Sagittal balance MASTER COURSE. COPENHAGEN- HOTEL KONG ARTHUR Friday April 27th, 2012

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1 Friday April 27th, 2012 JC. LE HUEC, Bordeaux P. ROUSSOULY, Lyon Local Host : M. GEHRCHEN, Copenhagen Didactic and practical teaching. How to integrate spine balance analysis in your daily practice for diagnosis and treatment. Pelvic and spine parameters, normal and degenerative changes. WORKSHOPS SESSIONS: individual computer analysis with Optispine software. Cases discussion Limited registration up to 40 participants Supported by Hotel Kong Arthur Nørre Søgade 11 - DK-1370 Copenhagen K MEETING ROOM 616

2 PROGRAM Sagittal Balance Master Course is a complex topic. In order to understand the concepts, a different type of educational course is needed. This course is modelled on a European program, designed by Professor Jean Charles Le Huec, teaching at Bordeaux university medical school, member of the european education commission. Comprehensive approach of the balance concept will be presented. The course is designed to introduce concepts slowly with adequate time for questioning and discussion before moving on to more advanced concepts. There is a hands on approach to measuring spinal X Rays both plain film with grease pencil and retractor and the use of software for digital images. Dr Gehrchen and Dr Roussouly very well known spine specialists will provide their expertise through didactic presentations and clinical cases precisely selected. The program will also include practical X Ray analysis of clinical cases and workshop approach with breakout session to help to identify appropriate treatment. All participants are requested to bring their own cases well documented in a ppt format for open discussion Speakers : JC. Le Huec, P. Roussouly, M. Gehrchen Friday April 27th, :45 WELCOME AND OBJECTIVES OF THE COURSE 08:00 CLINICAL RELEVANCE: LITERATURE REVIEW: - adjacent segment is a myth? - flat back deformity and failed back, revision surgery: a common problem 08:15 INTRODUCTORY BIOMECHANICS OF SPINAL BALANCE: - center of gravity - imbalance and compensatory mechanism 08:25 SPINAL IMAGING OF THE SPINE FOR BALANCE ANALYZIS: - standardize long standing X rays : posture and X ray source - EOS system 08:40 DISCUSSION 08:50 HOW TO DEFINE PARAMETERS TO ANALYZE THE SPINAL BALANCE 08:50 Pelvic parameters: the pelvic vertebra: - Pelvic parameters and significance - Pelvic parameter value: adult and pediatric - Clinical case

3 09:00 Breakout session: workshop: - X ray measurement: clincal cases - Software measurement (optispine) 10:00 Coffee break and open case discussion Spine parameters : - Classical way of analyzis of sagittal plan - New way for sagittal plan analyzis - Sagittal Spine curvature value in asymptomatic population: 4 shapes - Consequences in spine disease prevision according to the type Correlation between spine shape and pelvic shape : - Roussouly s classification - C7 plumb line importance: SVA, Spinal tilt, SSA Breakout session: workshop: - X ray measurement - Software measurement (optispine) - Open discussion : all 12:30 LUNCH TIME : on site buffet 14:00 AGING PROCESS AND SAGITTAL BALANCE CONSEQUENCES 14:00 biomechanical consequences of aging: - disc collapsing - canal narrowing - rotatory dislocation 14:30 neurological and muscular consequences: - radicular and cord consequences - muscle atrophy 14:45 sagittal balance consequence and adaptation: - spino pelvic setting - daily consequences in : disc herniation, SPL, DDD, TDR or ALIF

4 15:15 Coffee break and open case discussion 15:45 CLINICAL DATA BASE PRESENTATION : - interest of data base - live demonstration 16:15 COMPLEX SAGITTAL BALANCE ANALYZIS : 16:15 spondylolisthesis with lysis - new classification - consequence for surgical treatment - clinical case discussion 17:15 kyphosis: - harmonious kyphosis - angular kyphosis - concept of full balance integrated analysis: FBI - clinical case dicussion 17:45 kypho-scoliosis - analyzis - planification for surgery - surgical tip and tricks: domino strategy - clinical case discussion 18:15 Coffee break and open case discussion for revision surgeries Case discussion - regular lumbar failed back surgery - failed deformity surgery 19:00 TAKE HOME MESSAGE GENERAL ORGANISATION : MCO CONGRES - 27 rue du Four à Chaux - F Marseille Tél. +33 (0) Fax : +33 (0) Contact Informations et inscriptions : Anne Capelle : anne.capelle@mcocongres.com

5 REGISTRATION Please return this form by post to MCO Congrès Anne Capelle Sagittal Balance 27 rue du Four à Chaux Marseille France by or by Fax +33 (0) PARTICIPANT INFORMATION To be completed in block letter and sent with payment receipt Family Name :. First (given) Name :.... Institution :..Postal adress : ZIP Code.City/Country :.... Phone :.Fax : REGISTRATION VENUE AND ACCOMMODATION including lunch 670 HOTEL KONG ARTHUR coffee breaks NØRRE SØGADE 11 and Friday 27th dinner DK-1370 COPENHAGEN K SINGLE B&B DOUBLE B&B MCO CONGRES reserved a limited number of rooms in the Meeting Venue for Master Course participants. Reservation should be made sending this Registration Form with the receipt of the payment of the whole amount for hotel accommodation. No reservation will be considered valid without payment or indication of credit card data. Arrival Date :.../.../... Departure Date :.../.../... TOTAL AMOUNT CHARGE... PAYMENT All payments must be in (Euro) only, net of all bank charges. A copy of bank transfer must be sent together with the Registration Form. No registration will be processed unless accompanied by payment. A receipt of payment for the total amount will be issued directly by MCO CONGRES BANK DRAFT: CREDIT CARD: Visa Mastercard American Express CHAIX Bank BranchCode : Account N : E Key : 51 IBAN : FR BIC : CCBPFRPPCHX N : Exp. Date :.../... Cryptogramme (back of the card) Name :... Signature :