DRAFT. EANS Advanced Course in Spinal Surgery Module II: Thoracolumbar Interventional Techniques. Leiden The Netherlands 5 November 8 November 2012
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1 EANS Advanced Course in Spinal Surgery Module II: Thoracolumbar Interventional Techniques DRAFT Leiden The Netherlands 5 November 8 November 2012 Provisional Course Programme
2 Monday 5 th November Trauma & Spondylitis Chair: Maarten Coppes Course Introduction: Wilco Peul & Susie Hide TLICS or AO as Treatment Algorithm? Jesus Lafuente Surgical techniques & outcome Maarten Coppes Pro MAST Percutaneous fixation (e- voting) Richard Assaker Pro Anterior Reconstruction (e- voting) Jake Timothy Incidence, prevention and management of infection Claudius Thome Ankylosing Spodylitis Wilco Peul Kyphotic Deformity Osteotomies (AS: Adrian Casey Coffee Break DISCUSSION GROUPS: (4 x half hour) a) spinal surgery accreditation (Wilco Peul/Bernhard Meyer) b) spinal metastasis surgery (Jake Timothy/Adrian Casey) c) added value of scientic evaluation of spine surgery (Claudius Thome/Richard Assaker) d) spinal cord monitoring (Jesus Lafuente/Maarten Coppes) Lunch Break Neoplastic Spine disease Chair Jesus Lafuente Secondary bone tumours Jake Timothy Primary bone tumors Adrian Casey Radiosurgery & Proton Beam Zvi Lidar Debate with E- Voting Algorithm Discussion Maarten Coppes Technique & Risks Total Spondylectomy & Reconstruction Sander Dijkstra (local ) Sacral Tumors Maarten Coppes Coffee Break ROUND Table Journal Club (Hotel) Wine & Spine a) Vertebroplasty Osteoporotic & Metastatic Disease Sander Dijkstra (NEJM; Lancet) b) Timing and Strategy in Trauma Jesus Lafuente (TLICS Spine) Light Buffet Supper in Hotel
3 Tuesday 6 th November Degenerative Spine disease & Deformities Chair: John Duff Thoracic Disc Herniation Anterolateral Approach Wilco Peul Thoracic Disc Herniation Posterior Approach Maarten Coppes Debate & case discussion e- Voting Bernhard Meyer Lumbar Extraforaminal Disc Herniation Zvi Lidar Low Grade Degenerative & Lytic spondylolisthesis Claudius Thome Surgical Strategies High Grade IIII and IV Spondylolisthesis Bernhard Meyer Role of Pedicle Screw & PLIF Reconstruction versus Gill Pieter Schutte (local) Panel Debate Surgical Techniques Spondylolisthesis e- voting John Duff Coffee Break Chair: Bernhard Meyer Degenerative Scoliosis Jake Timothy Conservative Decompressive surgery Zvi Ledar Long construct Reconstruction John Duff Special Guest Orthopedic Lecture Idiopathic Scoliosis Marinus de Kleuver Sagittal Balance & Reconstructive Surgery for Scoliosis Marinus de Kleuver Discussion Sagittal Balance e- voting Bernhard Meyer Lunch Vascular abnormalities & Novel Techniques Chair Wilco Peul Vascular Spine Tumors Adrian Casey AVMs & Dural Fistula Bernhard Meyer Endovascular Strategy Vascular Tumor & AV fistula Peter Willems (local) Evidence in Spinal Stenosis Surgery Claudius Thome Myths & facts in Low Back Pain treatment Adrian Casey Hope(less) Spinal Navigation Techniques Bernhard Meyer Coffee Break and move to Hotel ROUND Table Journal Club (Hotel) Wine & Spine a) Scoliotic Deformities Maarten Coppes/Duff b) Societal Impact Novel Techniques Wilco Peul/Lidar (JAMA) Faculty Dinner: University Club
4 Wednesday Wednesday 7th November and Thursday 8 th November: The procedures which will be demonstrated are listed below; timing and logistics to be confirmed. T4 T5 T6 Thoracic pedicle screws percutaneously open and lumbar L1234 Tomita type total spondylectomy Transpedicular corpectomy open and then L1 2 remove XLIF cage. insert corpectomy cage Open TLIF or PLIF L3-4 Sacrectomy plus iliac bolts insertion Thursday Anterior high thoracic approach either sternotomy or clavicular variation Anterior L5S1 Discectomy and reconstruction using either artificial disc or instrumented cage screws +?- plate Remove device and then proceed to L5 corpectomy with reconstruction using expandable cage plus plate possibly. Preserve pedicles bilaterally Mini Thoracic discectomy Subsequent conversion into corpectomy using specialised retractor syn frame, max access. cage and plate inserted T10 High thoracotomy around scapular to see anatomy and access to T4 - no implants XLIF type procedure for L1/2 Open expand dissection to perform transdiaphragmatic retroperitoneal dissection of thoracolumbar spine and? repair diaphragm No bony resection
5
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