POR T O POR TUG A L M INIMA L LY INV ASI VE 4 – 6 JUNE 2009 T E C H NIQUES: POR T O PA L A CIO B ASIC TO E M ERG ING CONG R E SS HOT EL & S PA

INTERNATIO NAL SPINE INTERVE NTI O N

International Spine SOC I E T Y First Class Mail Intervention Society 4TH E URO P E A N US Postage P A I D 161 Mitchell Blvd, Suite 103 C ONGRE S S San Rafael, California Permit #925 94903 San Francisco, CA Esteemed European Colleagues, The International Spine Intervention Society is an association of physicians from multiple specialties whose motivation is the development, evaluation, validation, education and advocacy for percutaneous techniques used in the diagnosis and treatment of welcome spine pain. ISIS cordially invites you to attend this exciting conference on low back pain. This meeting will explore the diagnosis and treatment of zygapophysial, sacroiliac, discogenic and radicular pain. Critical assessments of the literature will be presented in a clinically relevant fashion. Ample time will be allocated for invigorating discussion of the controversies. The international speakers are experts in their fields. Much of the salient research on the meeting topics has been produced by the faculty. You will find the right balance of learning, networking, and fun at the 4th ISIS European Congress. Break away from the routine and spend time with other colleagues in the beautiful city of Porto. I look forward to meeting you there.

Sincerely, Paul Dreyfuss MD, ISIS President

who should attend Physicians, clinicians and other health professionals interested in or currently practicing spine intervention medicine. education objectives Upon completion of the meeting, attendees should be able to: > Discuss and implement the latest understanding of low back pain and concurring treatment options > Identify and discuss new developments in the field of interventional spine medicine > Present the various treatment plans, algorithms, their benefits and limitations > Apply information learned in the meeting to daily practice

ISIS would like to acknowledge and give thanks to the following physicians for their efforts in creating this year’s program. Michiel Schepers MD, Paul Dreyfuss MD, Bruno Kniesel MD, and Paulo Pereira MD Porto or Oporto is one of the last undiscovered European metropolises! An ancient port steeped in history and tradition. It is a highly atmospheric place that has become known for its monuments by renowned architects such as Gustave Eiffel’s Dona Maria Bridge. Porto is the second largest city in and originated and named Port about Porto Wine. Porto gave birth to one of world history’s legendary figures, Prince Henry the Navigator. Monuments abound by leading world architects from the past and the present. The coast around Porto is laden with resorts. The Espinho beach area is a popular destination. Here you can find plenty of fantastic seafood restaurants serving up fresh seafood and popular Portuguese cuisine. Porto has wonderful old quarters to explore, the most famous being the historic city center. There are contemporary areas as well filled with bustling avenues that are great for shopping. Must sees are, Ribeira, the part of the city near the river, by the World Heritage area; São Francisco church and the Stock Exchange palace, the Modern Art museum at and the Casa da Música (House of Music) concert hall. In the city center visit Mercado do Bolhão, a traditional market of fruits, vegetables, fish and meat. The Aliados and the City Hall and finally the 6 bridges connecting Porto to Gaia over the River, many of them providing an excellent view to the river. Porto is a mysterious city that reveals its charm to the visitor through time. Take your time, wonder through the mazes and alleys of the city. Take in the old, bohemian spirit of this most charismatic city.

CME Accreditation commercial support disclosure The International Spine Intervention Society In an effort to ensure balance, indepen- is accredited by the Accreditation Council dence, objectivity, and scientific rigor, ISIS for Continuing Medical Education to provide requires all faculty to disclose to the continuing medical education for physicians. audience any and all off-label use, any significant financial interest or other The International Spine Intervention Society relationship to any commercial products or designates this educational activity for a provider. They are therefore required to maximum of 15.5 AMA PRA Category 1 have as their first slide this disclosure. credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ADA ISIS only contracts with facilities that are in compliance with the Americans with Disabilities Act. Please call us at least 90 days prior to your arrival if you have special needs or dietary limitations that we can address to make your participation more enjoyable.

