AOSpine Global Interactive Advanced Courses



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Program AOSpine Global Interactive Advanced Courses Kuala Lumpur, Malaysia October 26 30, 2009

Our purpose and responsibility is to shape our members skills and understanding of spine principles; to establish new values and incentives for the creation of knowledge, the sharing of wisdom, and the development of new tools and techniques that improve patient care, patient outcomes, and the cost effectiveness of spine surgery. Excellence in Spine

AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 A3 Selamat Datang to Kuala Lumpur Welcome to Kuala Lumpur Dear colleagues, On behalf of AOSpine International, we would like to welcome you to the AOSpine Global Interactive Courses, held in Kuala Lumpur, Malaysia. For the first time in AOSpine history the annual International Advanced and College Courses are being held outside Davos. For one week we will combine advanced level interactive programs and a masters level college program to bring Davos to Asia. Four simultaneous Advanced Courses will feature five interactive modules covering lumbar degeneration, cervical degeneration, deformity, tumors & infections, and trauma. Participants will have the opportunity, not only to learn these important subjects from first class faculty, but also from 'hands-on' practical workshops. The highlight of the week will be the Plenary Day on Friday which will combine the Advanced and College Courses around a theme of 'The Challenge of the Aging Spine'. We have assembled a team of faculty from around the world whose goal is to share their knowledge and present you with new opportunities and new ways to treat your patients. CONTENT A3 A4 A4 A5 A6 Welcome to Kuala Lumpur Aim of the course Course description Course venue overview Scientific program: Registration Monday, October 26 A8 Tuesday, October 27 A10 Wednesday, October 28 A12 Thursday, October 29 A14 Friday, October 30 17 Planning committee 17 Chairpersons 17 Faculty list 18 Course venues 18 Program guides 18 Course organization and logistics 19 Floor plan 20 Course information 20 Social events 21 Sponsors All the sessions are highly interactive we urge each one of you to take an active part in the lectures and discussions, to ask questions, and to raise controversies. Please bring your own cases to the courses as there is ample time allocated for discussion. We invite you to enjoy the unique atmosphere of Malaysia, the beauty of Kuala Lumpur which represents the heartbeat of this country and, above all, a great educational experience. Sincerely, Jeffrey Wang Educational Director Bryan Ashman Program Director Gomatam Vijay Kumar Program Director

A4 AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 Aim of the course Lumbar degeneration module Back pain is a leading cause for taking time off work. Its cost in terms of loss of man hours and suffering is immense. Lumbar degenerative diseases form the bulk of a spine surgeon's practice. The program is designed in five sessions to provide a comprehensive overview of degenerative diseases of the lumbar spine. Tumors & infections module This module is designed to provide a comprehensive overview of the management of spinal tumors and infections. The first session focuses on primary vertebral tumors, the next on metastatic tumors. The third sessions is about intradural tumors. Survival and quality of life after surgery are included in this module. The last two sessions focus on spinal infections one session exclusively for tuberculosis and the last on pyogenic and other infections. Cervical degeneration module With an increasing aging population, degenerative diseases of the cervical spine have become a significant part of the workload of most spine surgeons. The emphasis of this module is on providing a comprehensive overview of the more complex problems affecting the cervical spine which confront a busy surgeon. The aim will be to present the current evidence base available to guide management. Trauma module This module is designed to offer a comprehensive overview of the common spinal trauma pattern encountered by a spine surgeon. The first two sessions focus on cervical spinal injury and the next two on thoracolumbar trauma. The final session is focused on osteoporotic fractures, which now form an increasing part of the clinical workload, given an increasingly aging population. Deformity module The key concepts of deformity classification, treatment and current controversies will be examined in this module. Adolescent, congenital and degenerative scoliosis, kyphosis and spondylolisthesis are covered in separate sessions. Course description Advanced Courses Four simultaneous Advanced Courses are available each offering a combination of four modules taken from a total of five pathology areas: lumbar degeneration, cervical degeneration, deformity, tumors & infections, and trauma. Surgical cadaver workshop An optional cadaver workshop will be available for a restricted number of participants to see and perform anterior 'junctional' exposures and specialized posterior resection techniques. Daily workshops with faculty instructors using artificial bone models and audiovisual support will highlight techniques featured in each module. Additional workshops on surgical navigation and 3D imaging will also be scheduled. In the evenings there will be a choice of case discussions with faculty or professional development sessions. The highlight of the week is the Plenary Day on Friday, which will combine the Advanced and College Courses around a theme of 'The Challenge of the Aging Spine'.

AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 A5 Course venue overview Yellow Course Green Course Purple Course Red Course Sunday, October 25 Registration of participants Central Foyer, Level 3, 13:00 17:00 Welcome Cocktail Central Foyer, Level 4, 17:00 19:00 Monday, October 26 Registration of participants Central Foyer, Level 3, 07:00 13:00 Lumbar degeneration Conference Hall 1 08:00 15:30 Lumbar degeneration Conference Hall 1 08:00 15:30 Opening Ceremony Plenary Theatre, 10:30 11:30 Small group case discussions Rooms 307/308/309/310 15:30 16:30 Cervical degeneration 09:00 16:30 Cervical degeneration 09:00 16:30 Synthes Workshop Room 305, 16:30 18:00 Siemens Workshop Room 306, 16:30 18:00 Course Dinner Grand Ballroom 1, Level 3, 19:30 23:00 Tuesday, October 27 Wednesday, October 28 Deformity 09:00 15:30 Tumors & Infection Conference Hall 1 08:00 14:30 Cervical degeneration Room 307 08:00 14:30 Deformity 09:00 15:30 Lumbar degeneration Conference Hall 1 08:00 14:30 Synthes Workshop Room 305, 15:30 17:00 Siemens Workshop Room 306, 15:30 17:00 Small group case discussions Rooms 307/308/309/310 17:00 18:00 Professional development sessions, 17:00 18:00 Deformity Room 307 09:00 15:30 Trauma 08:00 13:30 Trauma 08:00 13:30 Synthes Workshop Room 305, 15:30 17:00 BrainLab Workshop Room 306, 15:30 17:00 Professional development sessions, 17:00 18:00 Small group case discussions Rooms 307/308/309/310 17:00 18:00 Thursday, October 29 Friday, October 30 Trauma 09:00 15:30 Small group case discussions Rooms 307/308/309/310 17:00 18:00 Trauma 09:00 15:30 Tumors & Infection Conference Hall 1 08:00 14:30 Tumors & Infection Conference Hall 1 08:00 14:30 Synthes Workshop Room 305, 15:30 17:00 Siemens Workshop Room 306, 15:30 17:00 Professional development sessions, 17:00 18:00 Plenary Day (Combined Advanced & College Courses) Plenary Theatre, 08:30-16:00

