AOSpine Principles Course Degeneration

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1 EUROPE and SOUTHERN AFRICA Program AOSpine Principles Course Degeneration March 29-30, 2019 Birmingham, United Kingdom

AOSpine Principles Course Degeneration 3 Welcome to Birmingham Dear colleagues, On behalf of AOSpine UK we would like to welcome you to the AOSpine Principles course in Birmingham, UK.

2 AOSpine Principles Course Degeneration 3 Welcome to Birmingham Dear colleagues, On behalf of AOSpine UK we would like to welcome you to the AOSpine Principles course in Birmingham, UK. Degenerative spinal conditions represent one of the most frequent domains of spinal pathology, which can affect patients of any age. Appropriate management can reduce the morbidity and improve significantly the life quality of these patients. This course is aimed at trainees in both specialities with interest in mastering the key concepts in the evaluation and management of degenerative spinal problems. The participants will have the opportunity to interact with exceptional and very experienced faculty - both with neurosurgical and orthopedic background. Theoretical knowledge will be supplemented with hands-on training in the use of implants and techniques open and computer navigation guided to facilitate the operative management of degenerative spinal problems. Each session of this event will be moderator driven, so that the discussions are largely interactive. The success of the course relies on you - the participants taking an active part in the lectures, discussions and practical sessions. We will have time allocated for participants to bring your cases for discussion in a friendly open forum. Looking forward to your active participation. Sincerely, Chairperson Royal Hallamshire Hospital Sheffield United Kingdom Thomas Blattert Educational Advisor Orthopädische Fachklinik Schwarzach Germany

3 4 Birmingham, March 29-30, 2019 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 In addition to simple decompression techniques the manage-ment of degenerative spinal problems frequently implies use of spinal instrumentation. The course will focus on surgical advances with review of classical open as well as minimally invasive techniques. A special lecture will be dedicated to spinal navigation and its role in modern spinal surgery. This educational event, taught in a modular format, will comprise of lectures, case-based discussions and hands-on practical exercises on artificial bones with ample time for debates between faculty and participants. There will be numerous opportunities to ask questions, to raise controversies and to help the program be more interactive and fruitful to all of us. Target participants This course is designed for neurosurgical and orthopedic trainees and young consultants with up to three years experience in the management of patients with degenerative spinal problems. It will supplement your existing knowledge with improvement of your diagnostic, investigational and operative skills. Learning objectives After the event, participants will be able to: Diagnose the patients with degenerative spinal problems and order appropriate imaging studies based on the history and physical examination findings Select operative and non-operative interventions based on the best available evidence and on the natural history Safely place a screw laterally in the posterior cervical spine using anatomical landmarks and perform an anterior cervical discectomy Safely place pedicle screws in the thoracic and lumbar spine and sacrum using anatomical landmarks and navigation Anticipate, prevent, diagnose and manage surgical complications Get to know state-of-the art computer navigation in spine surgery and describe the benefits and limits of spinal navigation Apply the principles of minimally invasive spinal surgery Recognize and efficiently manage patients with cauda equina syndrome Identify dilemmas in spine surgery as a junior consultant

4 AOSpine Principles Course Degeneration 5 Chairperson Royal Hallamshire Hospital, Sheffield, United Kingdom Educational advisor Thomas Blattert Orthopädische Fachklinik Schwarzach, Germany National faculty Sashin Ahuja Welsh Centre for Spinal Trauma and Surgery, Cardiff, UK Neil Chiverton Northern General Hospital, Sheffield, UK Marcin Czyz Royal Orthopaedic Hospital, Birmingham, UK Evan Davies University Hospital Southampton, Southampton, UK Andreas Demetriades Edinburgh University Hospitals, Edinburgh, UK Niall Eames Royal Victoria Hospital, Belfast, Northern Ireland, UK Morgan Jones Royal Orthopaedic Hospital, Birmingham, UK Antony Rex Michael Northern General Hospital, Sheffield, UK UHB Queen Elizabeth Hospital, Birmingham, UK Nikolay Peev Belfast HSC Trust, Belfast, Northern Ireland, UK

