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O N E S P I N E P R E S E N T S : 3 RD A N N U A L

co n t r ov e r s i e s in Spine Surgery

February 6­7, 2009 The Aqua Hotel Cancun, Mexico

FeATuring Pro vs. Con Debate Format instructive Surgical Videos interactive Case Discussions in-depth Workshops

Excellent discussion with premier faculty. This meeting has stimulated me to "think outside the box".

--2008 Attendee

CourSe CHAirMen: randal r. Betz, MD Michael g. Fehlings, MD Lawrence g. Lenke, MD Stephen L. ondra, MD Christopher i. Shaffrey, MD

Sponsored by:

Supported by:

Dear COlleaGUe:

We invite you to gather in Cancun with some of the world's leading spine surgeons for the third annual Controversies in Spine Surgery course. For the past two years, this meeting has presented the most current controversies in emerging technology and surgical approaches. it has proved to be a favorite among the attendees due to the provocative topics, indepth debates, and intimate setting. Once again, orthopaedic and neurological surgeons will come together to hone their skills and knowledge for the benefit of their patients. in addition to the CMe-accredited program, several leading spine companies will be on hand to exhibit and demonstrate their newest technologies. One Spine was founded to unify education and research among neurological and orthopaedic surgeons. Please join us as both specialties take another step forward to improve spine surgery for all patients. Sincerely, One Spine Course Chairmen

DiStinguiSheD FaCUlty


Randal R. Betz, Md Shriners Hospital for Children Philadelphia, Pa MiCHael G. FeHlinGS, Md toronto Western Hospital toronto, On, Canada laWRenCe G. lenke, Md Washington University Medical School St. louis, MO StePHen l. OndRa, Md northwestern Memorial Hospital Chicago, il CHRiStOPHeR i. SHaFFRey, Md University of Virginia Charlottesville, Va lUiz PiMenta, Md Santa Rita Hospital São Paulo, Brazil daVid POlly JR., Md University of Minnesota Minneapolis, Mn RaJ RaMPeRSaUd, Md toronto Western Hospital toronto, On, Canada MiCHael k. ROSneR, Md Walter Reed army Medical Center Washington, dC


edWaRd Benzel, Md Cleveland Clinic Foundation Cleveland, OH ReGiS W. Haid JR., Md atlanta Brain & Spine Care atlanta, Ga PRaVeen V. MUMManeni, Md University of California San Francisco, Ca

COurSe POliCieS


Upon completion of this program, participants should be able to:


this activity is sponsored by Medical education Resources, inc., a nonprofit medical education company. BroadWater was selected to manage program logistics.

1. Summarize evidence-based information on current controversies in spine surgery. 2. describe the benefits and risks of treatment options for common cervical degenerative, lumbar degenerative, and spine trauma cases. 3. discuss the optimal approaches and instrumentation levels for common adult deformity cases. 4. Summarize the impact of medical co-morbidity in the decision-making process when treating the aging spine.


this course is supported by One Spine. One Spine was created to optimize and unify education and research among neurological and orthopaedic spine surgeons in order to improve patient care. One Spine is a 501(c)3 organization.


Various medical companies have been invited to exhibit and sponsor workshops at this course. Full disclosure of financial and other types of support will be provided in the course syllabus materials.


this advanced course is for orthopaedic and neurological surgeons, fellows, residents, and allied health professionals who include spine surgery in their practice.


Medical education Resources is accredited by the accreditation Council for Continuing Medical education (aCCMe) to sponsor continuing medical education for physicians.

attendanCe ­ the course chairmen reserve the right to refuse admission to anyone whose presence is considered incompatible with course objectives. COURSe CanCellatiOn ­ in the unlikely event of insufficient enrollment, the organizers reserve the right to cancel the course up to 21 days prior. Registrants will be notified by certified mail and registration fees will be refunded. airline and other costs incurred by the registrant are the responsibility of the registrant and will not be refunded. ReFUndS ­ a full refund will be provided, less a $100 administrative fee, dependent upon written notice being received by January 9, 2009. Refunds will not be made after this date. Substitutions are allowed at any time but must be submitted in writing. QUeStiOnS ­ if you have questions about the course or the registration process, please call the One Spine administrative Office c/o BroadWater at USa (630) 681-1040 or e-mail [email protected]


Medical education Resources designates this educational activity for a maximum of 7.0 aMa PRa Category i CMe creditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. this CMe activity was planned and produced in accordance with the aCCMe essentials.


it is course policy to ensure balance, independence, objectivity, and scientific rigor in all presentations. all faculty will disclose in the course syllabus materials any financial interest and/or other relationship with the manufacturer(s) of any commercial product(s) to be discussed during their presentations.

prOgram FRiday

Debates 10:00 Refreshment break

For each case, one of the faculty members will present the "pro" position and one will present the "con" position. an interactive discussion will follow.