A6 AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 Sunday, October 25, 2009 Location: Central Foyer, Level 3 13:00 17:00 Registration of participants Location: Central Foyer, Level 4 17:00 19:00 Welcome cocktail Monday, October 26, 2009 Location: Central Foyer, Level 3 07:00 13:00 Registration of participants Cervical degenerative disease A Betemps 09:00 09:05 Single level cervical disc prolapse with radiculopathy 09:05 09:15 Evidence based management of cervical radiculopathy 09:15 09:25 Anterior cervical discectomy and fusion C Gerber W Yuan G Barbagallo 09:25 09:35 Cervical disc replacement M Taricco 09:35 09:45 Posterior foramenotomy M Janssen 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Plenary Theatre Opening Ceremony 10:30 11:30 Opening remarks Cervical myelopathy G Barbagallo 11:30 11:35 Multilevel cervical spondylotic myelopathy R Chapa 11:35 11:45 Anterior corpectomy T Toyone 11:45 11:55 Laminectomy with fusion B Walia 11:55 12:05 Laminoplasty M Kawakami 12:05 12:15 Long-term outcomes of surgery for cervical myelopathy (CSM v OPLL) 12:15 12:30 Discussion P Licina Rheumatoid arthritis cervical spine W Yuan 12:30 12:35 Advanced rheumatioid arthritis of the upper cervical spine T Toyone 12:35 12:45 Posterior surgical approach G Barbagallo 12:45 12:55 Anterior approach B Walia 12:55 13:05 Management of subaxial cervical spine in rheumatoid arthritis 13:05 13:15 Outcome of surgery for the rheumatoid cervical spine 13:15 13:30 Discussion C Gerber P Licina Sunday, October 25, 2009 Location: Central Foyer, Level 3 13:00 17:00 Registration of participants Location: Central Foyer, Level 4 17:00 19:00 Welcome cocktail Monday, October 26, 2009 Location: Central Foyer, Level 3 07:00 13:00 Registration of participants Location: Conference Hall 1 Degenerative disc disease S Acharya 08:00 08:05 Discogenic low back pain without radiculopathy P Vela 08:05 08:15 Spinal fusion J Evison 08:15 08:25 Dynamic stabilization P Horsting 08:25 08:35 Disc arthroplasty T Lund 08:35 08:45 Surgery for degenerative disc disease: where is the evidence? 08:45 09:00 Discussion K Wiechert Failed lumbar disc surgery K Wiechert 09:00 09:05 Recurrent leg pain after discectomy 09:05 09:15 Aetiology and evaluation of persistent leg pain following disc surgery 09:15 09:25 Solution: revision discectomy +/- dynamic stabilisation P Vela N Fisher-Jeffes S Fuster 09:25 09:35 Solution: spinal fusion S Acharya 09:35 09:45 Postoperative discitis Z Al-Zayed 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Plenary Theatre Opening Ceremony 10:30 11:30 Opening remarks Location: Conference Hall 1 Lumbar canal stenosis J Evison 11:30 11:35 Lumbar spinal stenosis without instability P Horsting 11:35 11:45 Decompression alone T Lund 11:45 11:55 Decompression and fusion K Wiechert 11:55 12:05 Interspinous spacers Z Al-Zayed 12:05 12:15 Long-term outcomes following surgery for lumbar canal stenosis 12:15 12:30 Discussion S Fuster Sunday, October 25, 2009 Location: Central Foyer, Level 3 13:00 17:00 Registration of participants Location: Central Foyer, Level 4 17:00 19:00 Welcome cocktail Monday, October 26, 2009 Location: Central Foyer, Level 3 07:00 13:00 Registration of participants Cervical degenerative disease A Betemps 09:00 09:05 Single level cervical disc prolapse with radiculopathy 09:05 09:15 Evidence based management of cervical radiculopathy 09:15 09:25 Anterior cervical discectomy and fusion C Gerber W Yuan G Barbagallo 09:25 09:35 Cervical disc replacement M Taricco 09:35 09:45 Posterior foramenotomy M Janssen 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Plenary Theatre Opening Ceremony 10:30 11:30 Opening remarks Cervical myelopathy G Barbagallo 11:30 11:35 Multilevel cervical spondylotic myelopathy R Chapa 11:35 11:45 Anterior corpectomy T Toyone 11:45 11:55 Laminectomy with fusion B Walia 11:55 12:05 Laminoplasty M Kawakami 12:05 12:15 Long term outcomes of surgery for cervical myelopathy (CSM v OPLL) 12:15 12:30 Discussion P Licina Rheumatoid arthritis cervical spine W Yuan 12:30 12:35 Advanced rheumatoid arthritis of the upper cervical spine T Toyone 12:35 12:45 Posterior surgical approach G Barbagallo 12:45 12:55 Anterior approach B Walia 12:55 13:05 Management of subaxial cervical spine in rheumatoid arthritis 13:05 13:15 Outcome of surgery for the rheumatoid cervical spine 13:15 13:30 Discussion C Gerber P Licina Sunday, October 25, 2009 Location: Central Foyer, Level 3 13:00 17:00 Registration of participants Location: Central Foyer, Level 4 17:00 19:00 Welcome cocktail Monday, October 26, 2009 Location: Central Foyer, Level 3 07:00 13:00 Registration of participants Location: Conference Hall 1 Degenerative disc disease S Acharya 08:00 08:05 Discogenic low back pain without radiculopathy P Vela 08:05 08:15 Spinal fusion J Evison 08:15 08:25 Dynamic stabilization P Horsting 08:25 08:35 Disc arthroplasty T Lund 08:35 08:45 Surgery for degenerative disc disease: where is the evidence? 08:45 09:00 Discussion K Wiechert Failed lumbar disc surgery K Wiechert 09:00 09:05 Recurrent leg pain after discectomy 09:05 09:15 Aetiology and evaluation of persistent leg pain following disc surgery 09:15 09:25 Solution: revision discectomy +/- dynamic stabilisation P Vela N Fisher-Jeffes S Fuster 09:25 09:35 Solution: spinal fusion S Acharya 09:35 09:45 Postoperative discitis Z Al-Zayed 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Plenary Theatre Opening Ceremony 10:30 11:30 Opening remarks Location: Conference Hall 1 Lumbar canal stenosis J Evison 11:30 11:35 Lumbar spinal stenosis without instability P Horsting 11:35 11:45 Decompression alone T Lund 11:45 11:55 Decompression and fusion K Wiechert 11:55 12:05 Interspinous spacers Z Al-Zayed 12:05 12:15 Long-term outcomes following surgery for lumbar canal stenosis 12:15 12:30 Discussion S Fuster

AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 A7 13:30 14:30 Lunch break Cervical spine instrumentation R Chapa 14:30 14:35 Video: C1/C2 transarticular screw fixation 14:35 14:45 Video: C1 lateral mass/ C2 pedicle screw fixation A Betemps M Janssen 14:45 14:55 Video: occipitocervical fixation M Taricco 14:55 15:05 Video: lateral mass screws C Gerber 15:05 15:15 Video: cervical disc replacement B Walia 15:15 15:30 Discussion Complications of cervical spine surgery C Gerber 15:30 15:35 Dysphagia following anterior cervical surgery 15:35 15:45 Evaluation and management of dysphagia following anterior cervical surgery A Betemps R Chapa 15:45 15:55 Vertebral artery injury G Barbagallo 15:55 16:05 Adjacent level disease: myth or fact? M Janssen 16:05 16:15 Post-laminectomy kyphosis P Licina 16:15 16:30 Discussion Location: Room 305, Room 306 Interactive workshops (optional) 16:30 18:00 Synthes, Room 305 Percutaneous interspinous distraction: InSpace M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging C Bulitta 12:30 13:30 Lunch break Location: Conference Hall 1 Degenerative spondylolisthesis and scoliosis 13:30 13:35 Degenerative spondylolisthesis with stenosis 13:35 13:45 To fuse or not to fuse treatment of degenerative spondylolisthesis with stenosis 13:45 13:55 Degenerative scoliosis 13:55 14:05 Surgical principles and outcomes of surgery in degenerative scoliosis 14:05 14:15 Complications of surgery for degenerative scoliosis 14:15 14:30 Discussion P Vela S Acharya N Fisher-Jeffes J Evison S Acharya T Lund Minimal access spine surgery S Fuster 14:30 14:35 Lateral canal stenosis L4/5 14:35 14:45 Minimally invasive microscopic decompression 14:45 14:55 Percutanous posterolateral foraminoplasty 14:55 15:05 MASS is less: conventional surgery is the best 15:05 15:15 Mini-TLIF-technique: pros and cons 15:15 15:30 Discussion Location: Room 307, Room 308, Room 309, Room 310 Small group case discussions J Evison N Fisher-Jeffes P Vela P Horsting K Wiechert 15:30 16:30 Group A: Room 307 S Acharya, K Wiechert Group B: Room 308 J Evison, T Lund Group C: Room 309 S Fuster, P Horsting Group D: Room 310 Z Al-Zayed, N Fisher-Jeffes, P Vela Location: Room 305, Room 306 Interactive workshops (optional) 16:30 18:00 Synthes, Room 305 Percutaneous interspinous distraction: InSpace M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging C Bulitta 13:30 14:30 Lunch break Cervical spine instrumentation R Chapa 14:30 14:35 Video: C1/C2 transarticular screw fixation 14:35 14:45 Video: C1 lateral mass/ C2 pedicle screw fixation A Betemps M Janssen 14:45 14:55 Video: occipitocervical fixation M Taricco 14:55 15:05 Video: lateral mass screws C Gerber 15:05 15:15 Video: cervical disc replacement B Walia 15:15 15:30 Discussion Complications of cervical spine surgery C Gerber 15:30 15:35 Dysphagia following anterior cervical surgery 15:35 15:45 Evaluation and management of dysphagia following anterior cervical surgery A Betemps R Chapa 15:45 15:55 Vertebral artery injury G Barbagallo 15:55 16:05 Adjacent level disease: myth or fact? M Janssen 16:05 16:15 Post-laminectomy kyphosis P Licina 16:15 16:30 Discussion Location: Room 305, Room 306 Interactive workshops (optional) 16:30 18:00 Synthes, Room 305 Percutaneous interspinous distraction: InSpace M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging C Bulitta 12:30 13:30 Lunch break Location: Conference Hall 1 Degenerative spondylolisthesis and scoliosis 13:30 13:35 Degenerative spondylolisthesis with stenosis 13:35 13:45 To fuse or not to fuse treatment of degenerative spondylolisthesis with stenosis 13:45 13:55 Degenerative scoliosis 13:55 14:05 Surgical principles and outcomes of surgery in degenerative scoliosis 14:05 14:15 Complications of surgery for degenerative scoliosis 14:15 14:30 Discussion P Vela S Acharya N Fisher-Jeffes J Evison S Acharya T Lund Minimal access spine surgery S Fuster 14:30 14:35 Lateral canal stenosis L4/5 14:35 14:45 Minimally invasive microscopic decompression 14:45 14:55 Percutanous posterolateral foraminoplasty 14:55 15:05 MASS is less: conventional surgery is the best 15:05 15:15 Mini-TLIF-technique: pros and cons 15:15 15:30 Discussion 15:30 16:30 Break Location: Room 305, Room 306 Interactive workshops (optional) 16:30 18:00 Synthes, Room 305 Percutaneous interspinous distraction: InSpace J Evison N Fisher-Jeffes P Vela P Horsting K Wiechert M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging C Bulitta

