EUROPE Course program AOSpine Advances Course Spinal Trauma November 12–13, 2010 Tomar, Portugal AOSpine Mission 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 Advances Course, November 12–13, 2010 Tomar, Portugal Welcome to Tomar Dear colleagues and friends, As Chairperson of this AOSpine educational event I would like to welcome you all to Tomar. It is our privilege and honour to be your host from 12 to 13 November 2010. This course will describe the challenges of spine trauma. After each group of lectures, all participants are invited to discuss the topics. Furthermore, the topics should be illustrated by presented cases. A major goal would be an inspiring interaction between participants and faculty. The lecturers are prepared to make it both an interactive and instructive course. The warm and friendly atmosphere that we’ll try to develop during the course as well as the excellence of the faculty and the interesting topics that we will be discussing together act as a guarantee that we all enjoy the high level educational activity. We invite you to Tomar, to enjoy a great atmosphere and a great educational experience. Sincerely, Content 2 AOSpine Mission 3 Welcome to Tomar 4 Goal of the course 4 Target participants 4 Course objectives 4 Course description 5 Chairpersons 5 Educational director 5 Faculty 6 Friday, 12 November 2010 7 Saturday, 13 November 2010 9 Course management 9 Course organization 9 Courseinformation and registration 10 Course venue 11 Upcoming AOSpine Events Manuel Tavares de Matos Chairperson Lisboa, Portugal Antonio Rodriguez Salazar Chairperson Burgos, Spain 3 4 AOSpine Advances Course, November 12–13, 2010 Tomar, Portugal Goal of the course The AOSpine AOSpine Course—Advances in the Management of Spinal Trauma will elevate current concepts and principles to an advanced level and address controversial topics as a integrated approach to understanding spinal trauma and its state-of-the-art treatment. We picked challenging issues involving the whole spine from the occiput down to the sacrum. Some specific problems will also be pointed like the use of minimal invasive tecniques or spine trauma in structural bone deficit. Target participants This course is targeted at surgeons with 3 to 10 years of experience in spine surgery, who are aiming to further improve their knowledge and/or specialization in the management of spinal trauma and specific techniques. Course objectives After the course, the participants should • • • • • List arguments for a variety of diagnostic pathways in challenging trauma situations Identify a rationale for differences in thoracolumbar care delivery Investigate and discuss surgical and nonoperative decision making for thoracolumbar fractures Describe concise assessment and treatment options for fractures in the lower lumbar and sacral spine Outline indications for surgical intervention and suggested treatment principles for injuries in the cervical spine and junctional cervical trauma • Apply adequate and state-of-the-art techniques to treat spinal trauma • Formulate assessment principles and standards of care with regard to spinal cord injuries Course description Challenges in the management of spinal trauma have produced some of the major breakthroughs in spine care, especially with regard to implant design. While some problem areas have been successfully addressed, new areas of care concern continue to emerge. This course will address different topics in spinal trauma such as the • Management of polytraumatized patients • The emerging role of minimally invasive spine surgery • The treatment of patients with impaired bone structure • Challenges in spinal trauma • Complications AOSpine Advances Course, November 12–13, 2010 Chairpersons Manuel Tavares de Matos Lisboa, Portugal Antonio Rodriguez Salazar Burgos, Spain Educational director José Consciência Lisboa, Portugal Faculty Diez Ulloa Maximo Alberto Santiago de Compostela, Spain Parajon Avelino Madrid, Spain Damaso Oliveira Vitor Lisboa, Portugal Fernandes Pedro Lisbon, Portugal Lima Álvaro Almada, Portugal Lourenço Paulo Coimbra, Portugal Matos Rui Porto, Portugal Pegado Eduardo Torres Vedras, Portugal Tomar, Portugal 5 6 AOSpine Advances Course, November 12–13, 2010 Tomar, Portugal Friday, 12 November 2010 TIME AGENDA ITEM WHO 08:30–09:00 Registration 09:00–09:30 Welcome and program overview Introduction to AOSpine A Rodriguez Salazar, M Tavares de Matos Session 1 V Damaso Oliveira, R Matos Spinal trauma 09:30–09:45 Evaluation and management of spinal cord injuries Á Lima 09:45–10:00 Neurological assessment V Damaso Oliveira 10:00–10:15 Trauma and spinal imaging R Matos 10:15–10:30 Post-operative care and pain management E Pegado 10:30–10:45 Recent EBM in spine trauma P Lourenço 10:45–11:05 COFFEE BREAK Session 2 Cervical spine trauma P Fernandes, Á Lima 11:05–11:20 Occipitocervical trauma P Fernandes 11:20–11:35 Odontoide and hagman fractures A Parajon 11:35–11:50 Treatment options in subaxial spine injuries M A Diez Ulloa 11:50–12:05 Flag system for cervical spine fractures V Damaso Oliveira 12:05–12:20 Complex cervical injuries A Rodriguez Salazar 12:20–12:35 Complications and failures of cervical spine trauma A Rodriguez