FriDay, February 6 7:00 am Registration and breakfast

session 3: trauma 10:15

Moderator: Michael G. Fehlings, MD

Case #5: 20-year-old male with C6-7 unilateral facet dislocation with right C7 radiculopathy. Optimal treatment is anterior decompression and fusion C6-7 instead of posterior decompression and fusion. Case #6: 54-year-old female with L2 fracture. Optimal treatment is brace/extension cast instead of posterior ORIF. Discussion


session 1: CerviCal ­ best treatment options

Moderator: Christopher I. Shaffrey, MD

7:30 7:40 Introduction to ONE Spine Case #1: 47-year-old male former professional athlete with 3 month history of cervical radiculopathy (minimal neck pain) and moderate sized left paramedian C5-6 disc herniation. Optimal motion sparing procedure is posterior MIS cervical foraminotomy. Case #2: 51-year-old male chief of surgery with hand numbness, tingling, and hand dysfunction with significant multi-level cervical stenosis and a straight spine. Optimal treatment is multi-level cervical decompression and fusion. video: C2 laminar screw placement Discussion 11:05

session 4: surgiCal teChnique Forums & lunCh 11:15 Instructional lectures and hands-on opportunities with the latest spine technologies. A working lunch will be available. Adjourn Round Table Discussion: Participants are invited to bring their own cases for an informal round table case discussion with the faculty. Course Reception­Poolside


12:55 pm 5:00 6:008:00

8:30 8:40

session 2: aDult DeFormity Challenges

Moderator: Lawrence G. Lenke, MD

8:55 Case #3: 63-year-old healthy female with a degenerative lumbar scoliosis, spinal stenosis and sagittal imbalance who has failed non-operative treatment. The best surgical approach is an anterior DLIF/XLIF +/- posterior instrumentation. Case #4: 50-year-old male with a 110 degree thoracic scoliosis with documented progression and slowly deteriorating PFT's. The optimal surgical treatment is Anterior release/ASF with Post Inst/SPOs PSF. video: Thoracic vCR for severe scoliosis Discussion


9:45 9:55

prOgram SatURday

saturDay, February 7 session 5: surgiCal teChnique Forums & breakFast 7:30 am Instructional lectures and hands-on opportunities with the latest spine technologies. A working breakfast will be available. 12:00 pm 12:05 Discussion & Closing Remarks Adjourn

Course highlights surgical technique Forums The program will include surgical technique forums presented by spinal instrumentation companies. Don't miss this chance to see the faculty introduce the latest techniques and technologies. These forums are not CME-accredited. round table Case Discussion Participants are invited to bring their own cases for the informal round table case discussion with the faculty on Friday evening prior to the course reception. Course reception Please join us for the course reception poolside on Friday evening to enjoy the breathtaking beauty of Cancun, a delicious light dinner of local favorites, live entertainment, and time to connect with your colleagues and their guests.

session 6: lumbar ­ best treatment options

Moderator: Michael K. Rosner, MD

8:40 Case #7: 44-year-old male, active duty, with 2 yrs of progressive back and lower extremity symptoms refractory to non-surgical treatment. Imaging with bilateral L5 pars defects. TLIF is preferred over any other surgical option to include ALIF, pars repair, AxiaLIF. Case #8: 31-year-old female, active duty, with 6 months of left L5 recurrent L5 radiculopathy and back pain. Previous left L5 nerve root decompression. Imaging with recurrent left L4-5 disc herniation. Fusion is the preferred treatment over simple decompression. Case #9: 53-year-old female with 2 yrs of neurogenic claudication refractory to non-surgical measures. Imaging demonstrates L3-4 focal stenosis. Symptoms resolve with forward flexion. Interspinous process decompression is the preferred treatment over simple decompression. Surgical video Discussion Refreshment break



