Event Details
AO Spine NA Course - Principles and Treatment in Spinal Disorders
Chicago, Illinois, USA
AO Spine North America Principles courses are intended to address the additional training needs and practice gaps of the orthopaedic and neurological spine residents. This course is designed to offer residents the opportunity to learn the AO principles of anatomic reduction of fracture fragments; stable fixation to ensure proper healing while allowing the surrounding tissue to strengthen; atraumatic surgical technique to preserve the blood supply to the bone fragments and soft tissue; and early, pain-free mobilization so the patient can be returned to function as soon as possible as they apply to spinal surgery. The course will also provide basic exposure to spinal disorders from expert teaching faculty from both orthopaedic and neurological spine surgery.
The modular course format will focus on the spine patient in a conceptual, case study and practical exercise format. Participants in small groups will rotate through each module over the 2-day period.
TARGET AUDIENCE
Enrollment in the Course is limited to orthopaedic and neurological surgery residents.
Method of payment is required at time of registration for late cancellation / no-show fee
Tuition:
Level Name: Participant - SpinePricing Tier: Resident
Tuition: $0.00
Course Prerequisite(s):
No PrerequisitesVenue:
Hyatt Regency McCormick Place2233 Martin Luther King Drive
Chicago, IL, USA
Phone Number: 312-567-1234
mccormickplace.regency.hyatt.com
Language(s):
EnglishDirectly Provided by:
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Professional Level Prerequisite(s):
(No Prerequisites)Continuing Education Credit: 13.00
AO North America is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation Statement - AO North America designates this live educational activity for a maximum of 13.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Expected results of AONA's CME activities for surgeons, fellows, and residents are to:
• Increase their knowledge base and surgical skill level
• Improve competence by applying advances of knowledge in patient care in the areas of trauma, degenerative disorders, deformities, tumors, and reconstructive surgical techniques
• Address practice performance gaps by improving management of aspects of traumatic injuries and musculoskeletal disorders (i.e., pre-operative planning to post-operative care)
- Perform a complete neurological assessment and identify potentially unstable spinal injuries
- Order appropriate imaging
- Classify the injury according to fracture morphology, instability, and neurological status
- Describe the best operative and non-operative treatment option for each patient based upon the available evidence
- Reduce / Decompress / Stabilize appropriately
- Demonstrate basic knowledge of the principles of bone and soft tissue healing
- Identify the anatomic and biomechanical issues in a spinal fixation
- Collaborate in the rehabilitation plan for the patient
- Identify and manage post-injury and post-operative complications
- Apply psychomotor skills developed during practical exercises into surgical practice
1) Discuss craniocervical anatomy - Ligamentous structure - Vertebral artery course 2) Identify typical injury patterns of OC-C2 injuries 3) Discuss management of upper cervical spine fracture-dislocations 4) List nonsurgical interventions for treatment of acute spinal cord injury - Steroids - Blood pressure maintenance - Traction/realignment 5) Discuss the evidence for early decompression and stabilization in acute SCI 6) Discuss indications for advanced imaging in acute spinal injury 7) Identify relative contraindications for anterior fusion in facet injuries
1) Discuss radiographic and clinical measures of adult sagittal and coronal deformity 2) Understanding treatment options: extent of correction and morbidity. 3) Integrating treatment of deformity principles with concurrent treatment of stenosis 4) Discuss expected complications in the treatment of Adult Deformity
1) Identify pertinent TL anatomy related to analysis of traumatic instability on radiographs and advanced imaging studies 2) List indications for surgical treatment of TL trauma - Posterior tension band failure - Severe kyphosis - Neurologic deficit with persistent canal compromise - Fracture dislocation 3) Describe the 3 major subtypes of TL fractures in the AO classification 4) Discuss treatment outcomes for surgical v. non-surgical management of TL fractures
1) Identify the correct starting point for - Subaxial lateral mass screws - C2 screws (pars, pedicle, translaminar) - C1 lateral mass screws 2) Perform C1-C2 instrumentation with screws 3) Perform C4-6 instrumentation with screws
1) Discuss craniocervical anatomy - Ligamentous structure - Vertebral artery course 2) Identify typical injury patterns of OC-C2 injuries 3) Discuss management of upper cervical spine fracture-dislocations 4) List nonsurgical interventions for treatment of acute spinal cord injury - Steroids - Blood pressure maintenance - Traction/realignment 5) Discuss the evidence for early decompression and stabilization in acute SCI 6) Discuss indications for advanced imaging in acute spinal injury 7) Identify relative contraindications for anterior fusion in facet injuries
1) Discuss radiographic and clinical measures of adult sagittal and coronal deformity 2) Understanding treatment options: extent of correction and morbidity. 3) Integrating treatment of deformity principles with concurrent treatment of stenosis 4) Discuss expected complications in the treatment of Adult Deformity
