Advancing spine care worldwide - Sierra Neurosurgery Group · 5 Overview 5 Target audience 5...

Final Program

14th Annual AOSNA Fellows ForumBanff Springs, Alberta, Canada March 31 – April 2, 2016

Advancing spine careworldwide

Directly Provided by

Our purpose and responsibility is to shape our members’ skills and

understanding of spine principles, to establish new values and incentives

for the creation of knowledge, the sharing of wisdom and the development

of new tools and techniques that improve patient care, patient outcomes

and the cost effectiveness of spine surgery.

Excellence in Spine

2 14th Annual AOSpine North America Fellows Forum, March 31 – April 2, 2016

Welcome to the 14th Annual AOSNA Fellows Forum in Banff

Dear Colleagues,

Welcome to the 14th Annual AOSpine North America Fellows Forum in Banff, Alberta. The program represents the collective efforts of and achievements of generations of spine fellows and their program directors. Held in the picturesque Canadian Rocky Mountains, this collegial meeting offers a healthy exchange of ideas and knowledge with the overarching aim of providing a superb educational experience for current fellows and improving patient care through dedicated research efforts.

The highlight of this year’s program is the research activities of each Fellow. Fellows were asked to submit an abstract of his/her research project in advance. Each abstract was scored and the ten highest scoring abstracts have been selected for podium presentations at the forum. In addition, each fellow has also submitted a poster of his/her research, which will be judged on-site. The authors of the top ten posters will also be invited to present their work from the podium. Awards will be given for Best Clinical Abstract, Best Basic Science Abstract and Best Poster Presentation at the conclusion of the meeting.

The AOSNA Fellows Forum is designed to provide a networking opportunity for fellows to interact with their peers from other institutions and to foster friendships with esteemed faculty and experts in spine surgery. We sincerely hope that the experiences you gain from participating in this program will benefit you and your practice in the coming years. Together with our colleagues from AOSpine North America it is various committees, we thank each of you for dedicating your time to make this event a success. We look forward to a rewarding and successful program.

Sincerely,

CONTENT

3 Message from the Course Chairs

4 Message from the AOSNA Chairperson

5 CME Mission Statement

5 Overview

5 Target audience

5 Learner objectives

5 Accreditation

5 Designation statement

6 Chairpersons

6 Keynote speakers

6 Faculty

7 Participating fellows

8 Grant award winners

9 Thursday, March 31, 2016

10 Friday, April 1, 2016

11 Saturday, April 2, 2016

12 Presentation Information

13 Upcoming events

14 Location guide

15 Course venue

Michael G. Fehlings, MDChairman, AOSpine North America

Darrel Brodke, MDChair Elect, AOSpine North America

Joseph Cheng, MDChairman, AOSNA Education Committee

Theodore Choma, MDChairman, AOSNA Fellowship Committee

Norman B. Chutkan, MDChairman, AOSNA Community Development Committee

Thomas E. Mroz, MD Chairman, AOSNA Research Committee

14th Annual AOSpine North America Fellows Forum, March 31 – April 2, 2016 3

Message from AOSpine North America Chairman

Welcome to AOSpine North America!

As Chairman of AOSpine North America it is my distinct pleasure to introduce you to this unique and exciting organization. I invite you to play an active role in advancing interdisciplinary spine care, education and research through the many opportunities afforded by AOSpine North America. We pride ourselves in being part of the largest global, academically-oriented interdisciplinary fellowship of spine surgeons.

Dramatic challenges to health care and expectations around patient care delivery are mandating a shift in the way spine surgeons practice. Evidenced-based, multidisciplinary care is replacing previous models of practice and this is an area where the AO can add significant educational value.

The AO (‘Arbeitsgemeinschaft Osteosynthesefragen’) is a noncommercial entity dedicated to education, research and advancement of surgical care provided in a fellowship of like-minded surgeons spanning the globe. Based on the concepts and philosophies of the AO, AOSpine International (AOSI) has enjoyed an amazing growth in membership and activities. AOSI is regionally represented by North America, Latin America, Asia-Pacific, Europe, and the Middle East. AOSI (currently chaired by Dr. Jeff Wang of Los Angeles) coordinates and oversees the global educational and research offerings. These include the Global Spine Congress, the World Forum for Spine Research, publishing 2 Spine periodicals (Evidence Based Spine-care Journal (EBSJ), The Global Spine Journal and a number of textbooks on spine care, as well as organizing a sizeable number of educational and research offerings.

