Program. Program. 23 rd Ulm Spine Week. First-hand knowledge. Instructional Course Orthopaedic Spine Surgery. March 15 th to 20 th, 2015

Transcription

1 Program Program First-hand knowledge Instructional Course Orthopaedic Spine Surgery 23 rd Ulm Spine Week March 15 th to 20 th, 2015 Department of Orthopaedic Surgery, University of Ulm In cooperation with Department of Anatomy and Cellular Neurobiology, University of Ulm Department of Neurosurgery, Military Hospital Ulm

2 Introduction Introduction Dear Ladies & Gentlemen, A dramatic increase of technology in spinal surgery has been witnessed over the past two decades. New concepts such as non-fusion technology and minimal-invasive procedures have been introduced and advocated to improve clinical outcome. This, in combination with the rising number of spine surgery departments, has led to an enormous increase in the number of surgical procedures. Generally, the application of new surgical techniques demands more skills than the use of established techniques does. However, the readiness to adopt such new technology grows much faster than the skills and the experience required. Therefore, theoretical and practical training are of prime importance. The cooperation of the Department of Orthopaedic Surgery and the Department of Anatomy and Cellular Neurobiology of the University of Ulm with the Department of Neurosurgery of the Military Hospital Ulm enables a unique integration of theoretical and practical training in the setting of an instructional course. A panel of renowned experts in the field of spine surgery will present both classical issues and promising trends in their lectures. Hands-on workshops with sawbones and human cadavers will allow for an integration of the acquired knowledge into practical skills. Three days of the course cover a variety of anterior and posterior techniques required for the treatment of degenerative, rheumatic, traumatic, tumorous, and deformity-related disorders of the cervical, thoracic, and lumbar spine. An entire day is dedicated exclusively to novel therapeutical approaches to lumbar disc pathology, to minimally invasive spinal procedures and to lumbar non-fusion technologies, since we believe that these issues deserve specific clarification. The last day of the course addresses issues such as the role of bone substitutes in spinal fusion, failed spine surgery and complications, the management of the osteoporotic spine, and specific requirements in treating patients with spinal cord injury. 2

3 Introduction Introduction In order to share your experience, we will have every day best/worst cases presentations. Therefore, all participants are asked to bring hard copies or electronically stored files of their best and/or worst cases. We are looking forward to interesting cases and alively discussions. We look forward to welcome you to the 23 rd Ulm Spine Week. Heiko Reichel, M.D. Professor and Chairman Department of Orthopaedic Surgery University of Ulm Rene Schmidt, M.D. Professor and Head Department of Orthopaedics and Traumatology Alb Fils Hospital Göppingen Balkan Cakir, M.D. Professor and Head Department of Orthopaedic Surgery Wertach Hospital Bobingen 3

4 Program overview Program overview Sunday March 15 th, 2015 Monday March 16 th, 2015 Tuesday March 17 th, 2015 Location: RKU a.m a.m. Course opening Review of the surgeries a.m a.m. Lectures Lectures a.m a.m. Break Break a.m p.m. Lectures Lectures p.m p.m. Lunch Lunch Location: Anatomy p.m p.m. Hands-on sawbones Hands-on sawbones p.m p.m. Lectures Anatomy Introduction of the surgical cases Lectures Anatomy Introduction of the surgical cases p.m p.m. Hands-on Anatomy Hands-on Anatomy 07.00/7.30 p.m p.m. Welcome reception Zunfthaus p.m. ulrich evening ulrich medical Explanation of the program overview Welcome reception March 15 th, 2015 at p.m.: Welcome reception with buffet and information on the course at the Zunfthaus der Schiffleute, Fischer Gasse 31, Ulm in the old town of Ulm Course opening March 16 th, 2015 at 8.00 a.m.: Lecture hall/rku a.m a.m. Review of the surgeries of the day before a.m a.m. Oral presentations with a 45 minutes break from to a.m p.m p.m. Lunch in the hospital cafeteria p.m p.m. Hands-on workshop with sawbones using different implant systems in the Department of Anatomy and Cellular Neurobiology (in walking distance from RKU the way is marked with signs) p.m p.m. Anatomy curriculum Introduction and discussion of the patients to be operated on the next day and optional: Discussion of your best/worst cases (presentation with USB-stick or with X-ray films) p.m p.m. Hands-on workshop with human cadavers: Approaches and instrumentation at the cervical, thoracic and lumbar spine using image intensifiers Participants must bring their own X-ray vest, if possible ulrich evening March 17 th, 2015 at p.m. (ulrich medical, Buchbrunnenweg 12, Ulm): Buffet, cocktails and guided company tour Get together March 18 th, 2015 at p.m.: Guided tour of Ulmer Münster (Ulm cathedral) with organ recital, followed by dinner at restaurant Bella Vista (Münsterplatz 35, Ulm) 4

