ADVANCED SAGITTAL ALIGNMENT & OSTEOTOMY INSTRUCTIONAL COURSE

20 April 2016 22 April 2016 Hotel & Anatomical Institute Barcelona, Spain AGENDA ADVANCED SAGITTAL ALIGNMENT & OSTEOTOMY INSTRUCTIONAL COURSE DEVELOPED BY PROFESSIONALS FOR PROFESSIONALS

WELCOME FACULTY Welcome to the Advanced Sagittal Alignment and Osteotomy Instructional course focusing on how to avoid and how to treat failed spine surgery in the thoracic and thoracolumbar spine with various osteotomy techniques. Sagittal plane measurements are recognized as being the most important radiographic parameters across numerous spinal pathologies. You will therefore learn how to analyse Sagittal key parameters by identifying imbalance and how to work through the ways of identifying the best surgical options for each patient. Different osteotomy procedures are then trained during didactic and practical anatomical lab sessions. This course is a unique opportunity to combine and get familiar with the pre-op sagittal alignment planning and the surgical treatment of the degenerative deformities of the spine by sharing knowledge between the faculty and delegates. I wish you a very instructive course! Chairman Dr Frank Kleinstück Schulthess Klinik Zurich, Switzerland Dr Ernesto González University Hospital Murcia Murcia, Spain Mr Kingsley Hampton Royal Hallamshire Hospital Sheffield, UK Mr John Hutchinson Spire Bristol Hospital Bristol, UK Dr Virginie Lafage New York University Hospital New York, USA Yours Sincerely, Maria Anderson Professional Education Manager DePuy Synthes EMEA mander30@its.jnj.com Prof Antonio Martin-Benlloch University Hospital Valencia Valencia, Spain Dr Ferran Pellisé Urquiza Hospital Valle Hebrón Barcelona, Spain Mr Thanos Tsirikos Royal Hospital for Sick Children, Edinburgh, UK

PROGRAM Day One Hotel, 20 April 2016 08:00 Welcome and introduction to the course M Andersson & Dr V Lafage SESSION 1: Sagittal Alignment and Measurements 08:10 Sagittal balance versus sagittal alignment Dr V Lafage Gravity line versus sagittal alignment This introductory talk will delineate the difference between balance, which is the complex task of maintaining an erect posture, and alignment, which is the relative location of anatomic entities in space. 08:30 Sagittal plane measurements and their clinical relevance Dr V Lafage Spino-pelvic parameters: You will learn how to measure the different parameters and develop a sense for what can be normal. Age related changes and correlations with clinical outcomes are also covered. Interaction between parameters: Spino-pelvic parameters have been described as being linked to each other by a chain of correlations. This academic analysis simply denotes that sagittal plan measurements are patient specific and that each patient uses compensatory mechanisms to keep an upright posture. 09:30 Coffee break SESSION 2: Spino-pelvic and Cervical measurements 09:45 Workshop: Measuring spino-pelvic parameters. All This interactive session will teach you how to measure sagittal plane parameters and how to identify red flags in the sagittal plane. 11:20 The sagittal balance of the cervical spine Dr F Pellisé Normal cervical alignment Compensatory mechanisms in the cervical spine Cervical deformity 12:00 Lunch SESSION 3: Surgical Planning and Cases 12:45 Sagittal plane and spinal pathologies Despite common belief, problems of the sagittal plane are not restricted primarily to post-operative Harington rods. Rather they relate to a large number of pathologies, from the simple to the more complex. This case based session will cover the following: Pediatric session Adult session Dr F Pellisé Dr F Pellisé

PROGRAM (CONTINUED) Day One Hotel, 20 April 2016 14:10 Surgical Planning Dr V Lafage How effective is modifying/correcting the sagittal plane by: Compression Interbody fusion Disc arthroplasty Osteotomy 15:10 Coffee break 15:30 Workshop: Surgical planning All 16:30 Case discussion All 17:15 Summary of day one Dr V Lafage Day Two Anatomic Institute, 21 April 2016 08:30 Welcome to the Anatomic Institute M Andersson & Prof A Combalia 08:40 Introduction to day two Dr F Kleinstück SESSION 4: Smith Petersen Osteotomy and Sacro Pelvic Fixation 08:50 Options in corrective spinal surgery Dr F Kleinstück 09:10 Smith Petersen Osteotomy procedure Dr E González 09:30 Sacro Pelvic Fixation, Classic Sacro-Illiac Fixation and SAI screws Mr T Tsirikos 09:50 Coffee break 10:10 Anatomic Session I: Smith Petersen Osteotomy and Sacro Pelvic Fixation All 12:30 Lunch

PROGRAM (CONTINUED) Day Two Anatomic Institute, 21 April 2016 SESSION 5: Pedicle Subtraction Osteotomy 13:15 Pedicle subtraction osteotomy procedure Mr J Hutchinson 13:45 Anatomic Session II: Pedicle subtraction osteotomy All 15:45 Coffee break 16:00 Impact of surgical bleeding and transfusion Mr K Hampton 16:30 Posterior spinal releases, osteotomies, vertebrectomy Mr T Tsirikos techniques in the treatment of pediatric/adolescent deformity 17:00 Case discussion Delegates 17:30 Summary of day two Dr F Kleinstück 20:00 Course Dinner Day Three Anatomic Institute, 22 April 2016 SESSION 6: Posterior Vertebral Column Resection (PVCR) 08:30 Introduction to day three Dr F Kleinstück 08:40 Posterior Vertebral Column Resection: The technique, Mr J Hutchinson tips & tricks 09:00 Anatomic session III: PVCR All 10:45 Coffee break SESSION 7: Revision Strategy 11:00 Revision strategy Dr F Pellisé 11:25 Poor bone quality: What are the fixation options Dr E González 11:45 Total en bloc spondylectomy (TES): Prof A Martin-Benlloch Indications and surgical technique

PROGRAM (CONTINUED) Day Three Anatomic Institute, 22 April 2016 11:55 Anatomic demonstration - Total en bloc spondylectomy Prof A Martin-Benlloch 12:25 Lunch 13:00 Anatomic Session IV: All Revision strategy Total en bloc spondylectomy 14:30 Summary and closure 14:45 Departure We thank our course partners: Course organized in collaboration with the Human Anatomy and Embryology Unit, Medicine Faculty (Campus Bellvitge) University of Barcelona, Spain Prof Andrés Combalia Barcelona University Hospital Barcelona, Spain Prof M-I Miguel Pérez Human Anatomy and Embryology Unit Medical School (Campus Bellvitge), Barcelona, Spain

NOTES