Activities of AOSpine North America include educational events delivered by recognized leaders in their fields. In addition to education there is a multicenter research network constituted by premier North American institutions with award-winning projects (AOSNA Clinical Research Network) North America’s largest peer-reviewed fellowship support program, and many peer-reviewed grant-funding opportunities. As an organization we also enjoy an ongoing strong partnership with AO North America for educational support and direction, featuring a well-established Continuing Medical Education organization with common commitment to the AO principles and the “AO family” in North America. In contrast to many other formal societies we are intentionally inclusive of specialties and origins and value our straightforward ability to provide academic advancement with the least amount of bureaucracy.

These are exciting times. We hope you will enjoy your exposure to AOSpine North America and join us in our further development as an active participant!

With warm regards,

Michael G. Fehlings, MD, PhD, FRCSC, FACS

Chairman, AOSpine North America


CME Mission Statement

The Continuing Medical Education (CME) mission of AO North America (AONA®) is to provide comprehensive multidisciplinary needs-based education to surgeons, fellows, and residents in the specialties of orthopedic, hand, craniomaxillofacial, spine, neurosurgery, and veterinary surgery in the areas of trauma (i.e., operative reduction and fixation), degenerative disorders, deformities, tumors, and reconstruction.

Expected results of AONA’s CME activities for surgeons, fellows, and residents are to:– Increase their knowledge base and surgical skill level– Improve competence by applying advances of knowledge in patient care in the areas of trauma, degenerative disorders,

deformities, tumors, and reconstructive surgical techniques – Address practice performance gaps by improving management of all aspects of musculoskeletal injuries and disorders

(i.e., pre-operative planning to post-operative care)

Overview

The AOSNA Fellows Forum provides an opportunity to exchange ideas and knowledge that centers on the advancement of inter-disciplinary spine care. Through discussion and debate regarding current and future research in spine care, the aim of the Forum is to provide a superb educational experience where both faculty and current fellows can learn from each other. Didactic sessions with lectures given by accomplished spine surgeons, podium and poster presentations about current research being conducted by Fellows, as well as case discussions will foster the goal of continuously improving patient care through dedicated research efforts and education. Current issues in areas such as biological approaches for disc repair and regeneration, spinal cord injury repair, and spinal malignancies will be discussed. Optional sessions on navigating the transition from fellowship to clinical practice and how to set up an effective research program will also be offered.

Target Audience

The Fellows Forum is intended for orthopedic and neurosurgical fellows that manage the care of patients with spinal disorders.

Learner ObjectivesUpon completion, participants should be able to:

– Apply current concepts and treatment algorithms to a variety of spinal diseases and disorders.– Discuss concepts in deformity, degenerative, tumors, and minimally invasive spine surgery.– Effectively transition from fellowship to clinical practice.– Identify ways to establish effective research protocols through clinical trials and registries.

Accreditation

AO North America is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

AO North America designates this Live educational activity for a maximum of 15.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Howard An, MDRush UniversityChicago, Illinois

Paul Arnold, MDUniversity of Kansas Medical CenterKansas City, Kansas

Richard Bransford, MDUniversity of WashingtonSeattle, Washington

Jacob Buchowski, MDUniversity of WashingtonSt. Louis, Missouri

Matthew Colman, MDRush UniversityChicago, Illinois

Scott Daffer, MDWest Virginia UniversityMorgantown, West Virginia

John France, MDWest Virginia UniversityMorgantown, West Virginia

Daniel Gelb, MDUniversity of MarylandBaltimore, Maryland

Christina Goldstein, MDUniversity of MissouriColumbia, Missouri

James Harrop, MDJefferson UniversityPhiladelphia, Pennsylvania

Hamid Hassanzadeh, MDUniversity of VirginiaCharlottesville, Virginia

Alex Hughes, MDHospital for Special SurgeryNew York, New York

Bradley Jacobs, MDUniversity of CalgaryCalgary, Alberta, Canada

Yashar Javidan, MDUniversity of California DavisSacramento, California

Eric Klineberg, MDUniversity of California DavisSacramento, California

Brandon Lawrence, MDUniversity of UtahSalt Lake City, Utah

Rex Marco, MDHouston Methodist HospitalHouston, Texas

Eric Massicotte, MD, MSc, FRCSUniversity of TorontoToronto, Ontario, Canada

Keith Michael, MDEmory UniversityAtlanta, Georgia

Alden Milam, MDOrthoCarolina Spine CenterCharlotte, North Carolina

Robert Molinari, MDUniversity of RochesterRochester, New York

Praveen Mummaneni, MDUniversity of California San FranciscoSan Francisco, California

Ahmad Nassr, MDMayo ClinicRochester, Minnesota

Scott Paquette, MD, MSc, FRCSCUniversity of British ColumbiaVancouver, British Columbia, Canada