1) Identify pertinent TL anatomy related to analysis of traumatic instability on radiographs and advanced imaging studies 2) List indications for surgical treatment of TL trauma - Posterior tension band failure - Severe kyphosis - Neurologic deficit with persistent canal compromise - Fracture dislocation 3) Describe the 3 major subtypes of TL fractures in the AO classification 4) Discuss treatment outcomes for surgical v. non-surgical management of TL fractures
1) Identify the correct starting point for - Subaxial lateral mass screws - C2 screws (pars, pedicle, translaminar) - C1 lateral mass screws 2) Perform C1-C2 instrumentation with screws 3) Perform C4-6 instrumentation with screws
1) Discuss craniocervical anatomy - Ligamentous structure - Vertebral artery course 2) Identify typical injury patterns of OC-C2 injuries 3) Discuss management of upper cervical spine fracture-dislocations 4) List nonsurgical interventions for treatment of acute spinal cord injury - Steroids - Blood pressure maintenance - Traction/realignment 5) Discuss the evidence for early decompression and stabilization in acute SCI 6) Discuss indications for advanced imaging in acute spinal injury 7) Identify relative contraindications for anterior fusion in facet injuries
1) Discuss radiographic and clinical measures of adult sagittal and coronal deformity 2) Understanding treatment options: extent of correction and morbidity. 3) Integrating treatment of deformity principles with concurrent treatment of stenosis 4) Discuss expected complications in the treatment of Adult Deformity
1) Identify pertinent TL anatomy related to analysis of traumatic instability on radiographs and advanced imaging studies 2) List indications for surgical treatment of TL trauma - Posterior tension band failure - Severe kyphosis - Neurologic deficit with persistent canal compromise - Fracture dislocation 3) Describe the 3 major subtypes of TL fractures in the AO classification 4) Discuss treatment outcomes for surgical v. non-surgical management of TL fractures
1) Identify the correct starting point for - Subaxial lateral mass screws - C2 screws (pars, pedicle, translaminar) - C1 lateral mass screws 2) Perform C1-C2 instrumentation with screws 3) Perform C4-6 instrumentation with screws
1) Discuss craniocervical anatomy - Ligamentous structure - Vertebral artery course 2) Identify typical injury patterns of OC-C2 injuries 3) Discuss management of upper cervical spine fracture-dislocations 4) List nonsurgical interventions for treatment of acute spinal cord injury - Steroids - Blood pressure maintenance - Traction/realignment 5) Discuss the evidence for early decompression and stabilization in acute SCI 6) Discuss indications for advanced imaging in acute spinal injury 7) Identify relative contraindications for anterior fusion in facet injuries
1) Discuss radiographic and clinical measures of adult sagittal and coronal deformity 2) Understanding treatment options: extent of correction and morbidity. 3) Integrating treatment of deformity principles with concurrent treatment of stenosis 4) Discuss expected complications in the treatment of Adult Deformity
1) Identify pertinent TL anatomy related to analysis of traumatic instability on radiographs and advanced imaging studies 2) List indications for surgical treatment of TL trauma - Posterior tension band failure - Severe kyphosis - Neurologic deficit with persistent canal compromise - Fracture dislocation 3) Describe the 3 major subtypes of TL fractures in the AO classification 4) Discuss treatment outcomes for surgical v. non-surgical management of TL fractures
1) Identify the correct starting point for - Subaxial lateral mass screws - C2 screws (pars, pedicle, translaminar) - C1 lateral mass screws 2) Perform C1-C2 instrumentation with screws 3) Perform C4-6 instrumentation with screws
1) Discuss indications for surgical treatment of acute radiculopathy a) Absolute - Cauda equina syndrome - Progressive neurological deficit b) Relative - Severe static deficit - Uncontrollable radicular pain c) Elective - Failure of symptoms to resolve despite adequate time 2) Identify anatomic boundaries of spinal canal related to nerve root compression - Central canal - Lateral recess - Foramen - Extraforaminal zone 3) Discuss indications for instrumentation and fusion related to lumbar decompression
1) Characterize the anatomic differences between cervical and lumbar spine related to nerve root compression from disk herniation 2) List alternative approaches for the surgical treatment of cervical radiculopathy - Anterior vs. posterior - Multilevel discectomy vs. corpectomy 3) Explain how sagittal alignment effects selection of appropriate surgical strategy
1) Identify the radiographic characteristics distinguishing infection from tumor 2) Enumerate the indications for surgical intervention of osteomyelitis/infection 3) Define the epidemiology, etiology, natural history and treatment options for metastatic spine tumors
1) Identify correct anatomic starting points for thoracic and lumbar pedicle screws 2) Perform fixation T9 to L1 (T11 fracture) 3) Perform fixation L4 to S1 (pelvis optional) 4) Perform placement of anterior cage and plate
1) Discuss indications for surgical treatment of acute radiculopathy a) Absolute - Cauda equina syndrome - Progressive neurological deficit b) Relative - Severe static deficit - Uncontrollable radicular pain c) Elective - Failure of symptoms to resolve despite adequate time 2) Identify anatomic boundaries of spinal canal related to nerve root compression - Central canal - Lateral recess - Foramen - Extraforaminal zone 3) Discuss indications for instrumentation and fusion related to lumbar decompression
1) Characterize the anatomic differences between cervical and lumbar spine related to nerve root compression from disk herniation 2) List alternative approaches for the surgical treatment of cervical radiculopathy - Anterior vs. posterior - Multilevel discectomy vs. corpectomy 3) Explain how sagittal alignment effects selection of appropriate surgical strategy
