EANS Advanced Course in Spinal Surgery Module II: Thoracolumbar Interventional Techniques DRAFT Leiden The Netherlands 5 November 8 November 2012 Provisional Course Programme
Monday 5 th November Trauma & Spondylitis 08.00 10.10 Chair: Maarten Coppes 08.00 08.10 Course Introduction: Wilco Peul & Susie Hide 08.10 08.30 TLICS or AO as Treatment Algorithm? Jesus Lafuente 08.30 09.00 Surgical techniques & outcome Maarten Coppes 09.00 09.15 Pro MAST Percutaneous fixation (e- voting) Richard Assaker 09.15 09.30 Pro Anterior Reconstruction (e- voting) Jake Timothy 09.30 09.45 Incidence, prevention and management of infection Claudius Thome 09.45 09.55 Ankylosing Spodylitis Wilco Peul 09.50 10.10 Kyphotic Deformity Osteotomies (AS: Adrian Casey 10.10 10.40 Coffee Break 10.40 13.00 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) 13.00 14.00 Lunch Break Neoplastic Spine disease 14.00 16.00 Chair Jesus Lafuente 1400 14.20 Secondary bone tumours Jake Timothy 14.20 14.40 Primary bone tumors Adrian Casey 14.40 15.00 Radiosurgery & Proton Beam Zvi Lidar 15.00 15.15 Debate with E- Voting Algorithm Discussion Maarten Coppes 15.15 15.45 Technique & Risks Total Spondylectomy & Reconstruction Sander Dijkstra (local ) 15.45 16.00 Sacral Tumors Maarten Coppes 16.00 16.30 Coffee Break 16.30 18.55 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) 19.45 Light Buffet Supper in Hotel
Tuesday 6 th November Degenerative Spine disease & Deformities 08.30 10.30 Chair: John Duff 08.30 08.45 Thoracic Disc Herniation Anterolateral Approach Wilco Peul 08.45 09.00 Thoracic Disc Herniation Posterior Approach Maarten Coppes 09.00 09.15 Debate & case discussion e- Voting Bernhard Meyer 09.15 09.30 Lumbar Extraforaminal Disc Herniation Zvi Lidar 09.30 09.45 Low Grade Degenerative & Lytic spondylolisthesis Claudius Thome 09.45 10.00 Surgical Strategies High Grade IIII and IV Spondylolisthesis Bernhard Meyer 10.00 10.15 Role of Pedicle Screw & PLIF Reconstruction versus Gill Pieter Schutte (local) 10.15 10.30 Panel Debate Surgical Techniques Spondylolisthesis e- voting John Duff 10.30 11.00 Coffee Break 11.00 12.30 Chair: Bernhard Meyer 11.00 11.15 Degenerative Scoliosis Jake Timothy 11.15 11.30 Conservative Decompressive surgery Zvi Ledar 11.30 11.45 Long construct Reconstruction John Duff 11.45 12.00 Special Guest Orthopedic Lecture Idiopathic Scoliosis Marinus de Kleuver 12.00 12.15 Sagittal Balance & Reconstructive Surgery for Scoliosis Marinus de Kleuver 12.15 12.30 Discussion Sagittal Balance e- voting Bernhard Meyer 12.30 13.30 Lunch Vascular abnormalities & Novel Techniques 13.30-15.30 Chair Wilco Peul 13.30 13.45 Vascular Spine Tumors Adrian Casey 13.45 14.00 AVMs & Dural Fistula Bernhard Meyer 14.00-14.15 Endovascular Strategy Vascular Tumor & AV fistula Peter Willems (local) 14.15 14.30 Evidence in Spinal Stenosis Surgery Claudius Thome 14.30 14.45 Myths & facts in Low Back Pain treatment Adrian Casey 14.45 15.30 Hope(less) Spinal Navigation Techniques Bernhard Meyer 15.30 16.00 Coffee Break and move to Hotel 16.00 18.25 ROUND Table Journal Club (Hotel) Wine & Spine a) Scoliotic Deformities Maarten Coppes/Duff b) Societal Impact Novel Techniques Wilco Peul/Lidar (JAMA) 20.00 Faculty Dinner: University Club
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