Srinivas Prasad, MDJefferson UniversityPhiladelphia, Pennsylvania

Patrick Prichard, MDUniversity of Alabama Birmingham, Alabama

Andrew Sama, MDHospital for Special SurgeryNew York, New York

Daniel Sciubba, MDJohns Hopkins UniversityBaltimore, Maryland

Lali Sekhon, MD, PhD, FACS, FRACS, FAANSSierra Neurosurgery GroupReno, Nevada

Mohammed Shamji, MD, PhD, FRCSCUniversity of TorontoToronto, Ontario, Canda

Bobby Tay, MDUniversity of California San FranciscoSan Francisco, California

Steven Theiss, MDUniversity of AlabamaBirmingham, Alabama

Vincent Traynelis, MDRush University Chicago, Illinois

Jeffrey Wang, MDUniversity of Southern CaliforniaLos Angeles, California

Jean-Paul Wolinsky, MDJohns Hopkins UniversityBaltimore, Maryland

Eric Woodard, MDNew England Baptist HospitalBoston, Massachusetts

Chairpersons

Faculty

Darrel Brodke, MDUniversity of UtahSalt Lake City, Utah

Joseph Cheng, MD, MSYale UniversityNew Haven, Connecticut

Theodore Choma, MDUniversity of MissouriColumbia, Missouri

Norman Chutkan, MDThe Core InstitutePhoenix, Arizona

Michael Fehlings, MD, PhD, FRCSC, FACSUniversity of TorontoToronto, Ontario, Canada

Thomas Mroz, MDCleveland ClinicCleveland, Ohio

Michael Grevitt, MB, BS, BSC, FRCS (Orth)Queens Medical Centre, Nottingham University HospitalsNottingham, United Kingdom

Zoher Ghogawala, MDLahey Hospital and Medical CenterBurlington, MA

Keynote speakers


Owoicho Adogwa, MD, MPHRush University Chicago, Illinois

Daniel Aghion, MDJohns Hopkins UniversityBaltimore, Maryland

Ilyas Aleem, MD, MSc, FRCSCMayo ClinicRochester, Minnesota

Daniel Baluch, MDOrthoCarolina Spine CenterCharlotte, North Carolina

Benjamin Bjerke, MD, MS, BSMayo ClinicRochester, Minnesota

Akwasi Boah, MDJohns Hopkins UniversityBaltimore, Maryland

Matthew Cage, DO, BSUniversity of California DavisSacramento, California

Daniel Cavanaugh, MDUniversity of MarylandBaltimore, Maryland

Shari Cui, MDWest Virginia UniversityMorgantown, West Virginia

Marc Dyrszka, MDUniversity of California San FranciscoSan Francisco, California

Justin Iorio, MDHospital for Special SurgeryNew York, New York

Andre Jakoi, MDUniversity of Southern CaliforniaLos Angeles, California

So Kato, MDUniversity of TorontoToronto, Ontario, Canada

Kevin Khalsa, MDUniversity of MarylandBaltimore, Maryland

Morsi Khashan, MDMcGill UniversityMontreal, Quebec, Canada

Mark Kotter, MD, MPhil, PhDUniversity of TorontoToronto, Ontario, Canada

Stelios Koutsoumbelis, MDHospital for Special SurgeryNew York, New York

Gregory Lopez, MDRush UniversityChicago, Illinois

Sukanta Maitra, MDUniversity of UtahSalt Lake City, Utah

Travis Marion, MD, FRCSC, MSc, BedUniversity of British ColumbiaVancouver, British Columbia, Canada

Eduardo Martinez-del-Campo, MDBarrow Neurological InstitutePhoenix, Arizona

Steven McAnany, MDEmory UniversityAtlanta, Georgia

Rodrigo Navarro-Ramirez, MD, MScWeill Cornell Medical CenterNew York, New York

Jonathan Oren, MDNYU Hospital for Joint DiseasesNew York, New York

Mark Pahuta, MD, FRCSCUniversity of TorontoToronto, Ontario, Canada

Neil Patel, MDUniversity of Southern CaliforniaLos Angeles, California

Stephen Pehler, MDUniversity of UtahSalt Lake City, Utah

Rory Petteys, MDJohns Hopkins UniversityBaltimore, Maryland

Martin Pham, MDUniversity of Southern CaliforniaLos Angeles, California

Jason Pittman, MD, PhDUniversity of WashingtonSeattle, Washington

David Prior, MDUniversity of California DavisSacramento, California

Joseph Pyun, MDUniversity of MarylandBaltimore, Maryland

Patrick Reid, MDHospital for Special SurgeryNew York, New York

Timothy Roberts, MDCleveland ClinicCleveland, Ohio

Joost Rutges, MD, PhDUniversity of British ColumbiaVancouver, British Columbia, Canada