A8 AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 Tuesday, October 27, 2009 Conference Hall 1 Degenerative disc disease S Acharya 08:00 08:05 Discogenic low back pain without radiculopathy P Vela 08:05 08:15 Spinal fusion J Evison 08:15 08:25 Dynamic stabilization P Horsting 08:25 08:35 Disc arthroplasty T Lund 08:35 08:45 Surgery for degenerative disc disease: where is the evidence? 08:45 09:00 Discussion K Wiechert Failed lumbar disc surgery K Wiechert 09:00 09:05 Recurrent leg pain after discectomy 09:05 09:15 Aetiology and evaluation of persistent leg pain following disc surgery 09:15 09:25 Solution: revision discectomy +/- dynamic stabilisation P Vela N Fisher-Jeffes S Fuster 09:25 09:35 Solution: spinal fusion S Acharya 09:35 09:45 Postoperative discitis Z Al-Zayed 09:45 10:00 Discussion Conference Hall 2 10:00 10:30 Coffee break Conference Hall 1 Lumbar canal stenosis J Evison 10:30 10:35 Lumbar spinal stenosis without instability P Horsting 10:35 10:45 Decompression alone T Lund 10:45 10:55 Decompression and fusion K Wiechert 10:55 11:05 Interspinous spacers Z Al-Zayed 11:05 11:15 Long-term outcomes following surgery for lumbar canal stenosis 11:15 11:30 Discussion Degenerative spondylolisthesis and scoliosis 11:30 11:35 Degenerative spondylolisthesis with stenosis 11:35 11:45 To fuse or not to fuse treatment of degenerative spondylolisthesis with stenosis 11:45 11:55 Degenerative scoliosis 11:55 12:05 Surgical principles and outcomes of surgery in degenerative scoliosis S Fuster P Vela S Acharya N Fisher-Jeffes J Evison S Acharya Tuesday, October 27, 2009 Location: Room 307 Cervical degenerative disease A Betemps 08:00 08:05 Single level cervical disc prolapse with radiculopathy 08:05 08:15 Evidence based management of cervical radiculopathy 08:15 08:25 Anterior cervical discectomy and fusion C Gerber W Yuan G Barbagallo 08:25 08:35 Cervical disc replacement M Taricco 08:35 08:45 Posterior foramenotomy M Janssen 08:45 09:00 Discussion Cervical myelopathy G Barbagallo 09:00 09:05 Multilevel cervical spondylotic myelopathy R Chapa 09:05 09:15 Anterior corpectomy T Toyone 09:15 09:25 Laminectomy with fusion B Walia 09:25 09:35 Laminoplasty M Kawakami 09:35 09:45 Long-term outcomes of surgery for cervical myelopathy (CSM v OPLL) 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Room 307 P Licina Rheumatoid arthritis cervical spine W Yuan 10:30 10:35 Advanced rheumatoid arthritis of the upper cervical spine T Toyone 10:35 10:45 Posterior surgical approach G Barbagallo 10:45 10:55 Anterior approach B Walia 10:55 11:05 Management of subaxial cervical spine in rheumatoid arthritis 11:05 11:15 Outcome of surgery for the rheumatoid cervical spine 11:15 11:30 Discussion C Gerber P Licina Cervical spine instrumentation R Chapa 11:30 11:35 Video: C1/C2 transarticular screw fixation 11:35 11:45 Video: C1 lateral mass/ C2 pedicle screw fixation A Betemps M Janssen 11:45 11:55 Video: occipitocervical fixation M Taricco 11:55 12:05 Video: lateral mass screws C Gerber 12:05 12:15 Video: cervical disc replacement B Walia 12:15 12:30 Discussion 12:30 13:30 Lunch break Tuesday, October 27, 2009 Adolescent idiopathic scoliosis Z Chen 09:00 09:05 King-Moe type II/Lenke 1C 09:05 09:15 Choosing fusion levels in adeloscent idiopatic scoliosis: current concepts 09:15 09:25 Role of anterior surgery in adeloscent idiopatic scoliosis 09:25 09:35 Reduction manoeuvres for scoliosis correction 09:35 09:45 Selective fusions: outcomes and evidence for recommendations 09:45 10:00 Discussion S Dalvie M Ito S Dalvie MA Diez Ulloa W-J Chen Adult scoliosis M Daubs 10:00 10:05 Severe scoliosis E Yalniz 10:05 10:15 Posterior correction M Ito 10:15 10:25 Anterior and posterior approach MA Diez Ulloa 10:25 10:35 The problem of osteoporosis: augmentation and vertebroplasty 10:35 10:45 Adult scoliosis intervention: when, why and what? 10:45 11:00 Discussion Conference Hall 2 11:00 11:30 Coffee break J Chen R Mulukutla Congenital scoliosis S Dalvie 11:30 11:35 Unsegmented bar in 3-year-old with scoliosis 11:35 11:45 Options for prophylactic surgery for congenital scoliosis 11:45 11:55 Growth modulation techniques in early management of congenital scoliosis 11:55 12:05 Use of VEPTR in treatment of congenital scoliosis 12:05 12:15 Spinal cord malformations associated with congenital scoliosis: assessment and treatment 12:15 12:30 Discussion KV Menon E Yalniz R Mulukutla M Daubs MA Diez Ulloa Kyphosis D Brodke 12:30 12:35 Congenital kyphosis 12:35 12:45 Kyphosis in the growing spine: when and how to intervene 12:45 12:55 Osteotomies for correction of kyphosis Z Chen KV Menon S Dalvie Tuesday, October 27, 2009 Adolescent idiopathic scoliosis Z Chen 09:00 09:05 King-Moe type II/Lenke 1C 09:05 09:15 Choosing fusion levels in adeloscent idiopatic scoliosis: current concepts 09:15 09:25 Role of anterior surgery in adeloscent idiopatic scoliosis 09:25 09:35 Reduction manoeuvres for scoliosis correction 09:35 09:45 Selective fusions: outcomes and evidence for recommendations 09:45 10:00 Discussion S Dalvie M Ito S Dalvie MA Diez Ulloa W-J Chen Adult scoliosis M Daubs 10:00 10:05 Severe scoliosis E Yalniz 10:05 10:15 Posterior correction M Ito 10:15 10:25 Anterior and posterior approach MA Diez Ulloa 10:25 10:35 The problem of osteoporosis: augmentation and vertebroplasty 10:35 10:45 Adult scoliosis intervention: when, why and what? 10:45 11:00 Discussion Conference Hall 2 11:00 11:30 Coffee break J Chen R Mulukutla Congenital scoliosis S Dalvie 11:30 11:35 Unsegmented bar in 3-year-old with scoliosis 11:35 11:45 Options for prophylactic surgery for congenital scoliosis 11:45 11:55 Growth modulation techniques in early management of congenital scoliosis 11:55 12:05 Use of VEPTR in treatment of congenital scoliosis 12:05 12:15 Spinal cord malformations associated with congenital scoliosis: assessment and treatment 12:15 12:30 Discussion KV Menon E Yalniz R Mulukutla M Daubs MA Diez Ulloa Kyphosis D Brodke 12:30 12:35 Congenital kyphosis 12:35 12:45 Kyphosis in the growing spine: when and how to intervene 12:45 12:55 Osteotomies for correction of kyphosis Z Chen KV Menon S Dalvie

AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 A9 12:05 12:15 Complications of surgery for degenerative scoliosis 12:15 12:30 Discussion Conference Hall 2 12:30 13:30 Lunch break Conference Hall 1 T Lund Minimal access spine surgery S Fuster 13:30 13:35 Lateral canal stenosis L4/5 13:35 13:45 Minimally invasive microscopic decompression 13:45 13:55 Percutaneous posterolateral foraminoplasty 13:55 14:05 MASS is less: conventional surgery is the best 14:05 14:15 Mini-TLIF-technique: pros and cons 14:15 14:30 Discussion 14:30 15:30 Break Location: Room 305, Room 306 Interactive workshops (optional) J Evison N Fisher-Jeffes P Vela P Horsting K Wiechert 15:30 17:00 Synthes, Room 305 MIS fusion technologie GC Ming M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Professional development session (optional) 17:00 18:00 In the driver's seat: how to take control of your life C Bulitta M Janssen Location: Room 307 Complications of cervical spine surgery C Gerber 13:30 13:35 Dysphagia following anterior cervical surgery 13:35 13:45 Evaluation and management of dysphagia following anterior cervical surgery A Betemps R Chapa 13:45 13:55 Vertebral artery injury G Barbagallo 13:55 14:05 Adjacent level disease: myth or fact? M Janssen 14:05 14:15 Post-laminectomy kyphosis P Licina 14:15 14:30 Discussion Location: Room 305, Room 306 Interactive workshops (optional) 15:30 17:00 Synthes, Room 305 MIS fusion technologie GC Ming M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Professional development session (optional) 17:00 18:00 In the driver's seat: how to take control of your life C Bulitta M Janssen 12:55 13:05 Ankylosing spondylitis osteotomies: pitfalls and techniques 13:05 13:15 Correction of angular hyperkyphosis 13:15 13:30 Discussion Conference Hall 2 13:30 14:30 Lunch break R Mulukutla Z Chen Spondylolisthesis W-J Chen 14:30 14:35 High grade spondylolisthesis MA Diez Ulloa 14:35 14:45 In situ transfixation M Daubs 14:45 14:55 Posterior reduction and stabilization KV Menon 14:55 15:05 Gaines procedure D Brodke 15:05 15:15 Long-term failures in spinal deformity surgery 15:15 15:30 Discussion Location: Room 305, Room 306 Interactive workshops (optional) M Ito 15:30 17:00 Synthes, Room 305 MIS fusion technologie GC Ming M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Location: Room 307, Room 308, Room 309, Room 310 Small group case discussions C Bulitta 17:00 18:00 Group A: Room 307 W-J Chen, KV Menon, E Yalniz Group B: Room 308 S Dalvie, M Daubs, MA Diez Ulloa Group C: Room 309 D Brodke, R Mulukutla Group D: Room 310 Z Chen, M Ito Professional development session (optional) 17:00 18:00 In the driver's seat: how to take control of your life M Janssen 12:55 13:05 Ankylosing spondylitis osteotomies: pitfalls and techniques 13:05 13:15 Correction of angular hyperkyphosis 13:15 13:30 Discussion Conference Hall 2 13:30 14:30 Lunch break R Mulukutla Z Chen Spondylolisthesis W-J Chen 14:30 14:35 High grade spondylolisthesis MA Diez Ulloa 14:35 14:45 In situ transfixation M Daubs 14:45 14:55 Posterior reduction and stabilization KV Menon 14:55 15:05 Gaines procedure D Brodke 15:05 15:15 Long-term failures in spinal deformity surgery 15:15 15:30 Discussion Location: Room 305, Room 306 Interactive workshops (optional) M Ito 15:30 17:00 Synthes, Room 305 MIS fusion technologie GC Ming M Mayer Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Professional development session (optional) 17:00 18:00 In the driver's seat: how to take control of your life C Bulitta M Janssen

A10 AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 Wednesday, October 28, 2009 Upper cervical trauma H-J Park 08:00 08:05 Type II odontoid fracture 08:05 08:15 Management of odontoid fractures 08:15 08:20 Hangman s fracture 08:20 08:30 Management of Hangman s fractures 08:30 08:35 C1/C2 dislocation 08:35 08:45 Management of C1/C2 instability 08:45 09:00 Discussion D-S Huang D-S Huang K Song K Song R Dunn R Dunn Lower cervical trauma P Arnold 09:00 09:05 Unifacet dislocation with herniated disc and neurologic deficit B Dave 09:05 09:15 Anterior surgery alone K Song 09:15 09:25 Posterior surgery alone M Youssef 09:25 09:35 Anterior and posterior surgery J Chen 09:35 09:45 Post traumatic central cord syndrome with cervical stenosis: to operate or not to operate 09:45 10:00 Discussion R Emery Thoracolumbar trauma R Emery 10:00 10:10 Classification based management of thoracolumbar injuries 10:10 10:15 Type B1 injury without neurologic deficit 10:15 10:25 Monosegmental fixation for type B1 and B2 injuries P Arnold H-J Park H-J Park 10:25 10:35 Paediatric spine injuries K Song 10:35 10:45 Minimally invasive surgery for the thoracolumbar fracture 10:45 11:00 Discussion 11:00 11:30 Coffee break M Youssef Thoracolumbar trauma H-J Park 11:30 11:35 Type A3 stable burst fracture without neurologic deficit M Youssef 11:35 11:45 Non-operative treatment R Dunn 11:45 11:55 Anterior surgery B Dave 11:55 12:05 Posterior stabilization D-S Huang Wednesday, October 28, 2009 Location: Room 307 Adolescent idiopathic scoliosis Z Chen 09:00 09:05 King-Moe type II/Lenke 1C 09:05 09:15 Choosing fusion levels in adolescent idiopathic scoliosis: current concepts 09:15 09:25 Role of anterior surgery in adolescent idiopathic scoliosis 09:25 09:35 Reduction manoeuvres for scoliosis correction 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Room 307 S Dalvie M Ito S Dalvie M A Diez Ulloa Adult scoliosis M Daubs 10:30 10:35 Severe scoliosis E Yalniz 10:35 10:45 Posterior correction M Ito 10:45 10:55 Anterior and posterior approach MA Diez Ulloa 10:55 11:05 The problem of osteoporosis: augmentation and vertebroplasty 11:05 11:15 Adult scoliosis intervention: when, why and what? 11:15 11:30 Discussion J Chen R Mulukutla Congenital scoliosis S Dalvie 11:30 11:35 Unsegmented bar in 3-year-old with scoliosis 11:35 11:45 Options for prophylactic surgery for congenital scoliosis 11:45 11:55 Growth modulation techniques in early management of congenital scoliosis 11:55 12:05 Use of VEPTR in treatment of congenital scoliosis 12:05 12:15 Spinal cord malformations associated with congenital scoliosis: assessment and treatment 12:15 12:30 Discussion 12:30 13:30 Lunch break Location: Room 307 KV Menon E Yalniz R Mulukutla M Daubs M A Diez Ulloa Kyphosis D Brodke 13:30 13:35 Congenital kyphosis 13:35 13:45 Kyphosis in the growing spine: when and how to intervene Z Chen KV Menon Wednesday, October 28, 2009 Upper cervical trauma H-J Park 08:00 08:05 Type II odontoid fracture 08:05 08:15 Management of odontoid fractures 08:15 08:20 Hangman s fracture 08:20 08:30 Management of Hangman s fractures 08:30 08:35 C1/C2 dislocation 08:35 08:45 Management of C1/C2 instability 08:45 09:00 Discussion D-S Huang D-S Huang K Song K Song R Dunn R Dunn Lower cervical trauma P Arnold 09:00 09:05 Unifacet dislocation with herniated disc and neurologic deficit B Dave 09:05 09:15 Anterior surgery alone K Song 09:15 09:25 Posterior surgery alone M Youssef 09:25 09:35 Anterior and posterior surgery J Chen 09:35 09:45 Post traumatic central cord syndrome with cervical stenosis: to operate or not to operate 09:45 10:00 Discussion R Emery Thoracolumbar trauma R Emery 10:00 10:10 Classification based management of thoracolumbar injuries 10:10 10:15 Type B1 injury without neurologic deficit 10:15 10:25 Monosegmental fixation for type B1 and B2 injuries P Arnold H-J Park H-J Park 10:25 10:35 Paediatric spine injuries K Song 10:35 10:45 Minimally invasive surgery for the thoracolumbar fracture 10:45 11:00 Discussion Conference Hall 2 11:00 11:30 Coffee break M Youssef Thoracolumbar trauma H-J Park 11:30 11:35 Type A3 stable burst fracture without neurologic deficit M Youssef 11:35 11:45 Non-operative treatment R Dunn 11:45 11:55 Anterior surgery B Dave 11:55 12:05 Posterior stabilization D-S Huang Wednesday, October 28, 2009 Location: Conference Hall 1 Primary vertebral tumors R Williams 08:00 08:05 Giant cell tumor W-J Chen 08:05 08:15 Evaluation and decision making W-J Chen 08:15 08:25 En bloc spondylectomy: indications, complications and outcomes 08:25 08:35 Video: techniques of en bloc spondylectomy 08:35 08:45 Sacrectomy and lumbo-pelvic reconstruction for sacral chordomas 08:45 09:00 Discussion M Abdel- Wanis M Abdel- Wanis L Rhines Metastatic spinal tumors L Rhines 09:00 09:05 Metastatic renal cell carcinoma R Williams 09:05 09:15 Evaluation and decision making R Williams 09:15 09:25 Palliative surgery for spinal metastatic disease O Moraes 09:25 09:35 Spinal stereotactic radiosurgery L Rhines 09:35 09:45 Role of vertebroplasty/ kyphoplasty 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Conference Hall 1 Z Luo Miscellaneous tumor session O Moraes 10:30 10:40 Quality of life following surgery for spinal metastatic disease 10:40 10:50 Survival and complications following surgery for spinal metastatic disease 10:50 10:55 Intradural spinal tumor thoracic meningioma 10:55 11:05 Management of intradural tumors 11:05 11:15 Video: surgery for intramedullary tumors 11:15 11:30 Discussion O Moraes KK Cheung D Chen D Chen Tuberculosis Z Luo 11:30 11:35 Spinal tuberculosis O Moraes P Tropiano 11:35 11:45 Evaluation and decision making P Tropiano 11:45 11:55 Pathophysiology of kyphosis in spinal tuberculosis 11:55 12:05 Surgery in spinal tuberculosis: when, what and why 12:05 12:15 Late onset tuberculous paraparesis S Rajasekaran KK Cheung Z Luo

AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 A11 12:05 12:15 Augmentation of short segment posterior constructs 12:15 12:30 Discussion Trauma in osteoportic vertebral fractures 12:30 12:35 Osteoporotic vertebral fracture without neurlogical deficit 12:35 12:45 Management: vertebroplasty vs kyphoplasty 12:45 12:50 Osteoporotic vertebral fracture with neurological deficit 12:50 13:00 Challenges in fixation of osteoporotic vertebral fractures 13:00 13:10 Management of osteoporotic vertebral fractures and spinal canal stenosis 13:10 13:30 Discussion Conference Hall 2 13:30 14:30 Lunch break Location: Room 305, Room 306 Interactive workshops (optional) R Emery R Dunn P Arnold P Arnold B Dave B Dave M Youssef 15:30 17:00 Synthes, Room 305 Zero-P: the new ACDF standard F Kandziora J Chen BrainLab, Room 306 Implementing spinal navigation into daily clinical routine Location: Room 307, Room 308, Room 309, Room 310 Small group case discussions 17:00 18:00 Group A: Room 307 R Emery, HJ Park Group B: Room 308 P Arnold, DS Huang Group C: Room 309 B Dave, R Dunn Group D: Room 310 J C h e n, K S o n g Professional development session (optional) T Lund S Rajasekaran 17:00 18:00 Managing your health and body R Emery 13:45 13:55 Osteotomies for correction of kyphosis 13:55 14:05 Ankylosing spondylitis osteotmies: pitfalls and techniques 14:05 14:15 Correction of angular hyperkyphosis 14:15 14:30 Discussion S Dalvie R Mulukutla Z Chen Spondylolisthesis W-J Chen 14:30 14:35 High grade spondylolisthesis MA Diez Ulloa 14:35 14:45 In situ transfixation M Daubs 14:45 14:55 Posterior reduction and stabilization KV Menon 14:55 15:05 Gaines procedure D Brodke 15:05 15:15 Long-term failures in spinal deformity surgery 15:15 15:30 Discussion Location: Room 305, Room 306 Interactive workshops (optional) M Ito 15:30 17:00 Synthes, Room 305 Zero-P: the new ACDF standard F Kandziora J Chen BrainLab, Room 306 Implementing spinal navigation into daily clinical routine Professional development session (optional) T Lund S Rajasekaran 17:00 18:00 Managing your health and body R Emery 12:05 12:15 Augmentation of short segment posterior constructs 12:15 12:30 Discussion Trauma in osteoportic vertebral fractures 12:30 12:35 Osteoporotic vertebral fracture without neurlogical deficit 12:35 12:45 Management: vertebroplasty vs kyphoplasty 12:45 12:50 Osteoporotic vertebral fracture with neurological deficit 12:50 13:00 Challenges in fixation of osteoporotic vertebral fractures 13:00 13:10 Management of osteoporotic vertebral fractures and spinal canal stenosis 13:10 13:30 Discussion Conference Hall 2 13:30 14:30 Lunch break Location: Room 305, Room 306 Interactive workshops (optional) R Emery R Dunn P Arnold P Arnold B Dave B Dave M Youssef 15:30 17:00 Synthes, Room 305 Zero-P: the new ACDF standard F Kandziora J Chen BrainLab, Room 306 Implementing spinal navigation into daily clinical routine Professional development session (optional) T Lund S Rajasekaran 17:00 18:00 Managing your health and body R Emery 12:15 12:30 Discussion 12:30 13:30 Lunch break Location: Conference Hall 1 Pyogenic spinal infections M Abdel-Wanis 13:30 13:35 Primary pyogenic spondylodiscitis J-T Chien 13:35 13:45 Evaluation and treatment J-T Chien 13:45 13:55 Management of deep wound infections 13:55 14:05 Infected anterior implants/disc prosthesis S Rajasekaran Z Luo 14:05 14:15 Can we modify the risk factors? R Williams 14:15 14:30 Discussion 14:30 15:30 Break Location: Room 305, Room 306 Interactive workshop (optional) 15:30 17:00 Synthes, Room 305 Zero-P: the new ACDF standard F Kandziora J Chen BrainLab, Room 306 Implementing spinal navigation into daily clinical routine Professional development session (optional) T Lund S Rajasekaran 17:00 18:00 Managing your health and body R Emery

A12 AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 Thursday, October 29, 2009 Location: Conference Hall 1 Primary vertebral tumors R Williams 08:00 08:05 Giant cell tumor W-J Chen 08:05 08:15 Evaluation and decision making W-J Chen 08:15 08:25 En bloc spondylectomy: indications, complications and outcomes 08:25 08:35 Video: techniques of en bloc spondylectomy 08:35 08:45 Sacrectomy and lumbo-pelvic reconstruction for sacral chordomas 08:45 09:00 Discussion M Abdel- Wanis M Abdel- Wanis L Rhines Metastatic spinal tumors L Rhines 09:00 09:05 Metastatic renal cell carcinoma R Williams 09:05 09:15 Evaluation and decision making R Williams 09:15 09:25 Palliative surgery for spinal metastatic disease O Moraes 09:25 09:35 Spinal stereotactic radiosurgery L Rhines 09:35 09:45 Role of vertebroplasty/ kyphoplasty 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Conference Hall 1 Z Luo Miscellaneous tumor session O Moraes 10:30 10:40 Quality of life following surgery for spinal metastatic disease 10:40 10:50 Survival and complications following surgery for spinal metastatic disease 10:50 10:55 Intradural spinal tumor thoracic meningioma 10:55 11:05 Management of intradural tumors 11:05 11:15 Video: surgery for intramedullary tumors 1:15 11:30 Discussion O Moraes KK Cheung D Chen D Chen Tuberculosis Z Luo 11:30 11:35 Spinal tuberculosis O Moraes P Tropiano 11:35 11:45 Evaluation and decision making P Tropiano 11:45 11:55 Pathophysiology of kyphosis in spinal tuberculosis 11:55 12:05 Surgery in spinal tuberculosis: when, what and why 12:05 12:15 Late onset tuberculous paraparesis S Rajasekaran KK Cheung Z Luo Thursday, October 29, 2009 Upper cervical trauma H-J Park 09:00 09:05 Type II odonoid fracture 09:05 09:15 Management of odontoid fractures 09:15 09:20 Hangman's fracture 09:20 09:30 Management of Hangman's fractures 09:30 09:35 C1/C2 dislocation 09:35 09:45 Management of C1/C2 instability 09:45 10:00 Discussion D-S Huang D-S Huang K Song K Song R Dunn R Dunn Lower cervical trauma P Arnold 10:00 10:05 Unifacet dislocation with herniated disc and neurologic deficit B Dave 10:05 10:15 Anterior surgery alone K Song 10:15 10:25 Posterior surgery alone M Youssef 10:25 10:35 Anterior and posterior surgery J Chen 10:35 10:45 Post traumatic central cord syndrome with cervical stenosis: to operate or not to operate 10:45 11:00 Discussion 11:00 11:30 Coffee break R Emery Thoracolumbar trauma R Emery 11:30 11:40 Classification based management of thoracolumbar injuries 11:40 11:45 Type B1 injury without neurologic deficit 11:45 11:55 Monosegmental fixation for type B1 and B2 injuries P Arnold H-J Park H-J Park 11:55 12:05 Paediatric spine injuries K Song 12:05 12:15 Minimally invasive surgery for the thoracolumbar fracture 12:15 12:30 Discussion M Youssef Thoracolumbar trauma H-J Park 12:30 12:35 Type A3 stable burst fracture without neurological deficit M Youssef 12:35 12:45 Non-operative treatment R Dunn 12:45 12:55 Anterior surgery B Dave 12:55 13:05 Posterior stabilization D-S Huang Thursday, October 29, 2009 Location: Conference Hall 1 Primary vertebral tumors R Williams 08:00 08:05 Giant cell tumor W-J Chen 08:05 08:15 Evaluation and decision making W-J Chen 08:15 08:25 En bloc spondylectomy: indications, complications and outcomes 08:25 08:35 Video: techniques of en bloc spondylectomy 08:35 08:45 Sacrectomy and lumbo-pelvic reconstruction for sacral chordomas 08:45 09:00 Discussion M Abdel- Wanis M Abdel- Wanis L Rhines Metastatic spinal tumors L Rhines 09:00 09:05 Metastatic renal cell carcinoma R Williams 09:05 09:15 Evaluation and decision making R Williams 09:15 09:25 Palliative surgery for spinal metastatic disease O Moraes 09:25 09:35 Spinal stereotactic radiosurgery L Rhines 09:35 09:45 Role of vertebroplasty/ kyphoplasty 09:45 10:00 Discussion 10:00 10:30 Coffee break Location: Conference Hall 1 Z Luo Miscellaneous tumor session O Moraes 10:30 10:40 Quality of life following surgery for spinal metastatic disease 10:40 10:50 Survival and complications following surgery for spinal metastatic disease 10:50 10:55 Intradural spinal tumor thoracic meningioma 10:55 11:05 Management of intradural tumors 11:05 11:15 Video: surgery for intramedullary tumors 11:15 11:30 Discussion O Moraes KK Cheung D Chen D Chen Tuberculosis Z Luo 11:30 11:35 Spinal tuberculosis O Moraes P Tropiano 11:35 11:45 Evaluation and decision making P Tropiano 11:45 11:55 Pathophysiology of kyphosis in spinal tuberculosis 11:55 12:05 Surgery in spinal tuberculosis: when, what and why 12:05 12:15 Late onset tuberculous paraparesis S Rajasekaran KK Cheung Z Luo Thursday, October 29, 2009 Upper cervical trauma H-J Park 09:00 09:05 Type II odonoid fracture 09:05 09:15 Management of odontoid fractures 09:15 09:20 Hangman's fracture 09:20 09:30 Management of Hangman's fractures 09:30 09:35 C1/C2 dislocation 09:35 09:45 Management of C1/C2 instability 09:45 10:00 Discussion D-S Huang D-S Huang K Song K Song R Dunn R Dunn Lower cervical trauma P Arnold 10:00 10:05 Unifacet dislocation with herniated disc and neurologic deficit B Dave 10:05 10:15 Anterior surgery alone K Song 10:15 10:25 Posterior surgery alone M Youssef 10:25 10:35 Anterior and posterior surgery J Chen 10:35 10:45 Post traumatic central cord syndrome with cervical stenosis: to operate or not to operate 10:45 11:00 Discussion 11:00 11:30 Coffee break R Emery Thoracolumbar trauma R Emery 11:30 11:40 Classification based management of thoracolumbar injuries 11:40 11:45 Type B1 injury without neurologic deficit 11:45 11:55 Monosegmental fixation for type B1 and B2 injuries P Arnold H-J Park H-J Park 11:55 12:05 Paediatric spine injuries K Song 12:05 12:15 Minimally invasive surgery for the thoracolumbar fracture 12:15 12:30 Discussion M Youssef Thoracolumbar trauma H-J Park 12:30 12:35 Type A3 stable burst fracture without neurological deficit M Youssef 12:35 12:45 Non-operative treatment R Dunn 12:45 12:55 Anterior surgery B Dave 12:55 13:05 Posterior stabilization D-S Huang

AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 A13 12:15 12:30 Discussion 12:30 13:30 Lunch break Location: Conference Hall 1 Pyogenic spinal infections M Abdel-Wanis 13:30 13:35 Primary pyogenic spondylodiscitis J-T Chien 13:35 13:45 Evaluation and treatment J-T Chien 13:45 13:55 Management of deep wound infections 13:55 14:05 Infected anterior implants/disc prosthesis S Rajasekaran Z Luo 14:05 14:15 Can we modify the risk factors? R Williams 14:15 14:30 Discussion 14:30 15:30 Break Location: Room 305, Room 306 Interactive workshop (optional) 15:30 17:00 Synthes, Room 305 Synapse: the next generation posterior cervical spine stabilisation F Kandziora M Neo J Wang Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Professional development session (optional) C Bulitta 17:00 18:00 Managing your presentation B Ashman 13:05 13:15 Augmention of short segment posterior constructs 13:15 13:30 Discussion 13:30 14:30 Lunch break Trauma in osteoportic vertebral fractures 14:30 14:35 Osteoporotic vertebral fracture without neurlogic deficit 14:35 14:45 Management: vertebroplasty vs kyphoplasty 14:45 14:50 Osteoporotic vertebral fracture with neurological deficit 14:50 15:00 Challenges in fixation of osteoporotic vertebral fractures 15:00 15:10 Management of osteoporotic vertebral fractures and spinal canal stenosis 15:10 15:30 Discussion Location: Room 305, Room 306 Interactive workshop (optional) 15:30 17:00 Synthes, Room 305 Synapse: the next generation posterior cervical spine stabilisation R Emery R Dunn P Arnold P Arnold B Dave B Dave M Youssef F Kandziora M Neo J Wang Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Professional development session (optional) C Bulitta 17:00 18:00 Managing your presentation B Ashman 12:15 12:30 Discussion 12:30 13:30 Lunch break Location: Conference Hall 1 Pyogenic spinal infections M Abdel-Wanis 13:30 13:35 Primary pyogenic spondylodiscitis J-T Chien 13:35 13:45 Evaluation and treatment J-T Chien 13:45 13:55 Management of deep wound infections 13:55 14:05 Infected anterior implants/disc prosthesis S Rajasekaran Z Luo 14:05 14:15 Can we modify the risk factors? R Williams 14:15 14:30 Discussion 14:30 15:30 Break Location: Room 305, Room 306 Interactive workshop (optional) 15:30 17:00 Synthes, Room 305 Synapse: the next generation posterior cervical spine stabilisation F Kandziora M Neo J Wang Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Professional development session (optional) C Bulitta 17:00 18:00 Managing your presentation B Ashman 13:05 13:15 Augmention of short segment posterior constructs 13:15 13:30 Discussion 13:30 14:30 Lunch break Trauma in osteoportic vertebral fractures 14:30 14:35 Osteoporotic vertebral fracture without neurlogic deficit 14:35 14:45 Management: vertebroplasty vs kyphoplasty 14:45 14:50 Osteoporotic vertebral fracture with neurological deficit 14:50 15:00 Challenges in fixation of osteoporotic vertebral fractures 15:00 15:10 Management of osteoporotic vertebral fractures and spinal canal stenosis 15:10 15:30 Discussion Location: Room 305, Room 306 Interactive workshop (optional) 15:30 17:00 Synthes, Room 305 Synapse: the next generation posterior cervical spine stabilisation R Emery R Dunn P Arnold P Arnold B Dave B Dave M Youssef F Kandziora M Neo J Wang Siemens, Room 306 Clinical benefits of intraoperative 3D imaging Location: Room 307, Room 308, Room 309, Room 310 Small group case discussions C Bulitta 17:00 18:00 Group A: Room 307 D Chen, P Tropiano, R Williams Group B: Room 308 Z Luo, S Rajasekaran Group C: Room 309 M Abdel-Wanis, L Rhines Group D: Room 310 KK Cheung, O Moraes, M Abdel-Wanis Professional development session (optional) 17:00 18:00 Managing your presentation B Ashman

A14 AOSpine Global Interactive Advanced Courses, Kuala Lumpur, Malaysia, 2009 Friday, October 30, 2009 Plenary Day all 5 courses combined The Challenge of the Aging Spine Location: Plenary Theatre Session 1 KV Menon 08:30 09:00 Aging and the spine B Ashman 09:00 09:30 Osteoporosis pathophysiology P Thng 09:30 10:00 Osteoporosis medical treatment YW Wong 10:00 10:30 Coffee break Session 2 B Ashman 10:30 11:00 Fractures and the aging spine D Ajit Singh 11:00 11:30 Deformity and the aging spine D Brodke 11:30 12:00 Degeneration and the aging spine K Cheung 12:00 12:30 Instability and the aging spine GV Kumar 12:30 13:30 Lunch break Session 3 GV Kumar 13:30 14:00 Vertebroplasty and kyphoplasty P Heini 14:00 14:30 Augmentation for spinal fixation S Rudrappa 14:30 15:00 Biologics J Wang 15:00 15:30 Future directions L Vialle 15:30 16:00 Course review and closure B Ashman, GV Kumar

AOSpine Global Interactive Advanced Courses and College Course, Kuala Lumpur, Malaysia, 2009 17 Planning committee Educational Director Jeffrey Wang UCLA, Orthopaedic Hospital Santa Monica, USA Program Developers Satish Rudrappa Manipal Hospital Bangalore, India Paul Thng Changi General Hospital Singapore, Singapore Yat-Wa Wong Queen Mary Hospital Hong Kong, Hong Kong Program Directors Bryan Ashman Canberra Hospital Canberra, Australia Gomatam Vijay Kumar Westbank Hospital Kolkata, India Local Chairman Deepak Ajit Singh Prince Court Medical Centre Kuala Lumpur, Malaysia Local workshop committee Jagdeep Nanra Wong Chung Chek Ozlan Izma Muhd Kamil Siow Yew Siong Naresh Govindarajanthran Chairpersons Meet the Expert Luiz Vialle Catholic University of Paraná Curitiba, Brazil Module Lumbar Degeneration Shankar Acharya Sir Gangaram Hospital New Delhi, India Module Cervical Degeneration Mamuro Kawakami Wakayama Medical University Ito-gun, Japan Module Deformity KV Menon Lakeshore Hospital & Research Center Cochin, India Module Tumors & Infection Richard Williams Princess Alexandra Hospital Brisbane, Australia Module Trauma Park Heui-Jeon Wonju Christian Hospital Kangwon-do, Sourt Korea Faculty list For the complete faculty list please go to www.aospine.org/kl2009

18 AOSpine Global Interactive Advanced Courses and College Course, Kuala Lumpur, Malaysia, 2009 Course venues Kuala Lumpur Convention Centre 50088 Kuala Lumpur, Malaysia Phone +60 3 2333 2888 Fax +60 3 2333 2800 Email info@klccconventioncentre.com Web www.klccconventioncentre.com AOSpine information desk Opening hours Sunday 13:00 17:00 Monday 07:00 18:00 Tuesday-Thursday 07:45 18:00 Friday 07:45 16:00 Live tissue training College Course Institute for Medical Research (IMR) Jalan Pahang 50588 Kuala Lumpur, Malaysia Live surgery College Course Prince Court Medical Centre (PCMC) 39, Jalan Kia Peng 50450 Kuala Lumpur, Malaysia Program guide Advanced Courses Program and badge color The advanced courses are color-coded corresponding to the color of your badge. Yellow Green Purple Red Lumbar/deg, Deformity, Tumors&infection, Trauma Lumbar/deg, Cervical/deg, Deformity, Trauma Cervical/deg, Deformity, Trauma, Tumors&infection Cervical/deg, Lumbar/deg, Trauma, Tumors&infection Letter on your badge The case discussions are divided into four groups. The letter on your badge (A, B, C, or D) corresponds to the group you are allocated to. The small group case discussions take place in the following rooms: Group A: Room 307 Group B: Room 308 Group C: Room 309 Group D: Room 310 Program guide College Course The letter on your badge (A, B, C, or D) corresponds to the afternoon workshop (Live surgery or Live tissue surgery) you are allocated to.

