
The AO VET North America Course - Advanced Techniques in the Management of Small Animal Spinal Disorders (with animal anatomical specimens) is designed to help participants apply the AO Principles of anatomic reduction, stable fixation, atraumatic surgical technique and early, pain-free mobilization to small animal spinal surgery. The course will be taught by experienced faculty from both neurological and orthopedic spine surgery disciplines, with additional emphasis on imaging taught by a radiology faculty member. The modular course format will focus on the spine patient as a conceptual case study along with practical laboratory exercises on canine cadavers and plastic bone models. Participants in small groups will rotate through each module and laboratory over the two and 1/2-day period. Topics to be covered include canine cervical and lumbosacral degenerative disease, atlanto-axial disease/trauma, cervical, thoracic and lumbar trauma, and stabilization of all spinal levels.
Faculty will encourage all participants to be actively involved with the small group discussions in order to optimize course relevance and experience.
Each treatment presented (surgical or medical) will cite literature in the best evidenced-based fashion possible.
Target Audience
1. ACVS or ACVIM Neurology Diplomates / Small Animal Surgeons with an equivalent degree from other countries
2. Veterinarians who have completed a Small Animal AO Veterinary Basic Principles and Advanced course
3. Attendees should be familiar with the approaches to the canine spine and ventral slot / hemi-laminectomy techniques
It will be assumed course participants will have some spine surgical experience to be able to actively participate in both case discussions and perform routine surgical approaches in the practical lab.
Prerequisite
Completion of an AO VET Small Animal Basic Principles course is a prerequisite for non-diplomates or residents since familiarity with instrumentation and surgical techniques will be assumed.
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AO North America is a Registry of Approved Continuing Education (RACE) Provider (Number 244).
Designation Statement
This program was reviewed and approved by the AAVSB RACE program for 18.0 hours of continuing education credit in jurisdictions which recognize AAVSB RACE approval. Please contact the AAVSB RACE program if you have any comments/concerns regarding this program’s validity or relevancy to the veterinary profession.
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)
1. Discuss appropriate diagnostic approaches to small animal spine trauma patients with consideration for atlantoaxial instability and cervical, thoracic and lumbar fracture / luxation. 2. Determine prognostic factors and choose appropriate course of treatment (conservative versus surgical). 3. Recognize proper application techniques of various stabilization methods. 4. Determine appropriate postoperative imaging modalities for the assessment of implant position and vertebral alignment.
1. Discuss appropriate diagnostic approaches to small animal spine trauma patients with consideration for atlantoaxial instability and cervical, thoracic and lumbar fracture / luxation. 2. Determine prognostic factors and choose appropriate course of treatment (conservative versus surgical). 3. Recognize proper application techniques of various stabilization methods. 4. Determine appropriate postoperative imaging modalities for the assessment of implant position and vertebral alignment.
1. Discuss appropriate diagnostic approaches to small animal spine trauma patients with consideration for atlantoaxial instability and cervical, thoracic and lumbar fracture / luxation. 2. Determine prognostic factors and choose appropriate course of treatment (conservative versus surgical). 3. Recognize proper application techniques of various stabilization methods. 4. Determine appropriate postoperative imaging modalities for the assessment of implant position and vertebral alignment.
1. Discuss appropriate diagnostic approaches to small animal spine trauma patients with consideration for atlantoaxial instability and cervical, thoracic and lumbar fracture / luxation. 2. Determine prognostic factors and choose appropriate course of treatment (conservative versus surgical). 3. Recognize proper application techniques of various stabilization methods. 4. Determine appropriate postoperative imaging modalities for the assessment of implant position and vertebral alignment.
Participants will practice and apply surgical techniques and reinforce practical aspects of the following spinal stabilization procedures. At the conclusion of the lab, they will be familiar with the techniques and the associated surgical complications and potential risks of each.
1. Explain the proper patient positioning for approaches to the AA joint. 2. Identify insertion landmarks and angles for multiple implant fixation of the AA joint. 3. Discuss potential intra and postoperative complications.
Participants will practice and apply surgical techniques and reinforce practical aspects of the following spinal stabilization procedures. At the conclusion of the lab, they will be familiar with the techniques and the associated surgical complications and potential risks of each.
1. Recognize standard approaches to the thoracic spine and decompressive procedures. 2. Identify insertion landmarks and angles for implant fixation in the thoracic spine. 3. Discuss intraoperative methods to determine correct implant placement.
1. Recognize standard approaches to the lumbar spine and decompressive procedures. 2. Identify insertion landmarks and angles for implant fixation in the lumbar spine. 3. Discuss the use of locking implants and postoperative imaging modalities.
1. Recognize signs and symptoms of CSM and lumbosacral instability in canines. 2. Determine prognostic factors and choose appropriate course of treatment (medical versus surgical). 3. Determine appropriate postoperative imaging modalities and discuss possible post-operative complications associated with surgical intervention.
1. Recognize signs and symptoms of CSM and lumbosacral instability in canines. 2. Determine prognostic factors and choose appropriate course of treatment (medical versus surgical). 3. Determine appropriate postoperative imaging modalities and discuss possible post-operative complications associated with surgical intervention.
1. Recognize signs and symptoms of CSM and lumbosacral instability in canines. 2. Determine prognostic factors and choose appropriate course of treatment (medical versus surgical). 3. Determine appropriate postoperative imaging modalities and discuss possible post-operative complications associated with surgical intervention.
1. Recognize signs and symptoms of CSM and lumbosacral instability in canines. 2. Determine prognostic factors and choose appropriate course of treatment (medical versus surgical). 3. Determine appropriate postoperative imaging modalities and discuss possible post-operative complications associated with surgical intervention.
Participants will practice and apply surgical techniques and reinforce practical aspects of the following spinal stabilization procedures. At the conclusion of the lab, they will be familiar with the techniques and the associated surgical complications and potential risks of each.
1. Describe application methods of monocortical screw fixation to the cervical spine. 2. Identify biomechanical challenges, and possible intraoperative and postoperative complications. 3. Discuss the use of intervertebral spacers.
1. Describe patient positioning and approach to the lumbosacral joint. 2. Discuss different fixation methods and potential advantages /disadvantages. 3. Identify insertion landmarks and angles L7, sacral and ilial implants.
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.
This course will involve exposure to and contact with animal anatomic specimens. These specimens are being utilized for purposes of teaching and learning and are to be treated with the utmost respect. Participants should be familiar with and understand the potential risks involved and will be required to observe all customary safety procedures.
In-Kind Support
AO North America gratefully acknowledges in-kind support for equipment and technical staff from DePuy Synthes, Ethicon, Orthomed and Animal Hospital Supply.
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.