Ahmed Saleh, MDUniversity of RochesterRochester, New York

Daniel Shein, MDHospital for Special SurgeryNew York, New York

David Stockwell, MDHouston Methodist HospitalHouston, Texas

Hamdi Sukkarieh, MDUniversity of AlabamaBirmingham, Alabama

Assem Sultan, MD, MB, BSCleveland ClinicCleveland, Ohio

Durga Sure, MBBS, MDUniversity of VirginiaCharlottesville, Virginia

Jin Tee, FRACS, MD, MBBS, BMedSciUniversity of British ColumbiaVancouver, British Columbia, Canada

Frank Valone III, MDWashington UniversitySt. Louis, Missouri

Kushagra Verma, BS, MS, MDUniversity of California San FranciscoSan Francisco, California

Todd Vogel, MDUniversity of California San FranciscoSan Francisco, California

Kevin Walsh, MDCleveland ClinicCleveland, Ohio

Jefferson Wilson, MD, PhDJefferson UniversityPhiladelphia, Pennsylvania

Alem Yacob, MD, MScRush University Chicago, Illinois

Mohammad Zarrabian, BA, BS, DC, MDUniversity of TorontoToronto, Ontario, Canada

Haitao Zhou, MDUniversity of WashingtonSeattle, Washington

Participating Fellows


Ahmed Ibrahim, MBBS, PhD, FRCSUniversity of TorontoToronto, Ontario, Canada

Lionel Metz, MDUniversity of California San FranciscoSan Francisco, California

Nicholas Spina, MDUniversity of WashingtonSeattle, Washington

Sukhvinder Kalsi-Ryan, BScPT, MSc, PhDUniversity of TorontoToronto, Ontario, Canada

Ankit Mehta, MDUniversity of IllinoisChicago, Illinois

Rachel Sarabia-Estrada, DVM, PhDJohns Hopkins UniversityBaltimore, Maryland

Suzanne Tharin, MD, PhDStanford UniversityStanford, California

2014/2015 Banff Fellows Forum Award Winners

2015 Young Investigator Research Grant Award Winners


Thursday, March 31, 2016

TIME AGENDA ITEM LECTURER

7:00 – 9:00 pm Welcome Reception (Mt. Stephen Hall)

NOTE: AOSpine North America (AOSNA) will have official photographers present at this course, therefore, please note

that any photographs taken at the meeting may be used in future AOSNA publications, on the AOSNA website, or in

other Society materials.


Friday, April 1, 2016TIME AGENDA ITEM LECTURER6:00 - 7:00 am Registration and Breakfast (Alhambra Ballroom)

Session 1 | Introduction (Alhambra Ballroom)

7:00 – 7:05 Welcome and Objectives M. Fehlings

7:05 – 7:15 Introduction of Faculty and Fellows ALL

7:15 – 7:25 AOSpine Overview M. Fehlings

Session 2 | Keynote Lecture (Alhambra Ballroom) Moderator: J. Cheng

7:25 – 7:55 The Future of Education in AOSpine M. Grevitt

7:55 – 8:05 Question/Discussion

Session 3 | Abstract Winner Presentations (Alhambra Ballroom) Moderators: B. Tay, J.P. Wolinsky

8:05 – 9:45 Abstract Presentation by Fellows

9:45 – 10:00 Coffee Break

Session 4 | Navigating the Transition from Fellowship to Clinical Practice Moderator: J. Harrop

10:00 – 10:10 Academics, Private Practice or In-Between N. Chutkan

10:10 – 10:20 Questions I Wished I Asked Before My First Job B. Molinari, C. Goldstein

10:20 – 10:30 Relationship Building T. Choma

10:30 – 10:40 Raising Your Profile and Growing Your Private Practice L. Sekhon

10:40 – 10:50 Questions/Discussion

10:50 – 11:00 Travel to Poster Session

Session 5 | Poster Presentations by Fellows (Alberta Ballroom) Moderator: J. France

11:00 – 12:00 Poster Presentations by Fellows

12:00 – 1:00 Lunch (Alhambra Balloom)

1:00 – 3:00 Afternoon Case Series (Alhambra Ballroom)

Deformity J. Buchowski, P. Mummaneni

Minimally Invasive C. Goldstein, D. Gelb

Session 6 | Case Discussions Moderators: see below

5:00 – 6:30 Fireside X-Ray Conference

Norquay Room Fellows Last Name starting with A – J

B. Lawrence, B. Freedman, S. Daffner, E. Massicotte

Oak Room Fellows Last Name starting with K – Pe

R. Molinari, J. France, B. Jacobs, J. Wang

Ivor Petrak Room Fellows Last Name starting with Po – Z

E. Klineberg, A. Mehta, B. Tay, M. Shamji

7:30 – 10:00 Chairman’s Reception (Riverview Lounge) & Dinner (Cascade Ballroom) ALL