Salazar 12:35–13:35 Group discussion: • Upper cervical spine trauma • Subaxial spine injury V Damaso Oliveira, R Matos P Fernandes, Á Lima 13:35–15:00 LUNCH Practical exercise Cervical spine trauma V Damaso Oliveira, A Parajon 15:00–16:00 Posterior fixation of the cervical spine V Damaso Oliveira, R Matos, • Transarticular screw C1/C2 M A Diez Ulloa, P Fernandes, • Cervical pedicle screw and cervical lateral mass screw placement Á Lima, P Lourenço, A Parajon, • Anterior fi xation of the cervical spine E Pegado, A Rodriguez Salazar, • Anterior dens fi xation M Tavares de Matos • Anterior plate fi xation 16:00–16:15 COFFEE BREAK Session 3 Toracolumbar fractures E Pegado, M Tavares de Matos 16:15–16:30 Treatment alternatives for type A fractures P Lourenço 16:30–16:45 Treatment alternatives for type B and C fractures P Fernandes 16:45–17:45 Group discussion: Anterior and posterior treatment M A Diez Ulloa, P Lourenço, R Matos, A Parajon, E Pegado 20:00–22:00 COURSE DINNER AOSpine Advances Course, November 12–13, 2010 Tomar, Portugal Saturday, 13 November 2010 TIME AGENDA ITEM WHO Session 1 Challenges in spinal trauma I P Fernandes, A Rodriguez Salazar 09:30–09:45 Complex thoracic injuries A Parajon 09:45–10:00 Ankylosing spondylitis: Diagnosis and management P Fernandes 10:00–10:15 Representative case presentation: Toracolumbar fractures—to fuse or not fuse M A Diez Ulloa 10:15–10:30 Surgical options for sacral fractures M A Diez Ulloa 10:30–11:00 COFFEE BREAK Session 2 Challenges in spinal trauma II A Parajon, E Pegado 11:00–11:15 Representative case presentation: The polytraumatized patient— staging the spinal treatment P Lourenço 11:15–11:30 Minimally invasive treatment A Rodriguez Salazar 11:30–11:45 Surgical options in structural bone deficit M Tavares de Matos 11:45–12:00 Representative case presentation: What limits for vertebroplasty? M Tavares de Matos 12:00–12:15 Representative case presentation: The spinal cord injury—when to operate Á Lima 12:15–14:00 LUNCH Session 3 Complications M A Diez Ulloa, P Lourenço 14:00–14:15 Management of vascular complication Á Lima 14:15–14:30 Management of neurologic complication V Damaso Oliveira 14:30–14:45 Post operative infections E Pegado 14:45–15:00 Posttraumatic kyphosis R Matos 15:00–15:30 COFFEE BREAK 15:30–16:30 Final Group discussion A Rodriguez Salazar, M Tavares de Matos Practical exercise Anterior approach to the toracolumbar spine P Lourenço, E Pegado 16:30–17:30 Anterior approach to the lumbar spine V Damaso Oliveira, M A Diez Ulloa, P Fernandes, Á Lima, P Lourenço, R Matos, A Parajon, E Pegado, A Rodriguez Salazar, M Tavares de Matos 17:30–17:45 Closing remarks and distribution of course certificates M Tavares de Matos 7 AOSpine Advances Course, November 12–13, 2010 Course management Course organization AOSpine Europe Anja Obrecht Stettbachstrasse 6 8600 Dübendorf, Switzerland Phone: +41 44 200 24 48 Fax: +41 44 200 24 12 Email: [email protected] www.aospine.org Synthes Lda. Lurdes Duarte Estrada de Alfragide, n° 67 Alfrapark—Edifício F—Piso 2 Sul 2610–008 Amadora, Portugal Phone: +351 213 113 150 Mobile: +351 913 464 066 Fax: +351 213 576 839 Email: [email protected] www.synthes.com Tomar, Portugal Course information and registration Registration Online only: http://tomar1011.aospine.org Dress code Casual. Course fee AOSpine members: AOSpine non-members: Course language Portuguese Some lectures in English Euro 675.– (10% discount) Euro 750.– Included in course fee Course bag, coffee breaks, lunches, course dinner, course certificate and CME accreditation. Payment options Deutsche Bank S.A., P—1250–069 Lisboa Account nº: 03213003801 SWIFT: DEUTPTPL IBAN: PT50 0043 0001 0321300380142 Account holder: Synthes Lda. 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. 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. 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 to off. Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty. Recording, photographing, or copying of lectures, practical exercises, or any course materials is absolutely forbidden. Copyright ©2010 by AOSpine International, all rights reserved. Check hazards and legal restrictions on www.aospine.org/disclaimers.aspx 9 10 AOSpine Advances Course, November 12–13, 2010 Course venue Hotel dos Templários Largo Cândido dos Reis, 1 2304–909 Tomar, Portugal Phone: +351 249 310 100 Fax: +351 249 322 191 www.hoteldostemplarios.pt Tomar, Portugal AOSpine Advances Course, November 12–13, 2010 Upcoming AOSpine Events in Europe November 25–27 Novmeber 2010, AOSpine Cadaveric Course, Leipzig, Germany December 3–4 December 2010, AOSpine Advances Symposium–Deformed Spine, Istanbul, Turkey 13—17 December 2010, AOSpine Masters Symposium, Davos, Switzerland 13—17 December 2010, AOSpine Advances Courses, Davos, Switzerland For more information and registration please visit our web site: http://www.aospine.org/coursedirectory.aspx Tomar, Portugal 11 The AOSpine community–delivering the knowledge, experience, and evidence to improve patient care, patient outcomes, and ensure cost effective spine surgery. AOSpine Europe Stettbachstrasse 6, 8600 Dübendorf, Switzerland Phone: +41 44 200 24 49, Fax: +41 44 200 24 12, [email protected]