C l i n i c a l S y m p o s i a S e r i e s. Current. in Spinal



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C l i n i c a l S y m p o s i a S e r i e s Current Concepts in Spinal Disorders Conferences for orthopaedic surgeons and neurosurgeons, fellows and residents, physicians and back specialists interested in the surgical treatment of spinal disorders. www.cedars-sinai.edu/spine

A c t i v i t y I n f o r m a t i o n C o u r s e D e s c r i p t i o n The clinical symposia provides lectures and case studies on spine-related topics relevant to spine surgeons, fellows, neuroradiologists, physiatrists, anesthesiologists and other healthcare professionals with interests in spinal care. This activity is essential for the teaching of spine fellows and provides a format to discuss specific cases that have relevance to spine care providers. A multidisciplinary approach is taken in the discussions of specific cases. General topics to be covered are spinal trauma, spinal deformity in adult and pediatric patients, degenerative lumbar disc disease, degenerative cervical disease, spine tumors, metabolic bone disease, and pathogenesis of spinal disease. Invited speakers, as well as members and associates of the Cedars-Sinai Institute for Spinal Disorders, will lecture on these topics. T a r g e t A u d i e n c e These conferences are designed for orthopaedic surgeons, neurosurgeons, fellows, residents and other physicians and back specialists interested in the surgical treatment of spinal disorders. C r e d i t D e s i g n a t i o n designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. P o l i c y o n D i s c l o s u r e It is the policy of to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. While Cedars-Sinai Medical Center endeavors to review faculty content, it remains the obligation of each physician or other healthcare practitioner to determine the applicability or relevance of the information provided from this course in his or her own practice. We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us better serve you. Unless otherwise noted, all events are to be held at: South Tower, Plaza Level Harvey Morse Conference Center Rooms 1 and 2 Los Angeles, CA 90048 E d u c a t i o n a l O b j e c t i v e s At the conclusion of this activity, participants should be able to: ß Discuss the indications for treatment options in specific spine disorders ß List the differential diagnoses for diseases of the spine ß Describe the nonoperative and specific operative treatments and their complications and outcomes ß Categorize the indications for treatment of specific spine disorders ß Assess the developing technologies now available to treat spinal disorders A c c r e d i t a t i o n is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

F a c u l t y C e d a r s - S i n a i F a c u l t y Michael Alexander, MD, FACS Director, Neurovascular Center Director, Endovascular Neurosurgery Department of Neurosurgery Neel Anand, MD Director, Orthopaedic Spine Surgery Eli Baron, MD Neurosurgeon Aaron Filler, MD, PhD, FRCS (SN) Director, Peripheral Nerve Surgery Program Behrooz Hakimian, MD Co-Director, Gamma Knife Center Radiation Oncology Samuel Oschin Comprehensive Cancer Center Leonel Hunt, MD Director, Spine Trauma Cedars-Sinai Orthopaedic Center J. Patrick Johnson, MD Director, Education Co-Director, Spine Stem Cell Research Michel Levesque, MD Neurosurgeon Marcel Maya, MD Neurovascular and Neurointerventional Radiology Director, Radiology Residency S. Mark Taper Foundation Imaging Center Burak M. Ozgur, MD Neurosurgeon Robert Pashman, MD Director, Scoliosis and Spinal Deformity Brian Perri, DO Orthopaedic Spine Surgeon Srinath Samudrala, MD, FACS Neurological Spine Surgery Assistant Professor of Neurosurgery USC Keck School of Medicine Khawar Siddique, MD Neurosurgeon Stuart Silverman, MD, FACP, FACR Rheumatology Michael Weisman, MD Director, Division of Rheumatology Professor, David Geffen School of Medicine at UCLA Professor Emeritus, UC, San Diego School of Medicine Chris Zarembinski, MD Director, Acute Pain Services The Pain Center G u e s t F a c u l t y Robert F. Spetzler, MD, FACS Director, Barrow Neurological Institute Chairman, Division of Neurological Surgery, Barrow Neurological Institute David W. Polly, Jr., MD Professor and Chief of Spine Service University of Minnesota Roy A. Patchell, MD Chief of Neuro-Oncology Professor of Neurosurgery and Neurology University of Kentucky Medical Center Charles G. Fisher, MD, MHSc, FRCSC Director of Spine Fellowship Program Combined Neurosurgical and Orthopaedic Spine Program Assistant Professor Department of Orthopaedic Surgery University of British Colombia William D. Tobler, MD Director, Mayfield Clinic Spine Surgery Center Director of Neurosurgery, Christ Hospital