Saturday, April 2, 2016

TIME AGENDA ITEM LECTURER

7:00 – 8:00 am Registration and Breakfast (Alhambra Ballroom)

8:00 – 8:05 Opening Remarks M. Fehlings

Session 7 | Banff Award Winner (Alhambra Ballroom) Moderator: T. Choma

8:05 – 8:15 The art of managing expectation A. Ibrahim

8:15 – 8:25 Journey towards your new spine practice, what to pack L. Metz

8:25 – 8:35 Fellowship: Looking back now N. Spina


Session 8 | 2015 Young Investigator Research Grant Award Winner (Alhambra Ballroom) Moderator: T. Mroz

8:40 – 8:50 Leveraging microRNAs for spinal cord injury repair S. Tharin

8:50 – 9:00 Understanding the loss of manual dexterity related to CSM in humans S. Kalsi-Ryan

9:00 – 9:10 Sensorimotor effects of an orthotopic human chordoma R. Sarabia

9:10 – 9:20 Magnetically guided nanoparticles for intramedullary spinal cord tumors A. Mehta

9:20 – 9:25 Questions/Disucssion

Session 9 | Keynote Lecture (Alhambra Ballroom) Moderator: M. Fehlings

9:25 – 9:55 Mentoring Z. Ghogawala


10:00 – 10:15 Coffee Break

Session 10 | Oral Poster Presentations by Fellows (Alhambra Ballroom) Moderators: B. Jacobs, A. Sama

10:15 - 12:00 Oral Poster Presentations by Fellows

12:00 – 1:00 Lunch (Alhambra Ballroom)

1:00 - 3:00 Afternoon Case Series (Alhambra Ballroom)

Degenerative E. Klineberg, B. Molinari

Tumors R. Marco, D. Sciubba

Session 11 | Case Discussions Moderators: see below

5:00 – 6:30 Fireside X-Ray Conference

Norquay Room Fellows Last Name starting with A - J

H. An, J. Javidan, P. Mummaneni, R. Bransford

Oak Room Fellows Last Name starting with K - Pe

M. Colman, S. Prasad, S. Paquette, L. Sekhon

Ivor Petrak Room Fellows Last Name starting with Po - Z

H. Hassanzadeh, L. Metz, V. Traynelis, A. Sama

7:30 – 10:00 Dinner and Awards Presentation (Saltlik Restaurant) ALL


Presentation InformationFaculty DisclosureIt is the policy of AO North America to abide by the Accreditation Council for Continuing Medical Education Standards for Commercial Support. Standard 2: “Disclosures Relevant to Potential Commercial Bias and Relevant Financial Relationships of Those with Control over CME Content,” requires all planners, including course directors, chairs, and faculty, involved in the development of CME content to disclose their relevant financial relationships prior to participating in the activity. Relevant financial relationships will be disclosed to the activity audience. The intent of the disclosure is not to prevent faculty with relevant financial or other relationships from teaching, but to provide participants with information that might be of importance to their evaluation of content. All potential conflicts of interest have been resolved prior to the commencement of this activity.

Conflict of Interest Resolution StatementWhen individuals in a position to control or influence the development of the content have reported financial relationships with one or more commercial interests, AO North America utilizes a process to identify and resolve potential conflicts to ensure that the content presented is free of commercial bias.

Off-Label / Experimental DiscussionsSome medical devices used for teaching purposes and/or discussed in AO North America’s educational activities may have been cleared by the FDA for specific uses only or may not yet be approved for any purpose. Faculty may discuss off-label, investigational, or experimental uses of products/devices in CME certified educational activities. Faculty have been advised that all recommendations involving clinical medicine in this CME activity are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported or used in this CME activity in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection and analysis.

Liability Statement AO North America faculty and staff assume no personal liability for the techniques or the use of any equipment and accessories used for teaching purposes in the laboratory. The certificate provided pertains only to the participants’ completion of the course and does not, in any way, attest to the proficiency of the participants’ clinical experience.

DisclaimerThe opinions or views expressed in this live continuing medical activity are those of the faculty and do not necessarily reflect the opinions or recommendations of AO North America or any commercial supporter. The certificate provided pertains only to the participants’ completion of the course.


