Presented by the Departments of Orthopaedic Surgery and Neurological SurgeryUniversity of California, San Francisco

12TH ANNUAL

UCSF SPINE SYMPOSIUMHILTON SAN FRANCISCO F INANCIAL DISTRICT

COURSE DIRECTORS

Shane Burch, MDAssociate Professor of Orthopaedic Surgery

Praveen Mummaneni, MDJoan O'Reilly Endowed Professor in Spinal Surgery and Vice-Chair of Neurological Surgery

Lionel N. Metz, MDAssistant Professor of Orthopaedic Surgery

FRIDAY - SATURDAY

June 2-3,2017

Endorsed by:

The UCSF Spine Symposium is an annual two day

event emphasizing pioneering trends in diagnostic and

therapeutic strategies for patients suffering from spinal

disorders. This course is designed to be interactive

with talks given by leaders in the spine community. All

lectures are followed by case discussions aimed at

highlighting key issues in breakthrough treatments.

The course is designed for neurosurgeons,

orthopedists, nurses, physical therapists, physiatrists,

anesthesiologists, pain specialists as well as primary

care providers.

The purpose of this course is to increase competence and improve clinical practice in the management ofpatients with spinal pathologies. Attendees will be betterequipped to:• Evaluate and treat spinal pain in a cost effective andreliable manner based on recently published guidelines;

• Identify appropriate indications for surgery of the painful,degenerated spine and identify the appropriate surgicalapproach in the painful, degenerative spinal conditionsbased on recently published guidelines;

• Evaluate and treat lumbar degenerative diseaseand deformity in a cost effective manner and avoidperioperative complications by identifying risk factorsthat may predispose to morbidity;

• Determine the most appropriate painmanagement strategies for patientswith spine-related pain;

• Increase utilization andcompetence with NASS spinal stenosis guidelines;

• Provide physical exams thatinclude a process to identifylower extremity pain thatdissipates while sitting andexacerbates with standing or walking;

• Identify spinal instabilityrelated to spinal tumors and formulate surgicaltreatment plans to deal withneurological deficits andpain in spine oncologypatients based on recentlypublished guidelines.

OBJECTIVES

Hilton Financial DistrictSan Francisco, CA 12TH ANNUAL

UCSF SPINE SYMPOSIUM

June 2-3, 2017ACCREDITATION

The University of California, San Francisco School ofMedicine (UCSF) isaccredited by theAccreditation Council forContinuing MedicalEducation to providecontinuing medical education for physicians.

UCSF designates this liveactivity for a maximum of12.75 AMA PRA Category 1CreditsTM. Physicians should claim only the creditcommensurate with theextent of their participation in the activity.

This CME activity meets the requirements underCalifornia Assembly Bill1195, continuing educationand cultural and linguisticcompetency.

Pain Management and End-of-Life CareThe approved credits shownabove include a maximum of 5.75 credits towardmeeting the requirementunder California AssemblyBill 487, Pain Managementand End-of-Life Care.

NursesFor the purpose ofrecertification, the AmericanNurses Credentialing Centeraccepts AMA PRA Category1 CreditTM issued byorganizations accredited by the ACCME.

Physician AssistantsAAPA accepts category 1credit from AOACCME,Prescribed Credit from AAFP,and AMA PRA Category 1CreditTM from organizationsaccredited by the ACCME.

GENERAL INFORMATIONAdvanced registration closes at 10:00 am on Thursday,June 1, 2017. On-site registration fees will apply after advanced registration closes.

HOW TO ENROLLEarly Bird Rates prior to 2/28/17Tuition: Physicians, $390 by 2/28/17

$425 after 2/28/17 Nurses/Pharmacists/Allied Health Professionals/Residents/Fellows

$300 by 2/28/17 $325 after 2/28/17

*Onsite registration will be $50 additional

Payment can be made by Visa, MasterCard, AmExor check.

REFUND POLICYCancellations received in writing before May 30, 2017will be refunded, less a $100 administrative fee. Norefunds will be made on cancellations received afterMay 30, 2017 .