2 0 0 8 S c h e d u l e C u r r e n t C o C l i n i c a l S y MORNING LECTURE SERIES South Tower, Plaza Level, Harvey Morse Conference Center Rooms 1 and 2 A.M. talks on May 7, June 4, November 5 and December 3 will be held in the South Tower, Plaza Level room 2806. Wednesday, January 9 Ankylosing Spondylitis Michael Weisman, MD Wednesday, January 30 Spinal Angiography and Embolization for Tumor Michael Alexander, MD, FACS Spinal Radiosurgery Behrooz Hakimian, MD Wednesday, February 13 Diagnostic Distinction - Lumbo-sacral Radiculopathy versus Sciatica of Non-Disc Origin: When to Consider Piriformis Syndrome Aaron Filler, MD, PhD, FRCS (SN) Wednesday, March, 12 Pre-Clinical Studies with Human Stem Cells in Spinal Cord Injury Michel Levesque, MD Wednesday, March 26 Bone Health Assessment and the Spine Stuart Silverman, MD Wednesday, April 9 Modern Techniques for Cervical Myelopathy Srinath Samudrala, MD, FACS Correction of Cervical Kyphosis Brian Perri, DO Wednesday, April 16 Subaxial Cervical Spine Trauma: An Evolution of Evidence Based Care Visiting Professor: Charles G. Fisher, MD Wednesday, May 7 Controversies in the Treatment of Metastatic Spinal Cord Compression Visiting Professor: Roy A. Patchell, MD Wednesday, May 14 XLIF and Degenerative Scoliosis Leonel Hunt, MD Wednesday, June 11 Posterior Dynamic Stabilization: What Have We Learned? Neel Anand, MD Wednesday, July 9 Adult Idiopathic Scoliosis Robert Pashman, MD Wednesday, August 13 Diagnostic Imaging and the Spine Surgeon Marcel Maya, MD Nerve Block Techniques in the Head and Neck Chris Zarembinski, MD Wednesday, August 20 Med Legal: Both Sides Rodney Moss, Esq. Robert Reback, Esq. Wednesday, September 3 Minimally Invasive Percutaneous Multi-Level Correction and Fusion for Scoliosis Eli Baron, MD Wednesday, October 8 New Concepts in the Management of Vertebral Compression Fractures J. Patrick Johnson, MD Wednesday, October 22 Vascular Malformations of the Spine Visiting Professor: Robert F. Spetzler, MD Wednesday, November 5 Sagittal Plane Deformities Visiting Professor: David W. Polly, Jr., MD

n c e p t s i n S p i n a l D i s o r d e r s : m p o s i a S e r i e s Wednesday, November 12 Resorbable Anterior Cervical Containment Devices Burak M. Ozgur, MD Microsurgery for Spinal Tumors Khawar Siddique, MD Wednesday, December 3 AxiaLIF in the Outpatient Setting Visiting Professor: William D. Tobler, MD SPECIAL EVENING EVENTS Two-hour events start at 6 p.m. Location varies. Space is limited. To guarantee a seat, please call (310) 423-9275 or register online at www.cedars-sinai.edu/spine-series. Tuesday, April 15 Cervical Spine Trauma: An Evolution of Evidence Based Care Visiting Professor: Charles G. Fisher, MD Wednesday, May 7 Blinderman Lecture Harvey Morse Auditorium Metastatic Epidural Spinal Cord Compression Visiting Professor: Roy A. Patchell, MD Tuesday, October 21 Is Cold the Answer? Hypothermia for Impossible Cases Visiting Professor: Robert F. Spetzler, MD Tuesday, November 4 TLIF: What, When, Why, How and Why Healthcare Policy Makers Should Care Visiting Professor: David W. Polly, Jr., MD Tuesday, December 2 AxiaLIF: Experience in 150 Cases Visiting Professor: William D. Tobler, MD Seventh Annual Symposium Friday-Saturday, February 1-2 Seventh Annual Symposium on Current Concepts in Spinal Disorders Mandalay Bay Hotel, Las Vegas, Nevada Note: schedule subject to change. Please visit www.cedars-sinai.edu/spine-series for updates.

