AOSpine Masters Symposium Novel and Emerging Technologies in Translational Medicine

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EUROPE Preliminary event program AOSpine Masters Symposium Novel and Emerging Technologies in Translational Medicine September 22 23, 2017 Bern, Switzerland

AOSpine the leading global academic community for innovative education and research in spine care, inspiring lifelong learning and improving patients' lives.

Bern, September 22-23, 2017 3 Welcome to Bern Dear colleagues, Spinal fusions with screws, rods and cages are successful for the treatment of many spinal disorders but result in altered biomechanics and function of the spine. At this symposium alternative approaches from emerging technologies using smart biomaterials, pharmaceutical and stem cell therapies for disc repair and regeneration are presented and discussed. This meeting aims to unite clinicians and researchers on a common platform to investigate the nature and causes of the degenerating spine and the intervertebral discs and its consequences for low back pain. Translational research, where basic science is targeted to find its way back to the patient s bed site, has become popular and is the major focus of this meeting. Learn about the latest insights on imaging, regenerative and pharmaceutical research that will change the way we treat our patients in future. Sincerely, Lorin Benneker Chairperson Inselspital Bern Switzerland Benjamin Gantenbein Chairperson University of Bern Bern Switzerland Thomas Blattert Educational Advisor Orthopädische Fachklinik Schwarzach Germany

4 AOSpine Masters Symposium Novel and Emerging Technologiesin Translational Medicine Event description This meeting aims to unite clinicians and researchers on a common platform to investigate the nature and causes of the degenerating spine and the intervertebral discs and its consequences for low back pain. Translational research, where basic science is targeted to find its way back to the patient s bed site, has become popular and is the major focus of this meeting. Learn about the latest insights on imaging, regenerative and pharmaceutical research that will change the way we treat our patients in future. The event will comprise of evidence-based lectures and will provide ample time for discussion between faculty and participants. Target participants This event is targeted at certified surgeons, researchers and other medical specialists with more than 10 years of experience in the spinal field. Learning objectives After the event, participants will be able to: Describe the latest insights on imaging, regenerative, and pharmaceutical research and how these will change the way we treat our patients Discuss the current research findings in intervertebral disc biology, cell transplantation, biomaterials, biomechanics and sarcopenia Acknowledge emerging technologies potential to improve the outcome of conventional spine techniques Assess the strengths and weaknesses of basic science when being translated to clinical settings

Bern, September 22-23, 2017 5 Chairpersons Lorin Benneker Benjamin Gantenbein Inselspital, University of Bern, Switzerland, Bern University of Bern, Switzerland, Bern Educational advisor Thomas Blattert Orthopaedische Fachklinik Schwarzach, Germany, Schwarzach Clinical Committee Paul Heini Sven Hoppe Gregory Jost Arme Mehrkens Constantin Schizas Klinik Sonnenhof, Switzerland, Bern Inselspital, Switzerland, Bern Basel University Hospital, Switzerland, Basel Basel University Hospital, Switzerland, Basel Clinique Cecil, Switzerland, Lausanne Scientific Committee David Eglin Sibylle Grad Karin Wuertz-Kozak AO Research Institute, Switzerland, Davos AO Research Institute, Switzerland, Davos ETH Zurich, Switzerland, Zurich Keynote Speakers Max Aebi Conor Buckley Stephen Ferguson Hans-Joerg Meisel Jivko Stoyanov Marina Tryfonidou Gianluca Vadala Salem Hirslanden Hospital, Switzerland, Bern Trinity College Dublin, Ireland, Dublin ETH Zurich, Switzerland, Zurich BG-Clinic Bermannstrost, Germany, Halle Swiss Paraplegic Research, Switzerland, Nottwil Utrecht University, Netherlands, Utrecht Bio-Medico University of Rome, Italy, Rome Guest off-topic Speaker Peter Messmer NVIDIA Switzerland, Switzerland, Bern