REGISTER VIA:Online: cme.ucsf.eduMail: Complete course registration form

and send with payment to:UCSF Office of CMEP.O. Box 45368San Francisco, CA 94145-0368

Fax: Fax completed registration form to:(415) 502-1795 (be sure to includeyour credit card number)

Phone: To register by phone or to inquire aboutregistration status, please call UCSF’s CMERegistration Office at (415) 476-5808.

Please check our website for up-to-date information onthe course: cme.ucsf.eduOn-Site Registration: Generally we are able toaccommodate on-site registration at our courses,however pre-registration is preferred to ensure that we have adequate course materials.

FRIDAY, JUNE 2, 20177:15 am Registration and Continental Breakfast7:55 Welcome and Greeting Shane Burch, MD /

Praveen Mummaneni, MD8:00 P Can We Find the Painful Disc?8:15 P Referred Pain from Facet Joint Disease8:30 GUEST LECTURE INTRODUCTION8:35 P Neuroscience Supports Exercise as a Treatment for

Jeffrey Lotz, PhD John Engstrom, MD Conor O’Neill, MD James Rainville, MD

Back Pain (and Almost Everything Else That Ails Us!)9:05 P Spinal Pain: What a Therapist Can Offer? Stephen Baxter, DPT9:20 P Opioids for Pain: the Drugs We Love to Hate and Robert Hines, MD

Hate to Love9:35 P Prescription Opioid Epidemic: New FDA Guidelines? Melanie Henry, MD9:50 P Medical Cannabis and Spine Pain, Inflammation, and Michael Moskowitz, MD

Surgical Recovery10:05 Question and Answer Session10:20 Coffee Break10:35 P Cervicogenic Headache and Their Pain Management Robert Gamburd, MD

Strategies10:50 P How Do We Choose Treatments for Our Patients with

Painful Spine Disease: the Whole Picture Sibel Demir-Deviren, MD11:05 P Chronic Postsurgical Pain: Risk Factors and Prevention Jeremy Lieberman, MD11:20 P Intrathecal Drug Delivery for Chronic Spinal Pain David J. Lee, MD11:35 P How We Manage FBSS Patients When Conventional Line Jacques, MD

SCS Fails to Provide Effective Pain Control11:50 GUEST LECTURE INTRODUCTION Shane Burch, MD11:55 P Bending the Value Curve of Spine Care: Initial Pain to Thomas E. Mroz, MD

Surgery12:25 pm Question and Answer Session12:45 Boxed Lunch in Exhibit Hall1:45 Case Presentations by Faculty and Fellows Moderators: Joel Saal, MD

and Ronnie I. Mimran, MD2:45 GUEST LECTURE INTRODUCTION Praveen Mummaneni, MD2:50 P The Quality Outcomes Database for Spine Surgery: Kevin T. Foley, MD

Why It Matters and What We’ve Learned3:20 Bundling Low Back Pain Conor O’Neill, MD3:35 P The Spine Surgical Home: Optimization of Care Along Sigurd Berven, MD

the Continuum Including Risk Stratification and Pain/Function Optimization.

3:50 P Costs of Surgery for Painful Degenerative Spinal S. Samuel Bederman, MDConditions: Variation across Payment Groups

4:05 Risk Stratification and Predictive Analytics in Christopher Ames, MDAdult Deformity Surgery

4:20 Question and Answer Session4:45 pm Adjourn4:45- 5:45 pm Wine Tasting Reception in Exhibit Hall

12TH ANNUAL

UCSF SPINE SYMPOSIUMJune 2-3, 2017

general info

Hilton Financial DistrictSan Francisco, CA

SATURDAY, JUNE 3, 20177:30 am Continental Breakfast8:00 Evaluation and Treatment of Complex Pediatric Lionel N. Metz, MD

Spinal Deformities8:15 Controversies in Adult Deformity Surgery Dean Chou, MD8:30 MIS Deformity Update Praveen Mummaneni, MD 8:45 GUEST LECTURE INTRODUCTION Praveen Mummaneni, MD8:50 Reduction of High Grade Spondylolisthesis David W. Polly, Jr., MD9:20 Deformity Case Discussion Lionel N. Metz, MD9:35 Question and Answer Session9:50 Coffee Break10:05 Cervical Foraminotomy vs ACDF for the Treatment Bobby Tay, MD

of Cervical Radiculopathy10:20 P Treatment of Low Back Pain from the Perspective Jeffrey S. Mimbs, MD

of a Community Neurosurgeon10:35 Minimally-invasive TLIF and Post-operative Pain Aaron Clark, MD, PhD10:50 P Lumbar Degenerative Spine Pain Treated with Shane Burch, MD