5 6 Birmingham, March 29-30, 2019 Friday, March 29, :00 08:30 Registration 08:30 08:45 Welcome and introduction Session 1 Cervical Spine I Neil Chiverton 08:45 09:00 Practical anatomy of the cervical spine Niall Eames 09:00 09:20 Clinical assessment and examination of a patient with spinal condition (cervical, thoracic, lumbar) Morgan Jones 09:20 09:40 Radiological evaluation of the cervical spine Nikolay Peev 09:40 10:00 Spondylotic cervical radiculopathy Etiology, pathogenesis, clinical picture, differential diagnosis Evan Davies 10:00 10:10 Discussions Neil Chiverton 10:10 10:30 COFFEE BREAK Session 2 Cervical Spine II Sashin Ahuja 10:30 10:50 Spondylotic cervical myelopathy Etiology, pathogenesis, clinical picture, differential diagnosis 10:50 11:10 Anterior surgical options in cervical spine Anterior cervical discectomy and fusion, arthroplasty, corpectomy 11:10 11:20 Video: Anterior cervical decompression and fusion with or without plating How I do it 11:20 11:45 Case debate: Anterior cervical discectomy and fusion (group 1) versus Arthroplasty (group 2) 11:45 12:10 Posterior surgical options in cervical spine Foraminotomy, laminoplasty, laminectomy, skip laminectomy 12:10 12:30 Preventing and managing complications in cervical spine surgery Discussion group Marcin Czyz Antony Rex Michael Marcin Czyz Morgan Jones Nikolay Peev Sashin Ahuja 12:30 12:40 Discussions Sashin Ahuja 12:40 13:30 LUNCH

6 AOSpine Principles Course Degeneration 7 Friday, March 29, 2019 Session 3 Cervical Spine Practical Session I Group A: 13:30 14:00 Benefits and limits of spinal navigation Discussion group 14:00 15:00 Practical session on spinal navigation Getting to know the navigation machine. Patient's registration options, Group B: 13:30 14:00 14:00 14:30 ACDF, corpectomy with plating Practical exercises Lateral mass screw insertion Practical exercises Sashin Ahuja, Neil Chiverton Marcin Czyz, 14:30 15:00 C1-C2 instrumented stabilization options Practical exercises Evan Davies Niall Eames, Morgan Jones A Rex Michael Session 4 Cervical Spine Practical Session II Group A: 15:00 15:30 15:30 16:00 ACDF, corpectomy with plating Practical exercises Lateral mass screw insertion Practical exercises Sashin Ahuja, Neil Chiverton Marcin Czyz, 16:00 16:30 C1-C2 instrumented stabilization options Practical exercises Evan Davies Niall Eames, Morgan Jones A Rex Michael Group B: 15:00 15:30 Benefits and limits of spinal navigation Discussion group 15:30 16:30 Practical session on spinal navigation Getting to know the navigation machine. Patient's registration options, 16:30 16:45 COFFEE BREAK

8 Birmingham, March 29-30, 2019 Friday, March 29, 2019 Session 5 Cervical and thoracic spine Niall Eames 16:45 17:10 Case debate Spondylotic myelopathy with or without

17:25 17:50 Thoracic disc herniation Diagnosis, surgical indications and options, managing complications.

Management in Spine Surgery Strasbourg, France September 20, 2019 Chairperso: Pedro Berjano (Italy) Educational Advisor: Zdenek Klezl (United Kingdom) Register now!

7 8 Birmingham, March 29-30, 2019 Friday, March 29, 2019 Session 5 Cervical and thoracic spine Niall Eames 16:45 17:10 Case debate Spondylotic myelopathy with or without calcified disc: Anterior (Group 1) versus posterior (Group 2) 17:10 17:25 Expert opinion: How to choose between anterior and posterior decompression? 17:25 17:50 Thoracic disc herniation Diagnosis, surgical indications and options, managing complications. How I do it Sashin Ahuja, Niall Eames Antony Rex Michael 17:50 18:00 Discussions and closing remarks day 1 13th AOSpine Advanced Level Live-Tissue Training Complications Management in Spine Surgery Strasbourg, France September 20, 2019 Chairperso: Pedro Berjano (Italy) Educational Advisor: Zdenek Klezl (United Kingdom) Register now! Learning Outcomes: Recognize advantages/disadvantages and limitations of each approach Be able to identify and avoid damage to important structures relevant to an approach Practical principles of vascular, pulmonary and bowel repair Practical competency in assisted repair of the above