6 AOSpine Masters Symposium Novel and Emerging Technologiesin Translational Medicine Friday, September 22, 2017 TIME AGENDA ITEM WHO 08:15 09:00 Registration 09:00 09:10 Welcome and program overview L Benneker, B Gantenbein Session 1 Surgery and Imaging L Benneker, P Heini 09:10 09:40 History of spinal surgery M Aebi 09:40 09:50 VEPTR 12 years results regarding operative treatment of scoliosis C Wimmer 09:50 10:00 Ferromagnetic dissection and discectomy in scoliosis surgery: Comparison with electrical and mechanical tools 10:00 10:10 Introducing SpinePRO: Digital clinical data collection for Spine Tango 10:10 10:20 Comparison of in vitro osteogenic potential of iliac crest and degenerative facet joint bone autografts for intervertebral fusion in lumbar spinal stenosis 10:20 10:30 Affordable surgical navigation based on finite element simulation and 3D printing technology 10:30 10:40 Aneurysmal bone cyst of the spine: an alternative treatment by direct injection of concentrated autologous mesenchymal stem cells A Ramieri T Jansen J Geurts P Eltes G Barbanti- Brodano COFFEE BREAK Session 2 Intervertebral Disc Biology I B Gantenbein G Vadale 11: 00 11:30 Success stories and challenges of translational studies M Tryfonidou 11:30 11:40 CD146 positive mesenchymal stem cells possess a superior migration potential towards induced degenerative intervertebral discs 11:40 11:50 Comparison of gene expression of discs from Diffuse Idiopathic Skeletal Hyperostosis (DISH) and healthy (trauma) patient 11:50 12: 00 Short- and mid-term effect of TNF-α intradiscal injection and detrimental dynamic loading in intervertebral disc organ culture S Wangler R May Li Zhen

Bern, September 22-23, 2017 7 Friday, September 22, 2017 Rapid fire poster session 12:00 12:30 Percutaneous cement discoplasty, a method for restoring the weight bearing capacity of lumbar spine in cases of unstable vacuum discs Lytic versus degenerative spondylolisthesis. A comparison of patient reported outcomes following surgical correction and stabilisation Hypoplastic vertebral body and recurrent symptomatic disc herniation Nucleus pulposus progenitor cells isolation and injection into degenerative disc Comparing two annulus fibrosus injury models in loaded bovine organ culture The Influence of primary human Intervertebral Disc Cells on primary human Osteoblasts MRI-informed Biomimetic Design of Artificial Intervertebral Disc Scaffolds using 3D Bioplotting Reduction of pelvic incidence and patient reported outcomes following surgical correction and stabilisation of lytic spondylolisthesis. Real-time glucose concentration measurement in 3D intervertebral disc culture M Tryfonidou, J Stoyanov G Jakab J Messner R Lauebli D Frauchiger D Frauchiger R May E Hodder J Messner D Frauchiger LUNCH BREAK Session 3 Biomaterials H-J Meisel, L Benneker 13:30 14:00 Cellular microencapsulation and microenvironmental challenges for intervertebral disc regeneration 14:00 14:30 Bitten by Translation: Are Veterinary patient dogs good models for Intervertebral Disc Repair using Cell Therapy? 14:30 14:40 Biomaterials: a good alternative to autologous bone for spine fusio 14:40 14:50 Genipin-enhanced fibrin hydrogel combined with engineered silk composite for intervertebral disc repair 14:50 15:00 Optimization of 3D Printed Hydrogels with Primary Cells for Tissue Engineering 15:00 15:10 Proliferation and differentiation on engineered silk scaffolds: From MSC towards NP-like cells 15:10 15:20 In situ photopolymerized composite hydrogels for implants: application to a nucleus pulposus replacement C Buckley J Stoyanov G Barbanti-Brodano D Frauchiger E Bakirci D Frauchiger A Schmocker COFFEE BREAK