Registration open online, fax or mail www.spinalinjection.com ➣ registration is required! first come CONFERENCE AGENDA Porto Meeting Room

Thursday, 4 June 1800–2000 Reception with Exhibitors in Salas Douro Exhibit Hall 1700–1900 Congress Registration

Minimally Invasive Techniques: Basic to Emerging

Friday, 5 June 0700–0800 Registration Porto Meeting Room Foyer Continental breakfast for all hotel guests in Madruga Restaurant Coffee and croissants in Exhibit Hall Salas Douro Room 0800 Welcome address 0810 Presidential update

Lumbar Radicular Pain: Diagnosis 0820 Patient presentation: Lumbar radicular pain 0830 Lumbar radicular pain: Definition, history, physical examination and value of electromyogram and nerve conduction studies 0850 Imaging of lumbar radicular pain 0910 Spinal nerve block: Technique and diagnostic value 0930 Discussion

1000 Coffee Break in Exhibit Hall

Zygapophysial and Sacroiliac Joint Pain 1030 Zygapophypsial joint pain: Anatomy, prevalence, and diagnosis 1100 Sacroiliac Joint pain: Anatomy, prevalence, diagnosis 1130 RF neurotomy of the lumbar zygapophysial and sacroiliac joints 1200 Lumbar radiofrequency RCT: Analysis of results 1220 Discussion 1240 Patient Presentation: Transforaminal

1300 Lunch for attendees provided in Madruga Restaurant

Lumbar Discogenic Diagnosis 1400 Patient presentation: Lumbar discogenic pain 1410 Non-invasive diagnosis of discogenic pain: Imaging, history, and physical examination 1440 Discography: Technique 1450 Validity and value of discography: Literature review 1520 Discussion

1540 Coffee Break in Exhibit Hall

Lumbar Discogenic Pain: Therapeutic Techniques 1600 Intradiscal: IDET 1620 Intradiscal: TransDiscal 1640 Intradiscal: Ozone & alternate options 1700 Discussion 1720 Patient presentation discography

1820 Adjourn faculty

Saturday, 6 June Armando Sousa Barbosa MD Lumbar Radicular Pain: Therapeutic Anesthesiology 0700–0800 Coffee and croissants in Exhibit Hall Salas Douro Room Caldas da Rainha Portugal Continental breakfast for all hotel guests in Madruga Restaurant Aaron Calodney MD 0800 Transforaminal steroids: Efficacy Anesthesiology, Tyler TX USA 0820 Pulsed RF 0840 Nucleoplasty Richard Derby MD 0900 Endoscopic discectomy using a transforaminal approach Anesthesiology, Daly City CA USA 0920 Spinal cord stimulation: Mechanism, indications and evidence 0940 Transforaminal injections: Particulate vs. non particulate steroids Paul Dreyfuss MD 1000 Discussion Physical Medicine, Bellevue WA USA

1020–1100 Morning break in Exhibit Hall Guy Hans MD Anesthesiology, Kontich What Does It Mean in Practice? 1100 Is fusion an option for low back pain? G Michael Hess MD 1120 How do blocks influence the surgeon’s strategy Orthopedics, Munich 1140 Case presentation: Facet 1200 Case presentation: SI joint Bruno Kniesel MD 1220 Case presentation: Herniated disc Anesthesiology, Hamburg Germany 1240 Panel discussion on the presentations

1300 Meeting Concludes Sherdil Nath MD Anesthesiology, Umea

Disclosure Paulo Pereira MD It is the policy of ISIS to plan and implement educational activities in accordance with ACCME’s Neurosurgery, Porto Portugal Essential Areas and Policies to ensure balance, independence, objectivity, and scientific rigor. All program faculty and planners are required to disclose Carina Reis MD any relevant financial relationships they may have or Neuroradiology, Trofa Portugal have had within the last 12 months with commercial interests whose products or services are related to the subject matter of the presentation. Any real or Michiel Schepers MD apparent conflicts of interest must be resolved prior to the presentation. Disclosure information will be Musculoskeletal Medicine made available to attendees at the meeting. Faculty Delden, will also be expected to disclose this information to the audience verbally and on introductory slides at the beginning of each presentation. Faculty is Relinde Schepers-Bok MD also required to inform program participants if any Radiology unlabeled uses of products regulated by the Food and Drug Administration will be discussed. Hengelo, The Netherlands

John Tanner MD program organizers Musculoskeletal Medicine Mary Stachnik Lingsch COO West Sussex, [email protected]