5 Program overview Program overview Wednesday March 18 th, 2015 Thursday March 19 th, 2015 Friday March 20 th, 2015 Review of the surgeries Review of the surgeries Review of the surgeries Lectures Lectures Lectures Break Break Break Lectures Lectures Lectures Lunch Lunch Course closing Hands-on sawbones Lectures Anatomy Introduction of the surgical cases Hands-on Anatomy p.m. Get together Münsterplatz Hands-on sawbones Lectures Anatomy Introduction of the surgical cases Hands-on Anatomy 5

6 Program Program Monday, March 16 th, 2015 Opening Instructional course H. Reichel Orthopaedic Spine Surgery 23 rd Ulm Spine Week Introduction Program and aims (10 min.) B. Cakir Topic Moderation Lectures Lunch Hands-on sawbones Lectures Anatomy Hands-on Anatomy Cervical spine Diagnostic and therapeutic algorithm for cervical spine injuries (20 min.) Approaches to the cervicothoracic junction and technique of laminar screws (20 min.) Principles of cervical spine deformity correction (20 min.) Cervical arthroplasty Indications, technique, and results (20 min.) Treatment principles in rheumatoid arthritis of the cervical spine (20 min.) Implant failures in the cervical spine and it s reasons (20 min.) Biomechanical rationale and clinical applications for posterior cervical spine stabilization (20 min.) Cervical spondylotic myelopathy Differential diagnoses and treatment algorithm (20 min.) Posterior instrumentation of the cervical spine (45 min.) Anatomy of the cervical spine (10 min.) Transarticular screws C1/2, lateral mass screws, cervical pedicle screws and occipito-cervical instrumentation (10 min.) Introduction and discussion of the surgical cases (30 min.) Posterior approach to the cervical spine, C1/2-Fixation (Magerl-/Harms technique), lateral mass screws, cervical pedicle screws, occipito-cervical instrumentation N. Wright J. Duff B. Meyer R. Kothe H. Koller M. Richter C.R. Wirtz U. Fassnacht T. Böckers M. Richter S. Weckbach J. Wölfle S. Erné B. Cakir C. Schulz Instructors 6

7 Program Program Tuesday, March 17 th, 2015 Topic Thoracic spine Moderation Lectures Computer navigation in spine surgery Current role and limitations (20 min.) Thoracic spine injuries Open or endoscopic? (20 min.) Neurosurgical aspects of spinal malformations and syringomyelia (20 min.) Surgical management of primary vertebral bone tumors and solitary spinal metastatic disease (20 min.) Current surgical concepts for adolescent idiopathic scoliosis (20 min.) Kyphosis correction in Scheuermann s disease and ankylosing spondylitis (20 min.) Treatment strategies in early onset scoliosis (20 min.) Neuromonitoring during spine surgery (20 min.) Lunch Hands-on sawbones Posterior instrumentation of the thoracic spine (45 min.) Lectures Anatomy Anatomy of the thoracic spine (10 min.) U. Kunz F. Gebhard M. Arand U. Mauer K.-D. Schaser T. Schulte M. Mayer F. Lattig E. Stettin U. Fassnacht T. Böckers Hands-on Anatomy Thoracic pedicle screws, costotransversectomy (10 min.) Introduction and discussion of the surgical cases (30 min.) Posterior approach to the thoracic spine, thoracic pedicle screws, costotransversectomy, decompression techniques S. Weckbach S. Weckbach J. Wölfle S. Erné B. Cakir C. Schulz Instructors 7