W h a t M a k e s U s A Trusted Name in Spine Care (CSISD) is an internationally recognized, comprehensive spine center dedicated to the evaluation, diagnosis and treatment of the entire spectrum of spinal column, spinal cord and nerve disorders. The institute has implemented such leading-edge technologies as artificial disc replacement, robot-assisted surgery and minimally invasive techniques for treatment of fractures and disc disease. CSISD also provides traditional treatment of common disorders, such as deformity and scoliosis, degenerative disc disease, herniated discs, metastatic and primary tumors, congenital abnormalities, trauma and axial skeleton pain. For nearly a decade, CSISD has provided state-of-the-art care encompassing the entire discipline of operative and nonoperative spinal care. Physician office visits, radiographic imaging, physical therapy, nonoperative and postoperative care, and surgery are all centrally located for patient convenience and continuity of care. For both the nonsurgical and surgical candidate, CSISD offers only the best in technology, experience and convenience. Our Expert Team CSISD s board-certified surgeons and physician spine specialists encompass a wide-range of spinal subspecialties, including orthopaedic, neurosurgery, anesthesiology, and physical medicine and rehabilitation. Our surgical staff is composed of fellowship-trained, published, academic physicians who are leaders in the development of innovative research, new techniques, and education for patients and the medical community. Extensive physician training supports improved outcomes and allows CSISD to manage even the most complex cases. The CSISD s multidisciplinary approach allows patient streamlining from the referring physician office to the institute. Comprehensive Spine Services Conservative Management. In cooperation with The Pain Center and the Medical Rehabilitation Program at Cedars-Sinai, CSISD offers comprehensive nonsurgical options in collaboration with physiatrists, anesthesiologists, psychiatrists, psychologists, chiropractors and acupuncturists to treat acute and chronic pain, depression and insomnia. Adjunctive treatments are available at Cedars-Sinai s stateof-the-art Outpatient Rehabilitation Services facility, which is staffed by licensed physical therapists, physical therapy assistants and registered occupational therapists. Surgical Services. For adult and pediatric patients requiring more intensive treatment modalities for herniated discs, degenerative disc disease, deformities, scoliosis, fractures, primary and metastatic tumors, vascular malformations and congenital disorders, CSISD offers the full range of treatment options, including minimally invasive artificial disc implementation with motion preservation, endoscopy, computer-aided stereotactic and neuronavigational technology, as well as standard surgical options. Percutaneous fusion techniques (through the skin with needle size entry sites and minimal scarring) and minimally invasive treatment of fractures (kyphoplasty) are also available. Pediatric Services. In cooperation with the Department of Neurosurgery and the Orthopaedic Center at Cedars-Sinai, CSISD provides comprehensive spinal programs for both pediatric neurosurgery and orthopaedic disorders. Cancer/Oncology Services. Cedars-Sinai is one of the leading tertiary centers in the United States for primary and metastatic spinal tumors. In conjunction with the Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai, CSISD provides a multidisciplinary approach to cancer treatment. A tumor board is attended by CSISD s spinal surgeons, plastic and reconstructive surgeons and hematology/ oncology physicians, encouraging an interactive relationship that promotes rapid identification and treatment. Surgical treatment, if indicated, seeks to preserve neurological function. In addition to providing conventional therapies, CSISD offers new technologies, such as minimally invasive spinal surgery (MISS) and image-guided surgical navigation systems.

D i f f e r e n t World-Class Research Cedars-Sinai ranks among the top non-university hospitals nationwide receiving research funding from the National Institutes of Health (NIH). CSISD s Clinical and Basic Laboratory Research Center has enabled researchers to explore new horizons in path-breaking nonsurgical techniques to treat and repair spinal bones and discs. Innovations pursued at CSISD include lumbar and cervical artificial disc replacement, motion preservation and dynamic stabilization, spinal biomechanics, tissue engineering, and image and computer guided/computerassisted surgical techniques for greater accuracy, and potential telemedicine applications. Our experts are also well-positioned to take a leading role in the functional evaluation of the wide array of emerging spinal technologies, including new artificial discs, dynamic stabilization devices, interspinous spacers, blood alternatives and less invasive fusion devices. CSISD is engaged in ongoing development of robotassisted surgical systems and specialized imaging equipment that will markedly decrease the amount of radiation use, making surgery safer for both patients and surgeons. In addition, CSISD is exploring new molecular biology therapy that may reverse traumatic cord injury, bone fusion substitutes like BMP and unique adult stem cell therapies for the repair and regeneration of spinal joints and tissues. Our research programs provide the CSISD team of physicians and medical device manufacturers with critical information about the performance of novel technologies. Just as important, the results of these studies aid the development of new treatments and spinal devices. And, in the true spirit of bench-to-bedside research, these studies will enable the entire CSISD team to work together towards better solutions for spinal disorders. State-of-the-Art Educational Programs CSISD is dedicated to sharing new technology and knowledge with the wider medical community. The institute is intimately involved in teaching and training visiting surgeons in the latest techniques. Educational options include the Current Concepts in Spinal Disorders clinical symposia series and the annual multi-day conference, which offer presentations by 30 surgeons and physicians in various disciplines. CSISD staff routinely publish in leading neurosurgical and orthopaedic journals. The institute also offers a nationally recognized fellowship program, which accepts four new candidates per year who have successfully completed an orthopaedic or neurosurgical residency and desire to further advance their expertise. The enriched teaching environment allows CSISD staff to share their expertise and experience, and to continually improve the quality of spine surgeons in both the private and academic arena. The result is a superior training setting that promotes both new technology and better patient care. For more information about the Institute for Spinal Disorders or the Clinical Symposia Series, please call (310) 423-9275, email GroupSpineLectures@cshs.org or visit us at www.cedars-sinai.edu/spine. For information about clinical cases and referrals, please call (310) 423-9900.

444 San Vicente Blvd., Suite 800 Los Angeles, CA 90048 NON-PROFIT ORG. U.S. POSTAGE PAID Los Angeles, CA Permit #22328 2 0 0 8 C l i n i c a l S y m p o s i a S e r i e s Current Concepts in Spinal Disorders Conferences for orthopaedic surgeons and neurosurgeons, fellows and residents, physicians and back specialists interested in the surgical treatment of spinal disorders. www.cedars-sinai.edu/spine