discussion Session 3: Cervicothoracic Deformity Mod: T. Albert, MD Debate: Evaluation and impact of cervical deformity; normal vs abnormal cervical alignment. When are measurement of alignment parameters needed, and how extensive of an evaluation is needed? 8:55 - I prefer quick and to the point A. Vaccaro, MD, PhD 9:03 - I prefer slow and checking all of the boxes J. Smith, MD 9:11 Discussion 9:15 Cervical osteotomy: Decision making and technique, pearls and pitfalls J. Rhee, MD 9:27 Discussion 2

3 FRIDAY, CONTINUED Debate: Cervical stenosis with myelopathy with neutral / slight lordosis 9:32 - Posterior decompression, instrumentation and fusion A. Vaccaro, MD, PhD 9:40 - Laminoplasty J. Rhee, MD 9:48 - Multi-level anterior discectomy and fusion R. Haid, MD 9:56 Discussion Free Papers 10:02 Paper #1: Minimally invasive versus open transforaminal lumbar interbody fusion: A prospective randomized study Gabriel C. Tender; Anthony DiGiorgio 10:05 Paper #2: Minimally invasive anterior and lateral transpsoas approaches for closed reduction of grade II spondylolisthesis: Initial clinical and radiographic experiences David S. Xu, MD; Konard Bach, MD; Corey T. Walker; Jakub Godzik; Juan S. Uribe, MD 10:08 Paper #3: Assessment of clinical outcomes and efficacy of minimally invasive transforaminal lumbar interbody fusion (TLIF) in obese patients with debilitating back pain from Spondylolisthesis Mick Perez-Cruet, MD; Esam Elkhatib, MD; Elizabeth Abel, MD 10:11 Paper #4: Anterior cervical hemicorpectomy: A novel technique for 3-level Anterior cervical decompression and fusion J. Alex Sielatycki, MD; Takayoshi Shimizu, MD, PhD; Suthipas Pongmanee, MD; K. Daniel Riew, MD 10:14 Paper #5: Implementation of a standardized multimodel analgesia protocol improves pain-related outcomes, decreases hospital stay and reduces opioid consumption after posterior lumbar spinal fusion surgery Corey Walker, MD 10:17 Paper #6: Anterior cervical pseudoarthrosis treated with bilateral posterior cervical cage Bruce M. McCormack, MD 10:20 Discussion 10:30 Adjourn 3

4 FRIDAY, CONTINUED 4:00 pm Après Ski Refreshments Brown/Dempsey Room Session 4: Workshop & Case Discussions 4:15-5:10 Non-CME Exclusive Workshop: Medtronic Creating Sagittal Alignment Pre-op and Intra-op Strategies to Achieve Your Desired Outcomes Mod: C. Shaffrey, MD Faculty: L. Lenke, MD & R. Lehman, MD 5:15 Option 1: Cervical trauma Ford Room Mod: A. Vaccaro, MD Panel: J. Rhee, MD; H. Bae, MD; J. Smith, MD 5:15 Option 2: Deformity correction MIS and open Mod: R. Lehman, MD Panel: S. Berven, MD; L. Lenke, MD; T. Albert, MD; G. Mundis, MD; J. Dimar, MD 5:15 Option 3: Non-CME Workshop: NuVasive Tabor Room Leading, Expanding, Advancing Anterior Column Realignment: Insights to Lateral Procedural Solutions, ALIF, and TLIF Faculty: C. Shaffrey, MD; R. Haid, MD; J. Uribe, MD 6:15 Adjourn 4

