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DAY 1: | Saturday, January 28, 2012 - Sagittal Balance Course |
7:15 am | Breakfast |
8:00 am | Welcome - Objectives of the Course Sagittal balance is a complex topic. In order to understand the concepts, a different type of educational course is needed. This course is modeled on a European program, designed by Professor Jean-Charles LeHuec, teaching at Bordeaux University Medical School, member of the European Education Commission. A comprehensive approach of the balance concept will be presented. The course is designed to introduce concepts slowly with adequate time for questioning and discussion before moving on to more advanced concepts. There is a ‘hands on’ approach to measuring spinal X-rays - both plain film with grease pencil and retractor and the use of software for digital images. Worldwide specialists very well known will provide their expertise through didactic presentations and clinical cases precisely selected. The program will also include practical X-ray analysis of clinical cases and workshop approach with breakout sessions to help identify appropriate treatments. |
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| | Speakers: Matt Gornet, Russ Nockels, Jean-Charles LeHuec |
8:00 am | Clinical Relevance: Literature Review Adjacent segment is a myth? Flat Back Deformity and Failed Back Revision Surgery and Sagittal Imbalance: A Common Problem? |
8:20 am | Introductory Biomechanics of Spinal Balance Center of Gravity Imbalance and Compensatory Mechanism |
8:35 am | Spinal Imaging of the Spine for Balance Analysis Standardize Long Standing X-rays: Posture and X-ray Source EOS System |
8:45 am | Discussion |
8:50 am | How to Define Parameters to Analyze the Spinal Balance Pelvic Parameters: the Pelvic Vertebra - Pelvic Parameters and Significance
- Pelvic Parameter Value: Adult and Pediatric
- Clinical Case
Breakout Session: Case discussion KEOPS Software Measurement Spine Parameters - Classical Way of Analysis of Sagittal Plan
- New Way for Sagittal Plan Analysis
- Sagittal Spine Curvature Value in Asymptomatic Population: 4 shapes
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10:00 am | Coffee Break and Open Case Discussion |
10:15 am | Correlation between Spine Shape and Pelvic Shape - Roussouly’s Classification
- C7 Plumb Line Importance:
- Consequences in spine disease prevision according to the type.
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10:30 am | Complex Sagittal Balance Analysis Spondylolisthesis with Lysis - New Classification: 15mn
- Consequence for Surgical Treatment
- Clinical Case Discussion
Kyphosis - Harmonious Kyphosis
- Angular Kyphosis
- Concept of Full Balance Integrated Aanalysis: FBI
- Clinical Case Dicussion
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11:30 am | Breakout session: case discussion KEOPS software measurement |
Noon | Lunch |
1:00 pm | Complex Sagittal Balance Analysis Kypho-Scoliosis - Analysis
- Planification for Surgery
- Surgical Tips and Tricks: Domino Strategy
- Clinical Case Discussion
Revision surgery - Regular Lumbar Failed Back Surgery
- Failed Deformity Surgery
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2:20 - 2:30 pm | TAKE HOME MESSAGE Algorithm of Evaluation (FBI) and Consequences for Treatment |
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DAY 2: | Sunday, January 29, 2012 - Surgical Technique |
6:30 am | Breakfast |
7:15 am | Depart for Lab |
7:45 - 8:00 am | Change into Scrubs |
| | Speakers/Presenters: Ziya Gokaslan, Mike Wang, James Yue, Rolando Garcia, Luiz Pimenta, Russ Nockels |
8:00 - 9:00 am | Osteotomies for Correction of Spinal Deformity Smith Peterson - Medtronic / Globus / Nuvasive |
9:00 - 10:30 am | Pedicle Subtraction Osteotomy Technique Medtronic / Globus / Nuvasive |
10:30 - Noon | Total Vertebrectomy Technique Medtronic / Globus / Nuvasive |
12:00 - 1:00 pm | Lunch with Case Examples (All Faculty) |
1:00 - 2:30 pm | Lateral Fusion Techniques Medtronic / Globus / Nuvasive |
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Optional, Time Permitting: |
2:30 - 4:00 pm | MIS TLIF Medtronic / Globus / Nuvasive |