AOSpine North America Now Offers Webinars on Wednesdays

Future Courses

For more information and for free registration, visit www.aona.org

April 8 – 9 Las Vegas, Nevada Complex Cervical Spine Surgery (with A Hands-on Bioskills Lab)

May 13 – 14 Tampa, Florida Minimally Invasive Spinal Surgery and Navigation (with A Hands-on Bioskills Lab)

May 13 – 14 Philadelphia, Pennsylvania AONeuro Course — Co-Managed Neurological Critical Care

June 25 Philadelphia, Pennsylvania Oral Board Review

August 19 – 20 Toronto, Ontario Principles and Treatment of Spinal Disorders for Residents

September 9 – 10 Orlando, Florida Principles and Treatment of Spinal Disorders for Residents

September 15 – 17 Seattle, Washington Controversies in Complex Spine Surgery: A Comprehensive Hands-on Bioskills Course for Fellows

October 21 – 23 Miami, Florida AONeuro Course — Advanced Skull Base and Cerebrovascular Surgical Approaches

November 11 – 12 Las Vegas, Nevada Complex Spine Surgery: Innovations in Practice (with A Hands-on Bioskills Lab)

November 18 – 20 Phoenix, Arizona AONeuro Course — Pediatric Neurotrauma

AOSpine North America (AOSNA) would like to invite you to play an active role in advancing interdisciplinary spine care, education and research through our AOSpine North America Webinars that are specifically designed to meet the needs of community-based orthopedic spine and neurosurgeons for the 2015-2016 year. This is a great opportunity for establishing interaction and camaraderie among community-based orthopedic spine and neurosurgeons throughout the country.

AOSNA strongly encourages community-based orthopedic spine and neurosurgeons to register and participate in these amazing educational opportunities

Please mark your calendar for the upcoming dates on Wednesdays at 8 pm ET. Don’t miss these exciting educational opportunities:

DATE TITLE

April 6, 2016 Metastatic Spine Disease: A Changing Paradigm of Management

June 22, 2016 Revision Surgical Spine Surgery and Cervical Deformity: Management and Treatment

August 10, 2016 Odontoid Fractures: Operative and Non-operative Considerations in the Elderly

September 21, 2016 Cervical Myelopathy: Natural History, Treatment Options, and Strategies for Reducing Complications

November 2, 2016 Interoperative Complications During Lumbar Spine Surgery: Management Strategies and Salvage Techniques

Tentative schedule subject to change.

All activities are certified for continuing medical education credit. All courses subject to modification.

To register, please visit the AO North America website at www.aona.org

For information on AOSpine Membership, please go to www.aospine.org


Open to Main Lobby Below Open to Main Lobby Below

Banffshire Club

NorquayRoom

Mt.Stephen Hall

OakRoom

Grand StaircaseDown to Lobby Level

RundleHall

SirWilliamWallace

Up toMezzanine

Level 2Down to

LobbyLevel

Concierge

Elevators

Heritage Hall

FrontenacRoom

Guest

Room

s 150

s

Bow Valley GrillMeeting Rooms

Alberta Room

To Terrace

Conservatory

CascadeBallroom

New Brunswick

Room

Oval Room

Ivor PetrakRoom

GrapesWineBar

Open toMt. Stephen Hall

Below

StrathconaRoom

AngusRoom

AlhambraDining Room

ElevatorsSpanish Walk

Foyer

Down toMezzanine

Level 1

Staircase toMeeting Rooms

Riverview Lounge

Curio Foyer

RundleLounge

Open toRundle Hall

Below

Mezzanine Level 1

Mezzanine Level 2

Thursday, March 31, 2016

Welcome Reception Mt. Stephen Hall

Friday, April 1, 2016

Morning Registration & Breakfast Alhambra Room

Scientific Program Alhambra Room

Poster Presentations Alberta Room

Evening Fireside X-Ray Conference Norquay Room

Oak Room

Ivor Petrak Room

Chairman’s Dinner Cascade Ballroom

Saturday, April 2, 2016

Morning Breakfast Alhambra Room

Scientific Program Alhambra Room

Evening Fireside X-Ray Conference Norquay Room

Oak Room

Ivor Petrak Room

Dinner & Awards Presentation Saltlik Restaurant

Location Guide


The Fairmont Banff Springs is “Fairmont's Castle in the Rockies” and a world-renowned symbol of Canadian

hospitality. William Van Horne, former General Manager of the Canadian Pacific Railway, is credited with

recognizing the tourist potential of the hot springs near the station of Banff. His vision was fueled by the

philosophy of “If we can't export the scenery, we will import the tourists,” and thus began the campaign to

design a luxury hotel amidst the beautiful mountain scenery of the Canadian Rockies. To travel there, the

visitors would naturally arrive via the Canadian Pacific Railway, and Van Horne proposed the establishment

of a series of luxury hotels along the railway line through the Rocky and Selkirk Mountains.

