2 nd Annual Spine Trauma Summit May 20-21, 2016 at the Seattle Science Foundation AGENDA. Friday, May 20, 2016

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2 nd Annual Spine Trauma Summit May 20-21, 2016 at the Seattle Science Foundation AGENDA Friday, May 20, 2016 6:00pm 6:30pm 9:00pm Buffet Dinner Served (not accredited) Case Reviews and Discussions

Illustrate the range of differences of assessment and management of spine trauma. Discriminate between evidenced based practice regarding spine trauma management and come to a consensus on treatment.

1 2 nd Annual Spine Trauma Summit May 20-21, 2016 at the Seattle Science Foundation AGENDA Friday, May 20, :00pm 6:30pm 9:00pm Buffet Dinner Served (not accredited) Case Reviews and Discussions All Faculty Review case controversies with focus on classification controversies, management of elderly patients with spine injuries and patients with complex injuries. Illustrate the range of differences of assessment and management of spine trauma. Discriminate between evidenced based practice regarding spine trauma management and come to a consensus on treatment. Saturday, May 21, :00am 7:25am 7:30am 7:50am 7:50am 8:10am Breakfast & Registration Welcome & Course Overview Jens R. Chapman, M.D. When to Operate and When to Brace: The Enduring Thoracolumbar Fracture Debate Kirkham B. Wood, M.D. Illustrate the various types of thoracolumbar fractures including anatomic consdierations. Demonstrate bracing for thoracolumar fractures including benefits and risks. Indicate when to pursue surgical vs. non-surgical treatment. Minimally Invasive Spine Fracture Management Mark B. Dekutoski, M.D. Discriminate between open technique and MIS in spine fracture management. Display the evidence supporting the use of open techniques. Indicate the limitations of minimally invasive surgery for fracture management.

2 8:10am 8:30am 8:30am 8:40am 8:40am 8:55am 8:55am 9:15am 9:15am 9:30am 9:30am 9:50am 9:50am - 10:10am Application of the Lateral Technique with Spine Fractures Rod J. Oskouian, Jr., M.D. Illustrate anatomic consdierations for the lateral surgical technique. Indicate when the lateral approach is appropriate with spine fractures. Review complication avoidance and post-operative treatments with the lateral technique for spine fractures. Group Discussion Objective: Illustrate decision making for surgery in spine trauma. Apply a spine trauma algorithm for surgical decision making (i.e., rod long or short, cage or no cage). Practice complication avoidance in spine trauma through case study discussion. Hands-on Demostration 1 Minimally Invasive TL Fixation Mark Dekutoski, M.D. Demonstrate the MIS for TL-fracture fixation. Illustrate possible complications related to the procedure and avoidance methods. Perform technical completion of minimally invasive TL-fracture fixation techniques. Jens Chapman, M.D. & Mark Dekutoski, M.D. Indicate is MIS advantageous in trauma. Illustrate the limits of MIS in trauma. Discuss MIS for TL-fractures including applicability and limitations. Break & Exhibits Odontoid Controversies: When & How Should They Be Fixed? Discuss anatomic considerations for odontoid fractures. Review surgical techniques for odontoid fractures. Indicate when to pursue surgical vs. non-surgical treatment. Challenges in C-Spine Fractures Review the various c-spine fractures, specifically atlas and Hangman s fractures. Demonstrate stabilization techniques in upper c-spine fractures. 2

3 Illustrate anatomic variations in c-spine anatomy that may alter surgical intervention techniques/approaches. 10:10am 10:20am 10:15am 10:30am 10:30am 10:50am 10:50am 11:05am Discussion Illustrate important variables in upper c-spine trauma including appropriateness. Explain the of surgery for spine trauma in eldery including age considerations. Predict what variables matter in treating elderly with spine trauma. Hands-on Demostration 2 Anterior Fixation & Corpectomy Demonstrate proper trauma exposure for the anterior neck. Apply strategies for optimal cage and plate fixation. Illustrate the pitfalls of anterior fixation in spine trauma. Jens Chapman, M.D. & Discriminate the pros and cons of anterior vs posterior in spine trauma. Indicate complications of anterior corpectomys including avoidance techniques. Integrate recommendations for anterior spine surgery in trauma into clinical practice. Break & Exhibits 11:05am 11:35am 11:35am 11:55am 11:55am 12:15pm Spinal Cord Injury Update Brian Kwon, M.D. Illustrate the nature of spinal cord injury anatomically and physiologically. Review current treatment methods. Discuss future advancements in the treamten of spinal cord injury. Central Cord Syndrome: Surgery, No Surgery, Timing James Harrop, M.D. Indicate the changing demographics and diagnostics for central cord syndrome. Discriminate between the results of early vs. late surgery. Predict realistic long-term outcomes. Exoskeletal Advancements in the SCI Population Demonstrate exoskeletal technology. 3