8 AOSpine Masters Symposium Novel and Emerging Technologiesin Translational Medicine Friday, September 22, 2017 Session 4 Cell Transplantation K Wuertz-Kosak, B Gantenbein 16:00 16:30 Cell transplantation in lumbar spine disc degeneration disease H-J Meisel 16:30 17:00 Disc regeneration using MSC transplanted via the endplate route 17:00 17:10 Nasal chondrocytes are potential autologous cell-transplant candidates for treating degenerative disc disease 17:10 17:20 Autologous disc chondrocyte transplantation in lumbar spine disc degeneration disease a prospective, controlled, randomized study 17:20 17:30 The regenerative effects of notochordal cell matrix (NCM) on canine and human nucleus pulposus cells G Vadala M Gay C Hohaus F Bach Off-topic Lecture 17:30 18:00 Will I dream? How infinite compute power changes our interaction with machines P Messmer 18:00 18:10 Closing Day 1 L Benneker, B Gantenbein 19:30 Dinner at Restaurant Kornhauskeller Saturday, September 23, 2017 Session 5 Biomechanicals K Wuertz-Kosak, S Ferguson 09:00 09:30 Biomechanical Research in Spine S Ferguson 09:30 09:40 Bone mineral density of vertebras at instrumented levels and levels above the instrumentation increases during the first postoperative year after the lumbar spine fusion 09:40 09:50 Analysis of osteoarthritis-specific structural changes of subchondral bone in degenerative lumbar facet joints 09:50 10:00 A novel microgravity-augmented model for intervertebral disc aging M Neva G Jeroen C Giger-Lange COFFEE BREAK

Bern, September 22-23, 2017 9 Saturday, September 23, 2017 Session 6 Sarcopenia S Ferguson, P Heini 10:30 11: 00 Sarcopenia - the Burden of Ageing L Benneker 11: 00 11:10 Musculoskeletal modeling of sarcopenia for prediction of associated spinal loads S Ferguson 11:10 11:20 3-dimensional MRI analysis of paraspinal muscle degeneration 11:20 11:30 Restorative neurostimulation to induce episodic contractions of the lumbar multifidus leads to clinical improvements in patients with disabling refractory non-specific chronic low back pain K De Smedt Session 7 Intervertebral Disc Biology II L Benneker, B Gantenbein 11:30 11:40 Model of disc degeneration in rat tail induced through a vascular isolation of endplate 11:40 11:50 Anabolic effects of bioactive proteins and extracellular vesicles derived from notochordal cell-conditioned medium 11:50 12: 00 In toto and expanded human vertebral bone marrow cells cultured under normoxic and hypoxic condition: a novel strategy for spine surgery. 12:00 12:10 The expression of transient receptor potential (TRP) channels in intervertebral disc cells is regulated by pro-inflammatory cytokines 12:10 12:20 Biological disc replacement using tissue-engineered intervertebral discs combined with a resorbable stabilization system A proof of concept study in an ex vivo beagle model M A Diez Ulloa F Bach G Barbanti-Brodano O Krupkova G Lang 12:20 12:40 Best Oral Award / Best Poster Award and closing ceremony FAREWELL LUNCH

10 AOSpine Masters Symposium Novel and Emerging Technologiesin Translational Medicine Event organization AOSpine Europe: Diana Daaboul Project Manager Phone: +41 44 2002 445 Fax: +41 44 2002 412 Stettbachstrasse 6 CH 8600 Dübendorf Email: DDaaboul@aospine.org www.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 and logistics AO Courses Switzerland Miriam Suter Phone: +41 79 9129 475 Email: suter.miriam@ao-courses.com Event organisation 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 CHF 255. AOSpine non-members CHF 300. Included in registration fee: Conference bag with documentation, coffee breaks, lunches, and course certificate. Online registration and payment: http://bern1709.aospine.org Event venue: University Hospital Bern Auditorium Langhans Pathologisches Institut H 128 Entrance 43 A 3010 Bern European CME Accreditation: An application has been made to the UEMS EACCME in Brussels for CME accreditation of this event. Additionally an application has been made to the Medical Chamber of Switzerland. Evaluation guidelines: All AOSpine events apply the same evaluation process with paper and pencil questionnaires. This will help us to ensure that we continue to meet your training needs.