In 1886, Van Horne commissioned Bruce Price of New York, one of the foremost architects of the day, to draw

up plans for a hotel to be built above the confluence of the Bow and the Spray Rivers overlooking the beautiful

Bow Valley. Construction started in the spring of 1887, and the hotel officially opened on June 1, 1888.

The Fairmont Banff Springs was finished in 1928, and over the years has been lovingly maintained

and restored to retain its original grandeur. The furniture for the hotel was made by Castle & Son Manufacturing

of Montréal, and the pieces are exact replicas of original designs from European castles and manor houses.

The Fairmont Banff Springs has been open year-round since 1969, and since that time all the rooms have been

remodeled, as have the swimming pool and health facilities. In the spring of 1989, a new golf clubhouse and

nine additional holes were added to the Banff Springs Golf Course, rolling out 27 holes of spectacular mountain

golf. With the need for expansion, a $23 million state-of-the-art conference center opened in January 1991,

increasing the total meeting space to 76,000 sq. ft. In August 1995, the hotel opened Willow Stream, its

fabulous European-style spa.

The Fairmont Banff Springs continues to follow Van Horne's dictum of dynamic expansion and excellence.

Offering something for vacationers and business visitors alike, it also endures as a meeting place for the world's

fashionable and wealthy. On March 22, 1992, The Fairmont Banff Springs was declared a historical site by the

Sites and Monuments Board of Canada.

Course Venue

The Fairmont Banff Springs


Open Access

From 2015, the Global Spine Journal, will publish OPEN ACCESS,ensuring even greater visibility for your research

All AOSpine members benefit from:• No Author Publication Charges• Print Subscription to Global Spine Journal

Become an AOSpine member here:www.thieme.com/membership-aospinewww.thieme.com/gsj-aospine

We look forward to receiving your submissions:

Manuscripts for both open access journals should be submitted via http://www.editorialmanager.com/gsj.

For author instructions and further information about publishing in Global Spine Journal, visit www.thieme.com/gsj.

THIEME

Education

The AOSpine Bookshelf Everything you need in your library

All AOSpine Books are available as printed books or ebooks under:

AOSpine Members receive a 10% discount on print and ebooks

www.aospine.org/shop

AOS_Book_Flyer_2012_A4_08.indd 1 05.03.13 17:43

key contents

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[ ] copy/copies Aebi/Arlet/Webb AOSpine Manual—Principles and Techniques (Vol 1) & Clinical Applications (Vol 2) EUR 499.95

[ ] copy/copies Chapman/Hanson/Dettori/Norvell Spine Outcomes Measures and Instruments EUR 129.95

[ ] copy/copies Corbett Introduction to Spine Surgery EUR 69.95

[ ] copy/copies Chapman/Dettori/Norvell Spine Classifications and Severity Measures EUR 249.95

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Easy ways to order: www.aospine.org/shop, Fax +41 44 200 24 12, AOSpine International, Stettbachstrasse 6, 8600 Dübendorf, Switzerland

AOSpine ManualVolume 1—Principles and Techniques

• Biomechanics of the spine • Biology of the spine • Surgical anatomy of the spine • Spinal instrumentation

• Computer-assisted surgery • Anesthesia for spine surgery • Glossary

• Spinal trauma • Spinal tumors • Infections of the spine • Inflammatory processes • Deformities of the spine • Spondylolysis, spondylolisthesis,

and spondyloptosis

• Degenerative spinal diseases of the lumbar and cervical spine

• Metabolic bone disease of the spine—osteoporosis

• Complications in spine surgery • Documentation, evaluation, and

outcome

Volume 2—Clinical Applications

Spine Outcomes Measures and Instruments

Spine Classifications and Severity Measures

Outcomes instruments that attempt to assess the function and quality of life in patients suffering from various spine conditions are on the increase. This book sets out to evaluate and summarize over 100 outcomes instruments for the spine and its associated diseases.Outcomes instruments from the following “core” domains are summarized and evaluated in this book:

• Function specific to the lumbar and cervical spines as well as specific diseases such as osteoporosis, spinal deformity, spinal stenosis, and neurological injuries

• Pain• Disability (physical)• Disability (psychosocial)• Patient satisfaction

SPINE OUTCOMES MEASURES AND INSTRUMENTS

OUTCOMES VALIDATED AGAINST

7 Outcomes measures and instruments

11 QUALITY OF LIFE PROFILE FOR SPINE DEFORMITIES (QLPSD)

Source: Climent JM, Reig A, Sanchez J, Roda C (1995) Construction and validation of a specifi c quality of life instrument for adolescents with spine deformities. Spine; 20(18):2006–2011.

Type: Patient-reported outcomeScale: 5 categories (21 items)

Each item scored on a 1 to 5 point scale.

Interpretation:Maximum score: 105Minimum score: 21

The higher the score, the greater the disability.