4 Review appropriate patient population considerations for use of exoskeletal technology. Indicate the current and future advancements with exoskeletal models in the SCI population. 12:15pm 12:25pm 12:25pm 12:40pm 12:40pm 1:00pm 1:00pm 1:15pm 1:15pm 1:35pm 1:35pm 1:55pm 1:55pm 2:05pm Group Discussion Display the differences between active and passive neuromuscular orthoses. Demonstrate live the HAL technology. Utilize HAL technology in clinical practice. Hands-on Demostration 3 Occiput to C2 Fixation Illustrate the details of surgical setup for occiput to C2 fixation. Indicate pitfalls of each technique. Perform occiput to C2 fixation. Jens Chapman, M.D. & Rick Sasso, M.D. Indicate how to get a fusion occiput to C2. Measure how to get the best carnial cervical alignment. Apply surgical techniques of occiput to C2 fixation to clinical practice. Break, Exhibits, Pick up Lunch Recent Insights in Vertebroplasty (working lunch) Jens Chapman, M.D. Indicate the controversies around vertebroplasty. Discriminate between the limitations of PRCTs with regards to vertebroplasty. Illustrate applicability of vertebroplasty in clinical practice. Lumbo-Pelvic Fracture Management Discuss lumbo-pelvic fracture non-surgical management. Review surgical techniques for lumbo-pelvic fractures. Integrate post-operateive rehab for lumbo-pelvic fractures into clinical practice. Group Discussion Illustrate patient selection with regards to lumbo-pelvic stabilization. Review when lumbo-pelvic stabilization is indicated. 4

5 Discuss neurological decompression with regards to spine trauma stabilization. 2:05pm 2:20pm 2:20pm 2:40pm 2:40pm 2:55pm 2:55pm 3:30pm 3:30pm 3:45pm Hands-on Demostration 4 Lumbo-Pelvic Fixation Identify surgical and radiographic landmarks for pelvic fixation. Illustrate anatomic considerations and anomalies in fixation. Demonstrate a lumbo-pelvic fixation. Jens Chapman, M.D. & Indicate the optimal fixation techniques for LS trauma. Ilustrate the contraindications for fixation in LS trauma. Perform LS fixation in spine trauma. Hands-on Demostration 5 Vertebroplasty & Kyphoplasty Glen David, M.D. Objective:s Demonstrate the set-up for a vertebroplasty/kyphoplasty. Indicate anatomic considerations for the procedures as well as technical requirements. Perform a vertebroplasty and kyphoplasty. Group Discussion: The Big Picture All Faculty Review of major topics in spine trauma. Indicate the controversies in spine trauma surgery. Integrate evidenced based practice in spine trauma into clinical practice. Hands-on Demostration 6 Integrating the O-Arm James Harrop, M.D. Demonstrate how to best utilize advanced intraoperative imaging into an efficient OR flow. Integrate the O-arm into spine trauma surgery. Indicate the pitfalls and limitations of the O-arm in spine trauma surgery. 5

6 3:45pm 6:00pm HANDS-ON BIOSKILLS LAB Rotate every 20 minutes Review indications of surgery for spine trauma. Discuss preoperative preparation and setup. Perform haptic skills training in a simulated environment with real-life instruments and technologies using cadaver dissection. Station 1 Pedicle Subtraction Osteotomies Kirkham B. Wood, M.D. Station 2 Vertebral Augmentation & Kyphoplasty Glen David, M.D. Station 3 Posterior Minimally Invasive TL Decompression & Instrumentation Mark Dekutoski, M.D. Station 4 Lumbo-Pelvic Fixation Station 5 Odontoid & Anterior Neck Reconstruction Station 6 Posterior Neck: From Occiput To Thoracic Spine 6:00pm 6:15pm Course Wrap-Up All Faculty Indicate areas of consensus regarding spine trauma care. Review areas of persistent controversy and need for further investigation. Apply evidenced based practice in spine trauma to clinical decision making. 6

7 COURSE FACULTY Jens R. Chapman, M.D. Course Co-Chair Complex Spine Surgeon Swedish Neuroscience Institute Seattle, Washington Glen David, M.D. Interventional Pain Specialist Swedish Neuroscience Institute Seattle, Washington James Harrop, M.D. Co-Director for Adult Reconstructive Spine Jefferson University Philadelphia, Pennsylvania Professor, Department of Neurological Surgery University of Utah Salt Lake City, Utah Mark B. Dekutoski, M.D. Spine Surgeon The CORE Institute Sun City West, Arizona Brian Kwon, M.D. Canada Research Chair for Spinal Cord Injury University of British Columbia Vancouver, British Columbia Rod J. Oskouian, Jr., M.D. Course Co-Chair Chief of Spine Swedish Neuroscience Institute Seattle, Washington Orthopedic Surgeon Indiana Spine Group Indianapolis, Indiana Professor and Chair Ruhruniversität Bochum Bochum, Germany Kirkham B. Wood, M.D. Professor & Orthopaedic Surgeon Stanford University Redwood City, California Groups:Education Courses:2016:05 May:Spine Trauma Summit :Agenda:Spine Trauma 2016 Agenda V5 objectives.docx 7

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