1) Identify the radiographic characteristics distinguishing infection from tumor 2) Enumerate the indications for surgical intervention of osteomyelitis/infection 3) Define the epidemiology, etiology, natural history and treatment options for metastatic spine tumors
1) Identify correct anatomic starting points for thoracic and lumbar pedicle screws 2) Perform fixation T9 to L1 (T11 fracture) 3) Perform fixation L4 to S1 (pelvis optional) 4) Perform placement of anterior cage and plate
1) Discuss indications for surgical treatment of acute radiculopathy a) Absolute - Cauda equina syndrome - Progressive neurological deficit b) Relative - Severe static deficit - Uncontrollable radicular pain c) Elective - Failure of symptoms to resolve despite adequate time 2) Identify anatomic boundaries of spinal canal related to nerve root compression - Central canal - Lateral recess - Foramen - Extraforaminal zone 3) Discuss indications for instrumentation and fusion related to lumbar decompression
1) Characterize the anatomic differences between cervical and lumbar spine related to nerve root compression from disk herniation 2) List alternative approaches for the surgical treatment of cervical radiculopathy - Anterior vs. posterior - Multilevel discectomy vs. corpectomy 3) Explain how sagittal alignment effects selection of appropriate surgical strategy
1) Identify the radiographic characteristics distinguishing infection from tumor 2) Enumerate the indications for surgical intervention of osteomyelitis/infection 3) Define the epidemiology, etiology, natural history and treatment options for metastatic spine tumors
1) Identify correct anatomic starting points for thoracic and lumbar pedicle screws 2) Perform fixation T9 to L1 (T11 fracture) 3) Perform fixation L4 to S1 (pelvis optional) 4) Perform placement of anterior cage and plate
1) Discuss indications for surgical treatment of acute radiculopathy a) Absolute - Cauda equina syndrome - Progressive neurological deficit b) Relative - Severe static deficit - Uncontrollable radicular pain c) Elective - Failure of symptoms to resolve despite adequate time 2) Identify anatomic boundaries of spinal canal related to nerve root compression - Central canal - Lateral recess - Foramen - Extraforaminal zone 3) Discuss indications for instrumentation and fusion related to lumbar decompression
1) Characterize the anatomic differences between cervical and lumbar spine related to nerve root compression from disk herniation 2) List alternative approaches for the surgical treatment of cervical radiculopathy - Anterior vs. posterior - Multilevel discectomy vs. corpectomy 3) Explain how sagittal alignment effects selection of appropriate surgical strategy
1) Identify the radiographic characteristics distinguishing infection from tumor 2) Enumerate the indications for surgical intervention of osteomyelitis/infection 3) Define the epidemiology, etiology, natural history and treatment options for metastatic spine tumors
1) Identify correct anatomic starting points for thoracic and lumbar pedicle screws 2) Perform fixation T9 to L1 (T11 fracture) 3) Perform fixation L4 to S1 (pelvis optional) 4) Perform placement of anterior cage and plate
It is the policy of AO North America to abide by the Accreditation Council for Continuing Medical Education Standards for Commercial Support. Standard 2: “Disclosures Relevant to Potential Commercial Bias and Relevant Financial Relationships of Those with Control over CME Content,” requires all planners, including course directors, chairs, and faculty, involved in the development of CME content to disclose their relevant financial relationships prior to participating in the activity. Relevant financial relationships will be disclosed to the activity audience. The intent of the disclosure is not to prevent a faculty with a relevant financial or other relationship from teaching, but to provide participants with information that might be of importance to their evaluation of content. All potential conflicts of interest have been resolved prior to the commencement of this activity.
Some medical devices used for teaching purposes and/or discussed in AO North America’s educational activities may have been cleared by the FDA for specific uses only or may not yet be approved for any purpose. Faculty may discuss off-label, investigational, or experimental uses of products/devices in CME certified educational activities. Faculty have been advised that all recommendations involving clinical medicine in this CME activity are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.
All scientific research referred to, reported or used in this CME activity in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection and analysis.
AONA does not endorse nor promote the use of any product/device of commercial entities. Equipment used in this course is for teaching purposes only with the intent to enhance the learning experience.
USE THE BELOW TEXT FOR DIDACTIC COURSES ONLY!
The opinions or views expressed in this live continuing medical education activity are those of the faculty and do not necessarily reflect the opinions or recommendations of
AO North America or any commercial supporter. The certificate provided pertains only to the participants’ completion of the course.
In-Kind Support
AO North America gratefully acknowledges in-kind support for equipment and technical staff from J&JMedTech.
Educational Grant
AO North America gratefully acknowledges funding for its education activities from the AO Foundation. The AO Foundation receives funding for education from Synthes GmbH.