8 AOSpine Principles Course Degeneration 9 Saturday, March 30, 2019 Session 6 Thoraco-lumbar spine I 08:30 08:45 Practical anatomy of the thoracic and lumbar spine 08:45 09:00 Degenerative cascade in the lumbar spine Niall Eames Session 7 Spine navigation Practical session I Group A: 09:00 09:45 Navigation guided lateral mass and pedicle screw insertion into the cervical spine Practical exercises 09:45 10:30 Navigation guided screw insertion into the thoracic and lumbar spine Practical exercises Group B: 09:00 09:45 Interlaminar decompression, laminectomy, Wiltse approach for Extreme Lateral Disc Herniation Practical exercises 09:45 10:30 Posterior thoracic, lumbar and sacral screw insertion techniques Practical exercises Sashin Ahuja, Neil Chiverton, Marcin Czyz, Evan Davies, Niall Eames, Mel Grainger, Morgan Jones, AR Michael 10:30 10:45 COFFEE BREAK Session 7 Spine navigation Practical session II Group A: 10:45 11:30 Interlaminar decompression, laminectomy, Wiltse approach for Extreme Lateral Disc Herniation Practical exercises 11:30 12:15 Posterior thoracic, lumbar and sacral screw insertion techniques Practical exercises Sashin Ahuja, Neil Chiverton, Marcin Czyz, Evan Davies, Niall Eames, Mel Grainger, Morgan Jones, AR Michael Group B: 10:45 11:30 Navigation guided lateral mass and pedicle screw insertion into the cervical spine Practical exercises 11:30 12:15 Navigation guided screw insertion into the thoracic and lumbar spine Practical exercises

9 10 Birmingham, March 29-30, 2019 Saturday, March 30, 2019 Session 8 Thoraco-lumbar spine I 12:15 12:35 Lumbar disc herniation with radiculopathy: Diagnosis, treatment options, surgical indications Discussion group Marcin Czyz 12:35 12:45 Video: Lumbar microdiscectomy How I do it 12:45 12:55 Extreme lateral disc herniation, Wiltse approach How I do it Niall Eames, 12:55 13:20 Cauda equina syndrome: Diagnosis, treatment, outcome, medico-legal issues Discussion group Neil Chiverton 13:20 14:00 LUNCH BREAK Session 9 Thoraco-lumbar spine II Antony Rex Michael 14:00 14:20 Lumbar canal stenosis Diagnosis, surgical indications, treatment options 14:20 14:45 Lumbar spondylolisthesis Classifications, surgical indications, diagnosis and treatment options 14:45 15:10 Consenting a patient for spinal surgery Discussion group, role play Evan Davies Sashin Ahuja Neil Chiverton 15:10 15:20 Discussions 15:20 15:35 COFFEE BREAK Session 10 Thoraco-lumbar spine III Evan Davies 15:35 16:00 Review of interbody fusion techniques: PLIF, TLIF, DLIF, ALIF Antony Rex Michael 16:00 16:30 Early and late complications in lumbar spine surgery: Prevention, diagnosis, management Discussion group 16:30 16:55 MIS options in spinal surgery Review and case discussion 16:55 17:00 Discussion Evan Davies 17:00 17:15 Evaluation, closing remarks, take-home messages, Thomas Blattert

10 AOSpine Principles Course Degeneration 11 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. Sponsors We thank our major industry partners DePuy Synthes and Brainlab for contributing in-kind support (material and logistics) without which this event would not be possible. A special thanks to DePuy Synthes for providing an unrestricted educational grant for this event.

11 AOSpine Principles Course Degeneration 13 Event organization AOSpine EMEA: Karin Wandschura Project Manager Phone: Stettbachstrasse 6 CH 8600 Dübendorf KWandschura@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 Event organization 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 Euro 234 AOSpine non-members Euro 260 Included in registration fee: Course certificate, course bag, course materials, lunches and coffee breaks, course dinner Online registration and payment: Event venue: Hyatt Regency Birmingham 2 Bridge Street Birmingham, B1 2JZ United Kingdom england-united-kingdom/hyatt-regencybirmingham/birmi Phone: birmingham.regency@hyatt.com European CME Accreditation: An application will be made to the UEMS EACCME in Brussels for CME accreditation of this event. Evaluation guidelines: All AOSpine events apply the same evaluation process, either online (pre- and post-event evaluation) or/ and on-site by audience response system (ARS) or paper and pencil questionnaires. This helps AOSpine to ensure that we continue to meet your training needs.

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