Cortical Screw-based Techniques and Antepsoas Lumbar Interbody Fusion

11:05 P Sacroiliac Joint Fusion for Back Pain Alan Dang, MD11:20 Questions and Answer Session Moderator:

Phil Weinstein, MD11:35 Lunch12:45 pm Clinical Trials in Spinal Cord Injury Sanjay Dhall, MD1:00 P Assessing the Trauma Patient with Spine Pain Jeremie Larouche, MD1:15 P Management of Painful Pathologic Fractures of Murat Pekmezci, MD

the Thoracolumbar Spine1:30 Spinal Trauma in Yosemite Valley Greg Helbig, MD1:45 Question and Answer Session Moderator:

Lines Jacques, MD2:00 Case Presentations Moderator: Vedat Deviren, MD3:00 pm Adjourn

P – Pain Credit

CONFERENCE LOCATION Enjoy San Francisco’s renowned attractions such as the historic cable cars, shopping in Union Square, orvisit San Francisco’s culinary hub at the Ferry Building.

The Hilton Financial District is just steps from the famed North Beach and Jackson Square as well as within walking distance to the Embarcaderowaterfront and Fisherman’s Wharf. A block ofguestrooms has been reserved at the special UCSFconference rate of $219/night. You are urged to makeyour reservations early. The cut off date is May 11, 2017, or until the group room block is filled.After this date, rooms will be provided on a space-available basis only. To make hotel reservations pleasecall 800-424-8292 and identify yourself as a member ofthis UCSF conference to receive the special rate.

You can also reserve your hotel rooms on-line by visitingthe course webpage on our website at cme.ucsf.eduPlease click on the reservations link in the Travel &Lodging section.

By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable.

RENTAL CARHertz is offering special rates for participants of this conference; simply call 800-654-2240 and refer to convention number # 03BW0136 or call your travel agent. You may also make reservations at www.Hertz.com. Advance reservations arerecommended.

AIR TRANSPORTATIONUCSF has negotiated special fares with United Airlinesfor our course attendees. You may use the following codeto book on your own:

United – www.united.com code: ZX47922379

COURSE DIRECTORSShane Burch, MDAssociate Professor of OrthopaedicSurgery Praveen Mummaneni, MDJoan O'Reilly Endowed Professor in Spinal SurgeryProfessor and Vice Chair ofNeurological SurgeryLionel N. Metz, MDAssistant Professor of OrthopaedicSurgery

SPECIAL GUEST FACULTYKevin T. Foley, MDProfessor of Neurosurgery,Orthopaedic Surgery, and BiomedicalEngineering, University of TennesseeHealth Science Center; Director,Complex Spine Surgery, SemmesMurphey Neurologic & Spine Institute;Director, Spine Fellowship Program,University of Tennessee Department of Neurosurgery;Medical Director, Medical Education & Research Institute, Memphis, TNThomas E. Mroz, MDDirector, Center for Spine Health,Director, Spine Surgery FellowshipProgram, Director, Clinical Research,Neurological Institute, Departments ofOrthopaedic and Neurological Surgery,Cleveland Clinic, Cleveland, OH David W. Polly, Jr., MDJames W. Ogilvie Professor and Chief of Spine Surgery, Katherine Mills Davis Endowed Chair, University of Minnesota Minneapolis, MNJames Rainville, MDChief of Physical Medicine andRehabilitation, New England Baptist Hospital (NEBH);Assistant Clinical Professor of PhysicalMedicine and Rehabilitation, HarvardMedical School, Boston, MA

COURSE FACULTY(all UCSF unless otherwise noted)