8 Program Program Wednesday, March 18 th, 2015 Topic Moderation Lectures Lunch Hands-on sawbones Lectures Anatomy Hands-on Anatomy Lumbar spine Fractures of the thoracolumbar and lumbar spine When to operate and when not? (20 min.) Minimally invasive posterior spine surgery (20 min.) Microscopic or endoscopic lumbar discectomy: What is the future? ALIF, PLIF, and TLIF When to indicate and how to perform (20 min.) Spinal canal stenosis is there a need for stabilization when performing decompression? (20 min.) Selective decompression techniques for lumbar spinal canal stenosis (20 min.) Herniation of the lumbar intervertebral disc What are reliable criterions for surgery? (20 min.) Surgical strategies for lumbar degenerative deformity (20 min.) Posterior instrumentation of the lumbar spine PLIF / TLIF cages (45 min.) Fixation of sacroiliac joint Anatomy of the lumbar spine (10 min.) Pedicle screws and lumbo-sacral fixation (5 min.) Introduction and discussion of the surgical cases (30 min.) Posterior approach to the lumbar spine Lumbar/sacral pedicle screws Lumbo-sacral/iliacal fixation Decompression techniques PLIF / TLIF procedures U. Mauer O. Gonschorek N. Hansen- Algenstaedt S. Ruetten C. Siepe W. Käfer C. Schulz B. Cakir S. Krebs U. Fassnacht T. Böckers S. Weckbach S. Weckbach J. Wölfle S. Erné B. Cakir C. Schulz Instructors 8

9 Program Program Thursday, March 19 th, 2015 Topic Moderation Lectures Lunch Hands-on sawbones Lectures Anatomy Hands-on Anatomy Non-fusion technology and innovation Surgical techniques in spondylolisthesis (20 min.) Treatment strategies for thoracic and lumbar spine pathology by in-situ distractable cages (20 min.) Segment saving in spinal fixation (20 min.) Biomechanical characteristics of different non-fusion implants (20 min.) Posterior dynamic stabilization Implantphilosophy and possible indications (20 min.) The concept of lumbar total disc replacement (20 min.) Limitations of lumbar total disc replacement (20 min.) Surgimap a tool for digital planning (and understanding) of spinal deformities (20 min.) Total disc replacement ALIF cages Vertebral body replacement Minimally invasive posterior instrumentation (45 min.) Anterior anatomy of the spine (10 min.) Anterior approaches to the spine (10 min.) Introduction and discussion of the surgical cases (30 min.) Anterior approaches to the cervical, thoracic and lumbar spine ALIF procedures Corpectomy Vertebral body replacement B. Cakir S. Erné C. Neumann P. Kluger H.J. Wilke A. Korge B. Cakir C. Birkenmaier U. Fassnacht T. Böckers J. Wölfle S. Weckbach J. Wölfle S. Erné B. Cakir C. Schulz Instructors 9

10 Program Program Friday, March 20 th, 2015 Topic Moderation Lectures Varia Complications in spine surgery and their management (20 min.) The significance of the sagittal profile (20 min.) S. Erné T. Kocak A. Hempfing Spondylitis and spondylodiscitis P. Eysel How to diagnose and to manage (20 min.) The osteoporotic spine M. Dreimann The role of vertebroplasty and kyphoplasty (20 min.) Cement augmentation of pedicle screws in M. Rauschmann the osteoporotic spine (20 min.) The role of bone substitutes in spinal fusion M. Akbar (20 min.) Intradural spinal tumors Radiological appearance U. Kunz and surgical strategy (20 min.) Spinal cord injuries Diagnostics, Complications A. Badke and Targets (15 min.) Special rehabilitation in patients Y.B. Kalke with spinal cord injury (20 min.) Closing Final discussion with the participants B. Cakir H. Reichel U. Kunz 10

