Lunch Workshop of our premium partner

Wednesday, 5 October

DePuy Synthes
Room: A3
Osteotomies in Adult Spinal Deformities – Challenges and Solutions
Faculty: Ulf Liljenqvist, Münster, Germany; Michael Akbar, Heidelberg, Germany; Ibrahim Obeid, Bordeaux, France; Claudius Thomé, Innsbruck, Austria

Deformity correction in the aging population is becoming more common and we would like to investigate and discuss ways to improve outcomes. To start the session Dr. Akbar will give an overview of the preoperative assessments that may make a difference to outcome. We then move on to the intraoperative aspect of this segment with Dr. Obeid and Professor Thomé. In a population where osteotomies are sometimes necessary, how can a surgeon decide what osteotomy is optimal and then accurately judge the correction the osteotomy has achieved. Following this we will explore the complications that occur in the adult deformity patient group and see how to either ameliorate them or avoid them altogether. The session will close with an interactive session on complex case discussion with Professor Liljenqvist. DSEM/SPN/0716/0549

Introduction to the faculty and topics
Ulf Liljenqvist, Münster, Germany

Does preoperative planning of osteotomy level and fusion length prevent postoperative failure?
Michael Akbar, Heidelberg, Germany

How to get it just right – Type of osteotomy and intraoperative assessment.
Ibrahim Obeid, Bordeaux, France

High complication rates – Inevitable or Avoidable?
Claudius Thomé, Innsbruck, Austria

Case discussion and conclusion
Ulf Liljenqvist, Münster, Germany

Thursday, 6 October

DePuy Synthes
Room: A3
Simple to Sophisticated – What Spinal Navigatuon & Imaging do I need?
Faculty: Pujan Kavakebi, Innsbruck, Austria; Fabrice Külling, St. Gallen, Switzerland; Jörg Silbermann, Gera, Germany

When it comes to integrating spinal navigation into hospitals clinicians are confronted with a wide range of possible options. Depending on multiple factors (e.g. case mix, clinical requirements, budget, OR facility requirements, cross department needs etc.) the conclusion on what technology to invest in can be challenging. This symposium provides an overview on different navigation possibilities from the view of clinicians. The aim is to demonstrate clinical use of different navigation and intraoperative imaging set-ups ranging from simple to sophisticated technology. The presenting faculty will share their experience in using different set-ups to provide the audience information on what pros and cons the different technical options have. DSEM/SPN/0716/0546

Introduction of the faculty and objectives of the symposium
Pujan Kavakebi, Innsbruck, Austria

“Clinical Evidence” for spinal navigation
Pujan Kavakebi, Innsbruck, Austria
Overview on current literature

“Our spinal navigation experience”
Pujan Kavakebi, Innsbruck, Austria
A learning journey to integrate navigation into our daily practice

“Navigation Simplified” – using a new generation of 2D  fluoroscopy navigation
Fabrice Külling, St. Gallen, Switzerland
Surgical Case Presentation and first experiences using the KICK® System with FluoroExpress Software Module

“When to see more is key” – mobile intraoperative CT imaging and navigation
Jörg Silbermann, Gera, Germany
Surgical Case Presentations to show the full benefit of high quality imaging for 3D navigation

Questions and Discussion

Friday, 7 October

DePuy Synthes
Room: A3
Challenges in Thoraco-Lumbar Revision Spine Surgeries
Faculty: Paul Heini, Bern, Switzerland; Claudio Lamartina, Milan, Italy; Carlos Revenga, Jerez, Spain

Revision surgeries of the lumbar and thoracolumbar spine are technically very challenging with inconsistent outcome results and associated significant economic expense. Successful intervention therefore requires a comprehensive assessment including the detailed patient history and extensive diagnostics, principally standing films of the whole spine and frequently a high resolution CT scan. The decision-making process should address the timing of a surgery i.e. possible pre-treatment of osteoporosis, type and extent of the construct and the possible need for the correction of sagittal imbalance. The symposium will therefore focus on two of the major challenges associated with revision of the thoraco-lumbar spine: osteoporosis & pseudarthrosis, and will seek to better understand, how both medical treatment and different surgical interventions and techniques, can be potentially incorporated to improve outcomes, primarily via an interactive case presentation and discussion format. DSEM/SPN/0716/0543

Introduction of the faculty and objectives of the symposium

Challenges in Thoracolumbar Revision Spine Surgeries
- Epidemiology & economic impact of revision spine surgery

The Impact & Management of Osteoporosis in Revision Surgery
- Medical treatment of osteoporosis:
Treatment algorithm, fracture prevention and impact on the treatment and management of vertebral fractures
- Surgical Solutions Case Presentations & discussion
• Considerations: Where & how to extend fixation
• Intraoperative challenges and management of operative complications

The Management of Pseudarthrosis in Revision Surgery
- Surgical Case Presentations & discussion
• Considerations: Diagnostics, where & how to extend fixation
• Intraoperative challenges and management of operative complications
- Dural tear & blood loss management