5 SATURDAY, JANUARY 20 6:30 Registration, Breakfast and Exhibits Open Heritage Hall Foyer/Brown Dempsey Room 7:00 Welcome A. Vaccaro, MD, PhD Session 5: Free Papers & Thoracolumbar Trauma Mod: A. Vaccaro, MD, PhD Free Papers 7:03 Paper #7: Adult spinal deformity patients demonstrate impaired postural stability and dynamic balance compared to age-matched controls Jakub Godzik, MD; Chris Frames, BS; Victoria Smith, BS; Udaya Kakarla, MD; Markey Olson, BS; Juan Uribe, MD; Thurmon Lockhart, PhD; Jay D. Turner, MD, PhD 7:06 Paper #8: Reciprocal changes in unfused spinal segments and lower extremities after complex adult spinal deformity surgery: a full-body radiographic analysis Takayoshi Shimizu, MD, PhD; Ronald A. Lehman, MD; Suthipas Pongmanee, MD; J. Alex Sietaycki, MD; Mitsuru Takemoto, MD, PhD; Lawrence G. Lenke, MD 7:09 Paper #9: Prevalence of low bone mineral density measured by quantitative computed tomography (QCT) in 296 consecutive lumbar fusion patients Brandon B. Carlson, MD, PhD; Salzmann SN; Shirahata T; Oritz Miller C; Carrino JA; Yang J; Shue J; Sama AA; Cammisa FP; Girardi FP; Hughes AP 7:12 Paper #10: Reaching the Medicare allowable threshold in ASD surgery: Multicenter cost analysis comparing actual direct hospital costs versus Medicare reimbursement Jeffrey L. Gum, MD; Breton G. Line BS; Leah Y. Carreon MD, MSc; Richard Hostin MD; Samrat Yeramaneni MBBS, PhD; Steven D. Glassman MD; Michael P. Kelly MD, MSc; Douglas C. Burton MD; David W. Polly MD; Justin L. Smith MD, PhD; Christopher I. Shaffrey MD; Frank J. Schwab MD; Rajiv K. Sethi MD; Amit Jain MD; Christopher P. Ames MD; R. Shay Bess MD 7:15 Discussion 7:22 What s new in the surgical management of thoracolumbar trauma, and what I can apply now? MRI interpretation, clinical prognosis, MIS 7:34 Discussion J. Uribe, MD 7:37 Technique video: MIS screw placement and rod passage for fracture management G. Mundis, MD 7:47 Discussion Session 6: Lumbar Degenerative Mod: J. Dimar, MD 7:50 What are the technique options, and what does the literature show for achieving lumbar lordosis in degenerative cases? 8:00 Discussion R. Haid, MD 5

6 SATURDAY, CONTINUED Debate: Degenerative lumbar spondylosis with loss of lumbar lordosis at L2-3, L3-4 and L4-5 8:05 Case presentation T. Albert, MD 8:09 LLIF J. Uribe, MD 8:17 TLIF J. Smith, MD 8:25 Discussion Session 7: Adult Degenerative Deformity- MIS Surgery Mod: G. Mundis, MD 8:30 Minimally invasive deformity surgery: Lessons learned and next generation challenges J. Uribe, MD 8:40 Discussion 8:44 Tips & tricks: Techniques for minimizing nerve injury with L4-5 LIF H. Bae, MD 8:52 Tips & tricks: The impact of spinal flexibility deformity correction How to measure preoperative flexibility and assess the need for osteotomies L. Lenke, MD 9:00 Discussion 9:04 OLIF vs ALIF at L5 -S1: Advantages, risks, and complications avoidance R. Lehman, MD 9:14 Discussion Session 8: Complex Spinal Deformity Mod: L. Lenke, MD 9:19 Preop: How to risk stratify, select the best operation, prepare patients to minimize complications, and when to say no in adult deformity surgery 9:27 Discussion 9:31 Intraoperative technical execution for safe spinal deformity surgery: use of robotics and intraop tips for avoiding postop wound Infections 9:39 Intraop technical tips on safe and optimal spinal realignment in the coronal, sagittal and axial plane 9:47 Discussion S. Berven, MD R. Lehman, MD L. Lenke, MD TLIF vs. ALIF in long deformity cases: What is the optimal approach for optimizing sagittal realignment in adult deformity cases? 9:51 - TLIF is best J. Smith, MD 9:59 - ALIF is best J. Dimar, MD 10:07 Discussion 10:11 How to avoid and treat the three main nemesis of ASD surgery in 2018: Persistent malalignment (Rigid Fractional L-S Curve), proximal junctional Kyphosis, and implant failure/pseudarthrosis 10:26 Discussion 10:30 Adjourn S. Berven, MD 6