[1] • Curve type • Back pain • Treatment type

Psychosocial func t ioning

Sleep disturbancesBack pain

Body image

Back f lexibil i t y

Patient population tested in Validity Reliability Responsiveness

Pat ients with spine deformit ies (53% idiopathic scoliosis)(N = 174)(15 years; 24% male) [1]

+ + NOT TESTED

154

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Introduction to Spine Surgery

• General knowledge for spine surgery• Pathology of the spine• Operative knowledge for spine surgery• Glossary

240

INTRODUCTION TO SPINE SURGERY

3 Operative knowledge for spine surgery 3.6 Surgical approaches to the spine 241

more of the fascia as peritoneum is dissected free. The fascia is incised proximally to the arcuate line. Once peritoneum is dis-sected free from the undersurface of the posterior rectus sheath, the arcuate line is incised proximally.

The direction of the dissection changes towards inferior and lateral. Peritoneum is peeled off the transversalis fascia work-ing towards the fat in the inferior and lateral corner (Fig 3.6-16). When around the lateral aspect of peritoneum, the peritone-um and abdominal contents are swept medially (Fig 3.6-17).

Adhesions may need to be released proximally to allow com-pletion of this maneuver. The psoas muscle is located deep to the peritoneum, positioned just lateral to the spine. Identifi ca-tion of the iliac vessels anterior to the spine is essential. Peri-toneum is mobilized over the psoas muscle and iliac vessels to the contralateral side of the spine. The retractor blades are inserted at this point.

Fig 3.6-16The dissection starts laterally into the retroperitoneal space.

Fig 3.6-17The peritoneum and intraabdominal contents are swept medially over the spine.

Left rectus muscle

Ureter

Left illiac arteryLeft iliac vessel

Ligated segmentals

L4–L5 disc

Left rectus muscle

Left iliac vesselLeft illiac artery

Ureter

Psoas

Sigmoid

Segmental anterior

L4–L5 disc

The appropriate disc level is visualized by clearing off soft tis-sue with peanuts. The assistant picks up bleeding vessels with forceps and electrocautery. Care must be taken not to damage the superior hypogastric plexus of sympathetic nerves located just distal to the aortic bifurcation and anterior to the L5 ver-tebral body. Some surgeons prefer bipolar cautery in this area, however, as little cautery as possible is essential to preserve the sympathetic nerves.

For exposure of the L5–S1 disc, the median sacral vessels are usually electrocauterized (Fig 3.6-18).

For exposure of the L4–L5 disc, the iliolumbar vein located inferior and to the left of the left iliac vein may have to be li-gated (Fig 3.6-19).

The indicated procedure is performed at this point.

Fig 3.6-18Sacrificing the median sacral vessels and mobilizing the left iliac vein and artery laterally exposes the L5–S1 disc space.

L5–S1 disc

Sympathetic trunk

Segmental vessels

Harrington retractor

Genitofemoral nerve

Psoas muscle

Illiolumbar vein

Left rectus muscle

Left iliac vein

Balfour retractor

Fig 3.6-19The iliolumbar vein may need to be ligated in order to mobilize the iliac vessels to the right side of the spine for exposure of the L4–5 disc.

Middle sacral artery and vessels

The book is divided into two major systems: Disease severity and trauma severity

• Studying spinal disease conditions• Preparing informed treatment decisions• Communicating individual patient disease severity • Evaluating publications regarding treatment results and success • Formulating spinal research projects• Providing a scientific reference tool

Stage 2 Stage 3

SPINE OUTCOMES MEASURES AND INSTRUMENTS

OUTCOMES VALIDATED AGAINST

7 Outcomes measures and instruments

11 QUALITY OF LIFE PROFILE FOR SPINE DEFORMITIES (QLPSD)

Source: Climent JM, Reig A, Sanchez J, Roda C (1995) Construction and validation of a specifi c quality of life instrument for adolescents with spine deformities. Spine; 20(18):2006–2011.

Type: Patient-reported outcomeScale: 5 categories (21 items)

Each item scored on a 1 to 5 point scale.

Interpretation:Maximum score: 105Minimum score: 21

The higher the score, the greater the disability.

[1] • Curve type • Back pain • Treatment type

Psychosocial func t ioning

Sleep disturbancesBack pain

Body image

Back f lexibil i t y

Patient population tested in Validity Reliability Responsiveness

Pat ients with spine deformit ies (53% idiopathic scoliosis)(N = 174)(15 years; 24% male) [1]

+ + NOT TESTED

154

SPOut_Book_T15.indb 154 12.6.2007 10:12:37 Uhr

AOS_Book_Flyer_2011_T06.indd 2 28.09.11 18:05

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