11 Committee Committee Scientific committee Organization committee Instructors Faculty, B. Cakir, U. Kunz, H. Reichel B. Cakir, S. Erné, U. Mauer,, C. Schulz B. Cakir, T. Kocak, P. Kluger, U. Kunz, F. Lattig, R. Mathieu, U. Mauer, M. Richter,, C. Schulz, S. Weckbach, J. Wölfle M. Akbar Dept. of Spine Surgery, University of Heidelberg, Germany M. Arand Dept. of Trauma Surgery, Klinikum Ludwigsburg, Germany A. Badke Dept. of Spine Surgery, BG Klinik, Tübingen, Germany C. Birkenmaier Dept. of Orthopaedic Surgery, University of Munich, Germany T. Böckers Dept. of Anatomy and Cellular Neurobiology, University of Ulm, Germany B. Cakir Dept. of Orthopaedic Surgery, Wertach-Klinik Bobingen, Germany M. Dreimann Dept. of Spine Surgery, UKE, University of Hamburg, Germany J. Duff Dept. of Clinical Neurosciences, Lausanne, Switzerland S. Erné Dept. of Orthopaedic Surgery, University of Ulm, Germany P. Eysel Dept. of Orthopaedic and Trauma Surgery, University of Cologne, Germany U. Fassnacht Dept. of Anatomy and Cellular Neurobiology, University of Ulm, Germany F. Gebhard Dept. of Trauma Surgery, University of Ulm, Germany O. Gonschorek Dept. of Spine Surgery, BG Klinik Murnau, Germany N. Hansen-Algenstaedt Center for Spine Surgery, UKE, University of Hamburg, Germany A. Hempfing Dept. of Spine Surgery, Werner-Wicker-Klinik, Bad Wildungen, Germany W. Käfer Dept. of Spine Surgery, Westpfalzklinikum, Kusel, Germany Y.B. Kalke Dept. of Orthopaedic Surgery, University of Ulm, Germany P. Kluger Spine Surgeon, Erbach, Germany T. Kocak Dept. of Orthopaedic Surgery, University of Ulm, Germany H. Koller Dept. of Orthopaedic Surgery, Werner-Wicker-Klinik, Bad Wildungen, Germany A. Korge Center for Spinal Surgery, Orthopädische Klinik München-Harlaching, Germany R. Kothe Dept. of Spine Surgery, Schön Klinik Hamburg-Eilbek, Germany S. Krebs Clinic of Scoliosis, Klinik Markgröningen, Germany U. Kunz Dept. of Neurosurgery, Military Hospital Ulm, Germany F. Lattig Dept. for Spinal Surgery, Klinikum am Plattenwald, Bad Friedrichshall, Germany R. Mathieu Dept. of Neurosurgery, Military Hospital Ulm, Germany M. Mayer Dept. of Orthopaedic Surgery, Werner-Wicker-Klinik, Bad Wildungen, Germany U. Mauer Dept. of Neurosurgery, Military Hospital Ulm, Germany B. Meyer Dept. of Neurosurgery, Technical University Munich, Germany C. Neumann Dept. of Trauma Surgery, University of Regensburg, Germany M. Rauschmann Dept. of Spine Surgery, University of Frankfurt, Germany H. Reichel Dept. of Orthopaedic Surgery, University of Ulm, Germany M. Richter Dept. of Spine Surgery, St. Josefs-Hospital, Wiesbaden, Germany S. Ruetten Dept. of Spine Surgery, St. Anna Hospital Herne, Germany C. Siepe Center for Spinal Surgery, Orthopädische Klinik München-Harlaching K.-D. Schaser Dept. of Orthopaedic Surgery, Charité, University of Berlin, Germany Dept. of Orthopaedic and Trauma Surgery, Klinik am Eichert, Göppingen, Germany T.L. Schulte Dept. of Spine Surgery, University of Münster, Germany C. Schulz Dept. of Neurosurgery, Military Hospital Ulm, Germany E. Stettin Dept. of Neurosurgery, Military Hospital Koblenz, Germany S. Weckbach Dept. of Orthopaedic Surgery, University of Ulm, Germany H.J. Wilke Dept. of Orthopaedic Research and Biomechanics, University of Ulm, Germany C.R. Wirtz Dept. of Neurosurgery, University of Ulm, Germany J. Wölfle Dept. of Orthopaedic Surgery, University of Ulm, Germany N. Wright Neurosurgical Cervical Spine Institute and Spine Center, St. Louis, USA 11