7 SATURDAY, CONTINUED 4:00 pm Après Ski Refreshments Brown/Dempsey Room Session 9: Workshop & Case Discussions 4:15-5:10 Non-CME Exclusive Workshop: Titan Spine Tabor Room Titan Spine nanolock : The science, clinical outcomes and macro-economics of a Nano-Enhanced Interbody Device Faculty: B. Boyan, MD; P. Slosar, MD; J. Dunkel 5:15 Case discussions Part 1: Cervical myelopathy Tabor Room Mod: T. Albert, MD Panel: R. Haid, MD: J. Rhee, MD: A. Vaccaro, MD, PhD 5:50 Case discussions Part 2: Complex spinal deformity Tabor Room Mod: L. Lenke, MD Panel: S. Berven, MD; C. Shaffrey, MD; R. Lehman, MD 6:25 Adjourn 7

8 SUNDAY, JANUARY 21 6:30 Registration, Breakfast and Exhibits Open Heritage Hall Foyer/Brown Dempsey Room 7:00 Welcome H. Bae, MD Session 10: Lumbar Degenerative Deformity MIS Mod: H. Bae, MD 7:05 Anterior Column Realignment (ACR): What are the limits of sagittal plane correction from one disc space? How to perform safely 7:15 Discussion G. Mundis, MD 7:20 Technique video: How I perform a LLIF/ACR J. Uribe, MD 7:30 Discussion Debate: The best option for correction of moderate fixed sagittal plane deformity with loss of lumbar lordosis 7:34 - MIS ACR G. Mundis, MD 7:42 - Open PCO or PSO L. Lenke, MD 7:50 Discussion 7:54 What are the major contraindications for MIS deformity surgery? R. Lehman, MD 8:04 Discussion Session 11: Techniques, Technology, and Complications Mod: A. Vaccaro, MD, PhD 8:09 Special Lecture: Biologics in spine surgery: What is the evidence and case matching H. Bae, MD 8:25 Discussion 8:29 Next generation interbody devices: What is marketing and what is real science? 8:41 Discussion A. Vaccaro, MD, PhD 8:43 The best tips I ve learned in deformity surgery to avoid implant failure C. Shaffrey, MD 8:55 The best tips I ve learned to reduce dysphagia in cervical spine surgery R. Haid, MD 9.03 Discussion Debate: Navigation: A focus on surgical workflow 9:07 - I just cannot implement this in my practice S. Berven, MD 9:15 - I can never get rid of it in my practice R. Lehman, MD 9:23 Discussion 9:27 Technique video: Intraoperative strategies for PJK prevention J. Smith, MD 9:36 Discussion 8

9 SUNDAY, CONTINUED 9:38 Lumbar synovial cyst decompress alone or fuse? How to decide? If decompression alone, what is the durability? How to follow up? 9:46 Discussion 9:49 In lumbar degenerative conditions, what does the literature show re: outcomes for pedicle screws and posterior lateral fusion vs. interbody? 9:59 Discussion T. Albert, MD H. Bae, MD 10:03 SI joint fusion indications, patient population, techniques and outcomes S. Berven, MD 10:13 Discussion 10:15 Adjourn 9

Spine: Base to Summit 2018 Beaver Creek, CO ǀ January 18-21, 2018 Program

Spine: Base to Summit 2018 Beaver Creek, CO ǀ January 18-21, 2018 Program THURSDAY, JANUARY 18 6:30 Registration, Breakfast and Exhibits Heritage Hall Foyer/Brown Dempsey Room 4:00 Welcome C. Shaffrey, MD SESSION 1: The Best Technique Is Grouse Mountain Room Mod: R. Haid, MD