1 AOSpine Global Interactive Advanced Courses and College Course, Kuala Lumpur, Malaysia, 2009 19 Floor plan LEVEL 3 Grand Ballroom 1 Course Dinner 2 301 Conference Hall 1 Advanced Course Conference Hall 2 Coffee Break Lunch AOSpine Lounge Advanced Course Professional development sessions Grand Ballroom 1 3 Plenary Theater Opening Ceremony Plenary Day 1 2 2 3 4 1 2 307 308 309 310 Conference Hall 3 Conference Hall 2 Conference Hall 1 306 305 304 302 2 Kiblat U 1 Room 302 College Course Room 305 Synthes Workshop Room 306 Siemens Workshop BrainLab Workshop Room 307 Advanced Course Rooms 307 310 Small group case discussions AOSpine information desk & Registration

20 AOSpine Global Interactive Advanced Courses and College Course, Kuala Lumpur, Malaysia, 2009 Course organization and logistics AOSpine International Martina Geisselhardt Stettbachstrassse 6 8600 Dübendorf, Switzerland Phone +41 44 200 24 09 Fax +41 44 200 24 12 Email mgeisselhardt@aospine.org More information under www.aospine.org/kl2009 Course information Accreditation AOSpine Courses are accredited for continuing medical education (CME) programs. The number of credit points or hours varies from country to country. The final information and number of credit points will be distributed with the course certificate. Guest passes Guest passes can be purchased separately at a fee of CHF 60.-. A guest is defined as an adult accompanying the participant. The guest pass allows entrance to the welcome cocktail, and the course dinner. No session attendance is permitted. Passes can be purchased at the AOSpine Information Desk. No insurance The course organization does not take out insurance to cover participants against cancellation of course, accidents, or other risks. Security Security check at the entrance of the building. Access permitted with name tag only. Dress code During course hours: casual For course dinner: smart casual Course language English Mobile phone use Mobile phone use is not allowed in the lecture halls and in practical exercise rooms. Please be considerate of others by turning your mobile phone off. Recording of course materials Recording, photographing, or copying of lectures, practical exercises, or any course materials is absolutely forbidden. Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty or AOSpine International. All rights are reserved. Check hazards and legal restrictions on www.aospine.org/disclaimers.aspx Social events Welcome Cocktail Sunday, October 25, 17:00 19:00 Convention Centre, Central Foyer, Level 4 Opening Ceremony Monday, October 26, 10:30 11:30 Convention Centre, Plenary Theater Course Dinner Monday, October 26, 19:30 22:30 Convention Centre, Grand Ballroom 1

AOSpine Global Interactive Advanced Courses and College Course, Kuala Lumpur, Malaysia, 2009 21 Sponsors We would like to thank the following course grantors; without their support this event would not have been possible. Diamond Sponsor Synthes Asia Pacific Suite 1A Level 3, Building 3 20 Bridge Street Pymble, NSW 2073 Australia Phone +61 2 9449 0400 www.synthes.com Gold Sponsors Siemens AG Healthcare Sector Henkestrasse 127 91052 Erlangen, Germany Phone +49 9131 84-0 www.siemens.com/healthcare BrainLAB Asia Pacific 8th Floor 100 Queens Rd Central, Hong Kong Phone +852 2417 1881 www.brainlab.com

C10 AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 Friday, October 30, 2009 Plenary Day all 5 courses combined The Challenge of the Aging Spine Location: Plenary Theatre Session 1 KV Menon 08:30 09:00 Aging and the spine B Ashman 09:00 09:30 Osteoporosis pathophysiology P Thng 09:30 10:00 Osteoporosis medical treatment YW Wong 10:00 10:30 Coffee break Session 2 B Ashman 10:30 11:00 Fractures and the aging spine D Ajit Singh 11:00 11:30 Deformity and the aging spine D Brodke 11:30 12:00 Degeneration and the aging spine K Cheung 12:00 12:30 Instability and the aging spine GV Kumar 12:30 13:30 Lunch break Session 3 GV Kumar 13:30 14:00 Vertebroplasty and kyphoplasty P Heini 14:00 14:30 Augmentation for spinal fixation S Rudrappa 14:30 15:00 Biologics J Wang 15:00 15:30 Future directions L Vialle 15:30 16:00 Course review and closure B Ashman, GV Kumar Please turn over the program for general course information, pages 17 21.

AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 C9 Thursday, October 29, 2009 Location: Room 302 Expert 10 Spine biology P Heini 08:00 08:15 Nonunion of lumbar spine fusion J Wang 08:15 08:30 Roles of BMP and OP-1: how and when to use them J Wang 08:30 08:45 Donor site complications J Wang 08:45 09:00 Bone graft substitutes and their practical usage J Wang Expert 11 Low back pain K Cheung 09:00 09:15 Back pain L Vialle 09:15 09:30 Brazilian experience L Vialle 09:30 09:45 Assessment of low back pain L Vialle 09:45 10:00 Role of surgery in pure axial back pain L Vialle 10:00 10:30 Coffee break Expert 12 Intervertebral disc L Vialle 10:30 10:45 Degenerative lumbar disc disease K Cheung 10:45 11:00 Overview of biological motion preservation K Cheung 11:00 11:15 Back pain with black disc K Cheung 11:15 11:30 Management of black disc in lumbar spine K Cheung Group D 11:30 12:15 Lunch at KLCC 12:15 12:45 Transfer to IMR 13:00 16:00 Live tissue surgery: dural repair and control of bleeding from great vessels P Thng, J Evison 16:00 16:30 Transfer to KLCC Groups A, B, C 11:30 12:00 Transfer to PCMC 12:00 12:45 Lunch at PCMC 13:00 16:00 Live surgery CC Wong, S Rudrappa 16:00 16:30 Transfer to KLCC For the professional development sessions and the commercial workshops please check the course venue overview on page 5.

C8 AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 Wednesday, October 28, 2009 Location: Room 302 Expert 7 Osteoporotic fractures M Janssen 08:00 08:15 Multiple osteoporotic collapse P Heini 08:15 08:30 Timing of intervention for vertebral augmentation P Heini 08:30 08:45 Osteoporotic fracture with neurological deficit P Heini 08:45 09:00 Surgical options and reinforcement of fixation P Heini Expert 8 Craniocervical junction GV Kumar 09:00 09:15 Rheumatoid arthritis with craniovertebral junction compression C Bellabarba 09:15 09:30 Management of the basiliar invagination C Bellabarba 09:30 09:45 C1/2 spinal cord compression C Bellabarba 09:45 10:00 Surgical technique at craniocervical junction: anterior vs posterior C Bellabarba 10:00 10:30 Coffee break Expert 9 Minimal invasive spine surgery P Thng 10:30 10:45 Sciatica due to pelvic inflamatory disease SB Tan 10:45 11:00 Indications and various techniques of percutaneous procedures SB Tan 11:00 11:15 Lumbar instability SB Tan 11:15 11:30 Minimally invasive lumbar fusion SB Tan Group C 11:30 12:15 Lunch at KLCC 12:15 12:45 Transfer to IMR 13:00 16:00 Live tissue surgery: dural repair and control of bleeding from great vessels B Ashman, P Licina 16:00 16:30 Transfer to KLCC Groups A, B, D 11:30 12:00 Transfer to PCMC 12:00 12:45 Lunch at PCMC 13:00 16:00 Live surgery K Cheung, K Luk 16:00 16:30 Transfer to KLCC For the professional development sessions and the commercial workshops please check the course venue overview on page 5.

AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 C7 Tuesday, October 27, 2009 Location: Room 302 Expert 4 Cervical degeneration J Wang 08:00 08:15 Degenerative cervical disc disease K Luk 08:15 08:30 Role of motion preservation vs fusion K Luk 08:30 08:45 Cervical radiculopathy K Luk 08:45 09:00 Cervical radiculopathy: when to intervene surgically K Luk Expert 5 Spinal infection P Thng 09:00 09:15 Postoperative discitis S Rajasekaran 09:15 09:30 Management of postoperative discitis S Rajasekaran 09:30 09:45 Spinal tubercolosis 09:45 10:00 Management of late onset Pott paraparesis and correction of angular deformity S Rajasekaran S Rajasekaran 10:00 10:30 Coffee break Expert 6 Spinal neoplasms YW Wong 10:30 10:45 Locally aggressive spinal neoplasms N Kawahara 10:45 11:00 Total en bloc vertebrectomy N Kawahara 11:00 11:15 Metastatic thoracolumbar neoplasm N Kawahara 11:15 11:30 Role of vertebrectomy N Kawahara Group B 11:30 12:15 Lunch at KLCC 12:15 12:45 Transfer to IMR 13:00 16:00 Live tissue surgery: dural repair and control of bleeding from great vessels GV Kumar, R Dunn 16:00 16:30 Transfer to KLCC Groups A, C, D 11:30 12:00 Transfer to PCMC 12:00 12:45 Lunch at PCMC 13:00 16:00 Live surgery S Rajasekaran 16:00 16:30 Transfer to KLCC For the professional development sessions and the commercial workshops please check the course venue overview on page 5.

C6 AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 Monday, October 26, 2009 Location: Room 302 Expert 1 Idiopathic scoliosis M Daubs 08:00 08:15 Severe scoliosis: definition and challenges Surgical strategies for severe curves KV Menon 08:15 08:30 Determining fusion levels: role of classification systems KV Menon 08:30 08:45 Shoulder balancing in adult idiopathic scoliosis KV Menon 08:45 09:00 Deformity in very small children KV Menon Expert 2 Degenerative scoliosis YW Wong 09:00 09:15 Degenerative thoracolumbar deformities V Arlet 09:15 09:30 Roles of anterior column reconstruction V Arlet 09:30 09:45 Degenerative thoracolumbar defomities V Arlet 09:45 10:00 Roles of decompression alone, short fusion and long fusion V Arlet 10:00 10:30 Coffee break Opening ceremony 10:30-11:30 Opening remarks Expert 3 Spinal fractures B Ashman 11:30 11:45 Unilateral facet dislocation at cervical spine C Bellabarba 11:45 12:00 Timing for surgery and methods of reduction C Bellabarba 12:00 12:15 Thoracolumbar fracture 12:15 12:30 Short vs long posterior reconstruction Indications for anterior column reconstruction C Bellabarba C Bellabarba Group A 12:30 13:15 Lunch at KLCC 13:15 13:45 Transfer to IMR 14:00 17:00 Live tissue surgery: dural repair and control of bleeding from great vessels P Thng, R Emery 17:00 17:30 Transfer to KLCC Groups B, C, D 12:30 13:00 Transfer to PCMC 13:00 13:45 Lunch at PCMC 14:00 17:00 Live surgery JW Wong, V Arlet 17:00 17:30 Transfer to KLCC For the professional development sessions and the commercial workshops please check the course venue overview on page 5.

AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 C5 Course venue overview College Course Sunday, October 25 Registration of participants Central Foyer, Level 3, 13:00 17:00 Welcome Cocktail Central Foyer, Level 4, 17:00 19:00 Monday, October 26 Registration of participants Central Foyer, Level 3, 07:00 13:00 College Course Room 302, 08:00 12:30 Opening Ceremony Plenary Theatre, 10:30 11:30 Groups B, C, D Group A Transfer to PCMC 12:30 13:00 Lunch at KLCC 12:30 13:15 Lunch at PCMC 13:00 13:45 Transfer to IMR 13:15 13:45 Live surgery 14:00 17:00 Live tissue surgery 14:00 17:00 Transfer to KLCC 17:00 17:30 Transfer to KLCC 17:00 17:30 Synthes Workshop Room 305, 16:30 18:00 Siemens Workshop Room 306, 16:30 18:00 Course Dinner Grand Ballroom 1, Level 3, 19:30 23:00 Tuesday, October 27 College Course Room 302, 08:00 11:30 Groups A, C, D Group B Transfer to PCMC 11:30 12:00 Lunch at KLCC 11:30 12:15 Lunch at PCMC 12:00 12:45 Transfer to IMR 12:15 12:45 Live surgery 13:00 16:00 Live tissue surgery 13:00 16:00 Transfer to KLCC 16:00 16:30 Transfer to KLCC 16:00 16:30 Synthes Workshop Room 305, 15:30 17:00 Siemens Workshop Room 306, 15:30 17:00 Professional development sessions, 17:00 18:00 Wednesday, October 28 College Course Room 302, 08:00 11:30 Groups A, B, D Group C Transfer to PCMC 11:30 12:00 Lunch at KLCC 11:30 12:15 Lunch at PCMC 12:00 12:45 Transfer to IMR 12:15 12:45 Live surgery 13:00 16:00 Live tissue surgery 13:00 16:00 Transfer to KLCC 16:00 16:30 Transfer to KLCC 16:00 16:30 Synthes Workshop Room 305, 15:30 17:00 BrainLab Workshop Room 306, 15:30 17:00 Professional development sessions, 17:00 18:00 Thursday, October 29 College Course Room 302, 08:00 11:30 Groups A, B, C Group D Transfer to PCMC 11:30 12:00 Lunch at KLCC 11:30 12:15 Lunch at PCMC 12:00 12:45 Transfer to IMR 12:15 12:45 Live surgery 13:00 16:00 Live tissue surgery 13:00 16:00 Transfer to KLCC 16:00 16:30 Transfer to KLCC 16:00 16:30 Synthes Workshop Room 305, 15:30 17:00 Siemens Workshop Room 306, 15:30 17:00 Professional development sessions, 17:00 18:00 Friday, October 30 Plenary Day (Combined Advanced & College Courses) Plenary Theatre, 08:30-16:00 The busses to the Prince Court Medical Centre (PCMC) and the Insitute for Institute for Medical Research (IMR) leave from the main entrance, ground level along Jalan Pinang.

C4 AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 Aim of the course This course is a unique opportunity for small group interaction with recognized opinion leader in spinal surgery. The course includes topics like spinal fractures, spinal cord injury, tumors, deformity, and low back pain. Three different topics are covered each morning and the afternoon sessions will involve either participation in live surgery (telecasts) or live tissue surgery. Course description For participants in the masters level College Course, the theme throughout the week will be Meet the Expert. Morning sessions will feature presentations by world experts discussing their specialty with the participants. Afternoon sessions will involve either participation in live surgery (telecasts) or live tissue surgery (anesthetised animals) exploring management strategies in operative complications. The highlight of the week is the Plenary Day on Friday, which will combine the Advanced and College Courses around a theme of The Challenge of the Aging Spine.

AOSpine Global Interactive College Course, Kuala Lumpur, Malaysia, 2009 C3 Selamat Datang to Kuala Lumpur Welcome to Kuala Lumpur Dear colleagues, On behalf of AOSpine International, we would like to welcome you to the AOSpine College Course, held in Kuala Lumpur, Malaysia. For the first time in AOSpine history the annual International Advanced and College Courses are being held outside Davos. For one week we will combine advanced level interactive programs and a masters level college program to bring Davos to Asia. CONTENT C3 Welcome to Kuala Lumpur C4 Aim of the course C4 Course description C5 Course venue overview Scientific program: C6 Registration Monday, October 26 C7 Tuesday, October 27 C8 Wednesday, October 28 C9 Thursday, October 29 C10 Friday, October 30 The College Course is specifically designed for surgeons who already have broad experience in spine surgery. The program is divided into three main streams: first, a number of controversial topics are put up for discussion between the participants and the experts. The main aim is to let everyone understand the rationale and the current evidence for managing complex spinal disorders through thorough debate and shared experience. The chairs of each session are the real experts and will give a state-of-the-art summary of their field. Secondly, real-time surgical demonstration is the best time for the surgeons to polish their surgical skills. The participants can watch how the experts approach the spine, handle soft tissues, and avoid complications. Although the appropriate cases for the demonstration rely heavily on their availability, the organizing committee will try its best to show a wide variety of spinal surgery. Finally managing intraoperative complications is an essential part of training for a competent surgeon, but it is difficult to be simulated with a real patient. Therefore, live animals are prepared for the participants to practice how to salvage iatrogenic problems such as repairing a big-vessel laceration or repairing dura without leakage. There will be ample opportunities to exchange new ideas, techniques, and concepts not merely within the formal program, but also as you meet the experts. As such, please also bring along your interesting cases or unsolved questions for discussion. Finally, as all work and no play makes Jack a dull boy please also take some time to enjoy the pleasantries that Malaysia and Kuala Lumpur have to offer and moreover don t miss the possibility of making new friends and contacts within the AOSpine community. Please turn the program for the general information: 17 Planning committee 17 Chairpersons 17 Faculty list 18 Course venues 18 Program guides 18 Course organization and logistics 19 Floor plan 20 Course information 20 Social events 21 Sponsors Have a pleasant and enjoyable course! Sincerely, Paul Thng Program Developer Yat-Wa Wong Program Developer

Program AOSpine Global Interactive College Course Kuala Lumpur, Malaysia October 26 30, 2009