12 Information Information Course location Department of Orthopaedic Surgery Universitäts- und Rehabilitationskliniken Ulm (RKU) University of Ulm Oberer Eselsberg 45, Ulm, Germany Department of Anatomy and Cellular Neurobiology University of Ulm Albert-Einstein Allee 11, Block N 26 (ground floor), Room 244, Ulm, Germany Organization/ Course Secretary Mrs. C. Schmidt Department of Orthopaedic Surgery, RKU University of Ulm Oberer Eselsberg 45, Ulm, Germany Phone: , Fax: claudia.schmidt@rku.de Hotel information Hotel Comfor Tourist Information Ulm/Neu-Ulm Frauenstrasse 51 Stadthaus, Münsterplatz Ulm, Germany Ulm, Germany Phone: Phone: Fax: Fax: hotel-fr@comfor.de info@tourismus.ulm.de Special room rates have been arranged with the Hotel Comfor under 23 rd Spine Week 2015 (single room incl. breakfast 90,00 ). Please book until February 20 th, 2015 at the latest. Costs must be paid directly to the hotel. X-ray vest Since image intensifiers will be used, participants should bring their own X-ray vest for the hands-on workshops on human preparat! Course fee 900,00 VAT included The course fee includes Participation in the complete course program Welcome reception with buffet and drinks on Sunday, March 15 th, 2015 Lunch in the hospital cafeteria Coffee, soft drinks and snacks during breaks ulrich evening (at ulrich medical, Buchbrunnenweg) with buffet and drinks on Tuesday, March 17 th, 2015 Get together on Wednesday, March 18 th, 2015 In case of cancellation of the course later than February 15 th, 2015, the course fee cannot be refunded. 12

13 Information Information CME Credit Continuing Medical Education (CME) credits are requested Enrollment Please complete the prepared enrollment form and send it back to the course secretary. Please include a check with the enrollment form or pay the enrollment fee by wire transfer. If there is no more capacity for your enrollment, you will receive a refund of the enrollment fee as soon as possible. Bank account Account holder: Universitätsklinikum Ulm Bank: Sparkasse Ulm Bank code: Account number: Reason for payment: D.2815 course fee Ulm Spine Week 2015 BIC (Swift Code): SOLADES1ULM IBAN: DE

14 Directions Wissenschaftsstadt Ulm Oberer Eselsberg Directions Direction Stuttgart/Munich Motorway A7/A8 Exit Ulm West RKU Military Hospital H H H B10 University East University West Anatomy N26 Direction Ulm City center (Stadtmitte) University East Directions to the RKU (23 rd Ulm Spine Week) By car Autobahn (motorway) A8, exit Ulm-West (direction Ulm/Friedrichs hafen). Follow direction Stadtmitte (city center). Turn off before city center at the exit Universitätskliniken Eselsberg (university hospital). At the traffic light after about 1 km go straight. Turn into the next street on the left, direction Bundeswehrkrankenhaus (military hospital)/ Kliniken RKU. Turn right at the next street. By train or bus Exit train at Hauptbahnhof Ulm (central train station Ulm). Take bus # 3, direction Eselsberg/Science Park II, which departs right in front of the train station. Get off at the stop Bundeswehrkrankenhaus (military hospital). Follow the signs to the Bundeswehrkrankenhaus RKU (about 5 minutes by foot). 14 Shuttle-Service/ Monday/Tuesday/Wednesday/Thursday/Friday Transfer a.m. Hotel Comfor RKU, Monday/Tuesday/Wednesday/Thursday p.m. Anatomy, Building N26 Hotel Comfor Transfer Tuesday, March 17 th ulrich evening p.m. Hotel Comfor ulrich medical p.m. ulrich medical Hotel Comfor Friday, March 20 th p.m. RKU train station hotels on request! Bus stops are in walking distance to RKU

15 Sponsors Sponsors Sponsored by DePuy Synthes Orthopädie GmbH, Kirkel Fehling Instruments Gmbh & Co. KG, Karlstein Medtronic GmbH, Meerbusch Richard Wolf GmbH, Knittlingen Stryker GmbH & Co. KG., Duisburg ulrich GmbH & Co. KG, Ulm 15

16 ucentum comprehensive posterior system Posterior stabilization for the thoracic and lumbar spine Complete system for all open and percutaneous applications Unique instrument solutions Rods, Ø 6.0 mm, straight and curved Polyaxial screws Pre-fixation screws an pre-fixation long-arm screws Monoaxial screws Crosslinks in 6 variants neon 3 universal OCT spinal stabilization Universal system for all placement techniques at the cervical spine Maximum stability from the occiput to the upper-thoracic spine Increased safety and flexibility with polyaxial and cannulated screws Minimally invasive approach is easier on the patient CAS compatibility obeliscpro vertebral body replacement Starting implant height 17 mm Total distraction range 115 mm Enlarged section of end pieces Trial implants for exact determination of implant size Color coding 1 ulrich GmbH & Co. KG l Buchbrunnenweg 12 l Ulm l Germany Phone: l Fax: spine@ulrichmedical.com l