Bern, September 22-23, 2017 11 Disclosure information This peer-reviewed AOSpine Masters Symposium adheres to the policies of the European Accreditation Council for Continuing Medical Education (EACCME) in order to ensure balance, independence, objectivity, and scientific rigor in all of our activities. Thus, in compliance with the EACCME guidelines, all persons in control of content at the symposium have been required to disclose to AOSpine and the audience any potential, apparent or real conflict of interest. Such persons include, but are not limited to: planning and organizing committee members (chairpersons), educational advisors, faculty, and oral presenters. Presenters directory Bach Frances C. Bakirci Ezgi Barbanti-Brodano Giovanni Buckley Conor De Smedt Kris Diez Ulloa Maximo Alberto Eltes Peter E. Ferguson Stephen Frauchiger Daniela Gabor Jakab Gay Max H.P. Geurts Jeroen Giger-Lange Christina Hodder Ella Hohaus Christian Hoppe Sven Jansen Tom R. Krupkova Olga Lang Gernot Lauebli Ralph May Rahel Meisel Hans-Joerg Messner Juergen Neva Marko H Ramieri Alessandro Schmocker Andreas Stoyanov Jivko Tryfonidou Marianna Vadala Gianluca Wangler Sebastian Wimmer Cornelius Zhen Li Utrecht University, Netherlands University of Bern, Switzerland Instituto Ortopedico Rizzoli, Bologna, Italy Trinity College, Dublin, Ireland St. Augustinus Hospital, Antwerp, Belgium University Hospital Santiago de Compostela, Spain National Center for Spinal Disorders, Budapest, Hungary ETH Zurich, Switzerland University of Bern, Switzerland National Center for Spinal Disorders, Budapest, Hungary University Hospital Basel, Switzerland University Hospital Basel, Switzerland Lucerne University of Applied Science and Arts, Switzerland School of Computing, Engineering and Mathematics, Brighton, UK Städtisches Klinikum Dessau, Dessau-Rosslau, Germany University of Bern, Switzerland University Clinic Bonn, Germany ETH Zurich, Switzerland Weill Cornell Brain and Spine Center, New York, USA Interlaken, Switzerland University of Bern, Switzerland BG Klinikum Bergmannstrost, Halle, Germany Hull and East Yorkshire NHS Trust, UK Tampere University Hospital, Finland Minal and Rome Sampienza University, Italy EPFL, Lausanne, Switzerland Swiss Paraplegic Research, Nottwil, Switzerland Utrecht University, Netherlands Università Campus Bio-Medico die Roma, Italy AO Research Institute, Davos, Switzerland Schön Klinik Vogtareuth, Germany AO Research Institute, Davos, Switzerland

12 AOSpine Masters Symposium Novel and Emerging Technologiesin Translational Medicine AO Foundation Principles of AO Educational Events 1) Academic independence Development of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute (www.aofoundation.org). Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias. 2) Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education: Accreditation Criteria of the Accreditation Council for Continuing Medical Education, USA (www.accme.org) ACCME Standards for Commercial Support: Standards to Ensure Independence in CME Activities (www.accme.org) Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education (www.uems.eu) Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: Eucomed Guidelines on Interactions with Healthcare Professionals (www.medtecheurope.org) AdvaMed Code of Ethics on Interactions with Health Care Professionals (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals (www.mecomed.org) 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place. Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson. 4) Use of technologies and products in simulations If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK) a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: www. aofoundation.org). 5) Personnel Industry staff is not allowed to interfere with the educational content or engage in educational activities during the event.

Bern, September 22-23, 2017 13 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 www.aofoundation.org/legal. 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.

14 AOSpine Masters Symposium Novel and Emerging Technologiesin Translational Medicine The AOSpine bookshelf Everything you need in your library All AOSpine Books are available as printed books or e-books at: www.aospine.org/shop AOSpine Members receive a 20% discount on print and e-books www.aospine.org/membership

Bern, September 22-23, 2017 15 Sponsors We thank our major industry partner DePuy Synthes for contributing with in-kind support (logistics) and for providing an unrestricted educational grant for this event. We also extend our thanks to the following exhibitors for additional unrestricted educational grants: PARADIGM SPINE

The Global Spine Congress heads to Asia Pacific Global Spine Congress Singapore May 2 5, 2018 www.gsc2018.org 2017 AOSpine International. All rights reserved. E & OE. Image credits: Gardens by the Bay & Singapore Tourism Board