Christopher P. Ames, MDProfessor of Neurological Surgery Stephen Baxter, DPT Spine Fellow, Department of Orthopaedic SurgeryS. Samuel Bederman, MDOrthopedic Surgeon at RESTOREOrthopedics and Spine Center,Orange, CASigurd Berven, MDProfessor of Orthopaedic Surgery Cynthia T. Chin, MDProfessor of Radiology and ofNeurosurgery; Director, UCSFPrecision and Peripheral Nerve CenterDean Chou, MDProfessor of Neurological SurgeryDavid Chow, MDAdjunct Clinical Faculty, Department of Neurological SurgeryAaron Clark, MD, PhDAssistant Professor of Neurological SurgeryAlan Dang, MDAssistant Professor of Orthopaedic Surgery Sibel Demir-Deviren, MDAssociate Professor Vedat Deviren, MDProfessor of Orthopaedic Surgery Sanjay Dhall, MDAssociate Professor of Neurological SurgeryJohn W. Engstrom, MDBetty Anker Fife DistinguishedProfessor; Clinical Chief of Service,Department of Neurology Robert Gamburd, MDPhysiatrist, SOAR, Physiatry Medical Group, Redwood City, CAGregory M. Helbig, MDNeurosurgeon, Pacific RegionalNeurosurgery, Modesto, CA

Melanie Henry, MDAssociate Professor of Anesthesia and Perioperative CareRobert Hines, MDCo-Director, Bay Area Pain MedicalAssociates, Mill Valley, CALine Jacques, MDProfessor of Clinical NeurosurgeryJeremie Larouche, MDAssistant Professor of Orthopaedic SurgeryDavid J. Lee, MDProfessor of Anesthesia andPerioperative CareJeremy Lieberman, MDProfessor and Chief, Division of Spine AnesthesiaJeffrey C. Lotz, PhDProfessor of Orthopaedic Surgery; Vice Chair, ResearchJeffrey S. Mimbs, DONeurosurgeon, NorthstateNeurosurgical Associates, Chico, CARonnie I. Mimran, MDNeurological Surgeon, Pacific Brain & Spine Medical Group,Inc, Danville, CAValli Mummaneni, MDAssociate Professor of Anesthesia,Department of Anesthesiology andPerioperative Care Conor O’NeillPain Management Specialist, Sutter HealthMurat Pekmezci, MDAssociate Professor of Orthopaedic SurgeryJoel Saal, MDPhysical Medicine and RehabilitationPhysician, Sports, Orthopedic andRehabilitation Medicine Associates(SOAR), Redwood City, CABobby Tay, MDProfessor of Orthopaedic Surgery Philip Weinstein, MDProfessor of Neurological Surgeryfaculty

0569

University of C

alifornia,

San Francisco

Office of C

ME

3333 California Street

Suite 450

San Francisco, C

A

94143-0742

For more information or to register online visit our

website at cme.ucsf.edu

You may also reach us by calling the Office of C

ME

at (415) 476-4251 or emailing info@ocme.ucsf.edu.

EPrinted on Recycled Paper

Neurosurgery Update 2017

Thursday, August 3 – Saturday, August 5, 2017

Silverado Resort - Napa, California

7th Annual UCSF Techniques in Complex

Spine Surgery

Friday, N

ovem

ber 3 – Saturday, Novem

ber 4, 2017

vDara Hotel and MERIN Center - Las Vegas, N

V

UPCOMIN

G C

OURSES

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Registration Fees (Receipt/Confirmation will be mailed within two to four weeks): By 2/28/17 £ $390 Physicians After 2/28/17 £ $425 Physicians

By 2/28/17 £ $300 Nurses/Pharmacists/Allied Health Professionals/Residents/Fellows After 2/28/17 £ $325 Nurses/Pharmacists/Allied Health Professionals/Residents/Fellows *Beginning on 6/1/17, registration will be $50 additional.

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Refund Policy: Cancellations received in writing before May 30, 2017 will be refunded, less a $100 administrative fee. No refunds will be made on cancellations received after May 30, 2017.

12th ANNUAL UCSF SPINE SYMPOSIUMJune 2-3, 2017Hilton Financial DistrictSan Francisco, California

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Hilton San FranciscoFinancial District

Hilton Financial District San Francisco750 Kearny StreetSan Francisco, CA 94111www.sanfranciscohiltonhotel.com(888) 370-0980

Mail to : UCSF Office of CMEP.O. Box 45368San Francisco, CA 94145-0368Fax: (415) 502-1795

Online registration: cme.ucsf.eduRegistration Information: (415) 476-5808Course Information: (415) 476-4251

Course Registration Form

cme.ucsf.edu