10:05 10:15 10:25

session 7: the aging spine

Moderator: David W. Polly Jr., MD

10:45 Case #10: 94-year-old male with osteoporotic burst fracture with positional paraparesis. Best treatment option is posterior transpedicular decompression and stabilization. Case #11: 84-year-old female with multiple level compression fractures, severe kyphosis, and pain. Best treatment option is medical management. Case #12: 86-year-old female with two sub-acute lumbar compression fractures. Best treatment option is kyphoplasty.



regiStratiOn & HOUSinG

register online at REgISTRATION

Register early as space will fill rapidly!


the program and related activities will be held at the aqua Hotel in Cancun, Mexico. aqua is a five-star hotel with a contemporary ambiance located in the heart of Cancun. aqua offers extraordinary cuisine, a full-service spa and a selection of infinity pools. all accommodations feature ocean-views, private balconies, and flat screen tVs.


Surgeons Fellows, Residents, nurses Reception tickets (ages 10 and up) late Registration Fee (after January 9) $895 $595 $ 80 $ 50


Please fill out the hotel reservations section on the course registration form. Hotel reservations will be submitted to the aqua Hotel by the One Spine administrative Office. you will receive an e-mail confirmation within one week confirming your reservation. Oceanview Room third adult in Room (limit of 3 adults per room) $295 $ 35

· Medicalregistrationsincludescientificsessions,course materials, and course meal functions. · Additionalreceptionticketscanbepurchasedforyour guests ages 10 and up. Guests under age 10 are admitted free. · Registrationformswillnotbeprocessedwithoutpayment. · Allregistrationswillbeconfirmedinwriting.

there is no additional charge for up to 2 children 12 and under when sharing a room with 1 or 2 adults. Room rates are subject to 12% tax. you will be required to present a credit card at check-in for all hotel charges. Cancellations and no-shows within 21 days of arrival will be charged the full stay. For availability of suites, connecting rooms, or other arrangements, please contact us at USa (630) 681-1040. Reservations received after January 9 will be accepted on space/rate available base only.


iMPORtant: the US Government requires all travelers, including children, to have a valid passport when entering/re-entering the US from Canada, Mexico, Bermuda, and the Caribbean via air or sea. For more information, please visit For assistance with air travel to and from Cancun, you are invited to contact Gant tRaVel at (800) 742-4198 or USa (630) 227-3800.


Private ground transportation from the airport to the hotel will be available. details and prices will be sent to you after you have registered for the course.

COurSe ReGiStRatiOn

One SPine: COntROVeRSieS in SPine SURGeRy FeBRUaRy 6­7, 2009

register online at SURgEON & ALLIED hEALTh REgISTRATION


eaRly ReGiStRatiOn & HOUSinG deadline: JanUaRy 9, 2009


Registrations will not be processed without payment.

O Surgeon @ $895 each O Fellow/Resident/nurse @ $595 each

additional Reception tickets (ages 10 and up) @ $80 each

$ $ $



O late Registration Fee @ $50 (after Jan.9)

total amount enclosed

$ $




O Check no.

One Spine enclosed.


made payable in USd to


Please charge my credit card for registration:













*included on badge




O Orthopaedic Surgeon O Neurosurgeon O Other


Arrival Date Departure Date







O king O 2 doubles O Smoking O non-Smoking

Total Adults in Room Total Children in Room Standard Room Rate: $295 per night plus tax Third adult in room (limit of 3 adults per room): $35

you will be required to present a credit card at check-in for all hotel charges. Cancellations within 21 days of arrival and no shows will be charged the full stay. For availability of suites, connecting rooms, or other arrangements, please contact us.



One Spine administrative Office c/o BroadWater 1737 S. naperville Rd. Ste. 106 | Wheaton, il 60189 USa t: 630.681.1040 | F: 630.682.5811

c/o BroadWater 1737 S. naperville Rd. Ste. 106 Wheaton, il 60189 USa Return Service Requested

Presort Standard U.S. Postage Paid Permit no. 475 Carol Stream, il

the One Spine Board of directors wishes to thank its Founding Partners for their support of this course and other One Spine activities: FOUndinG PaRtneRS PlatinUM leVel Medtronic, Synthes Spine FOUndinG PaRtneRS abbott Spine, dePuy Spine, Osteotech, Richard Wolf Medical instruments Corp., Stryker Spine

The speakers were enthusiastic and there was plenty of time for discussion. I enjoyed the "small" conference feel and the emphasis on surgical issues. Good presentations, great approaches on controversial topics. --2007 Attendees



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