Rui Vaz MD PhD Jordon Moncrief CEO Neurosurgery, Porto Portugal [email protected]

ISIS 161 Mitchell Blvd, Suite 103 San Rafael, CA 94903 USA 888.255.0005 toll free in US 415.457.4747 office 415.457.3495 fax www.spinalinjection.com GETTING TO PORTO PORTUGAL GETTING TO THE PORTO PALACIO HOTEL BY PLANE Sá Carneiro Airport, (IATA: OPO), Pedras Rubras,Maia (OPO) (+351) 229 432 400, [2]. Also known as Aeroporto do Approximate driving time to the Porto Palacio Hotel Porto or Aeroporto de Pedras Rubras this is the third is 15 minutes and distance is 15 kilometers (9.5 miles). busiest airport in the country and is about 15 km from the city centre. GETTING THERE Line E (violet) on the Porto metro system connects BY TRAIN the airport with the city centre; a single ticket costs The city is served by two major train stations, the €1,35. The airport station is located in front of the “São Bento” (Saint Benedict) station, and the “Cam- arrivals zone. Buses also run every 20–30 minutes to panhã” station. Trains from and to Madrid and Paris city centre. A taxi to the hotel is approximately €25. are regular, other non-domestic destinations vary All prices subject to change. according to demand and time of year. DRIVING DIRECTIONS BY CAR From the north, take the A3 in the direction of The city is served by five major highways: A1, which Porto/Boavista. Take the Boavista/Foz exit and connects Porto to Lisbon, A29 which connects Porto continue up Avenida Boavista. The hotel is 800 to Aveiro, A3 connects Porto to Braga, A28 connects metres along on the right. From the south, take the Porto to Viana do Castelo and the northern Portu- A1 and, after crossing the Arrabida Bridge, take the guese border, and A4, which goes eastwards from the first exit for Bessa Leite. Continue straight and, at the city towards Vila Real. The IC29 connects Porto to the first set of traffic lights, turn right and the hotel is on neighboring city of Gondomar. The city is also served the right-hand side. by 2 ring highways, the A41 (still incomplete) which is the outer ring, and VCI/IC23 or A20 which connects GETTING AROUND all the main places inside the city. Porto has an efficient and modern metro system which runs from 0600 until 2400. Bus and BY BUS services also operate throughout the city and a single There are many companies providing direct bus trips ticket allows travel by metro, bus and train. Local and from major European countries and also for most of intercity trains connect Porto with destinations the northern cities of the country. Visit also Porto Bus throughout Portugal. Service .

BY BOAT There is a cargo and recreational harbor called Leixões in the neighboring city of . There is also a very small recreational harbor in the river congress website Douro. As far as a major method of getting to the Please visit the congress website for information city, however, sea transport is not really feasible. and brochures relating to the Congress: www.spinalinjection.com or email us at: [email protected] VISA AND TRAVEL DOCUMENTS Portugal visa is not required for citizens of United language States for a stay up to 90 days. Please check with your The official language of the Congress is English. travel agent whether you require an entry visa to Portugal. PASSPORTS ARE REQUIRED. disclaimer The material presented at the ISIS 4th European Congress is for educational purposes only. The material is not intended to represent the only, nor necessarily the best, method or procedure appropriate for the medical situations discussed; rather, it is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations. NOTE: The program agenda is subject to change. SPONSORSHIP AND EXHIBITION SALES Ms. Jordon Moncrief, CEO 161 Mitchell Blvd #103 San Rafael CA 94903 USA 1.415.457.4747 [email protected]

PAST EXHIBITORS EXHIBIT HALL SCHEDULE Arthrocare Spine Salas Duro Room Baylis Medical Co Inc Thursday, 4 June Boston Scientific 1800 – 2000 Reception with Exhibitors Cotop International BV Equip Medikey BV Friday, 5 June GE Healthcare 0700 – 0800 Coffee joimax GmbH 1000 – 1030 Morning Break NeuroTherm Ltd. 1540 – 1600 Afternoon Break Oldelft Benelux bvba Saturday, 6 June Opus Medical BVBA 0715 – 0800 Coffee Philips Medizin Systeme 1020 – 1100 Morning Break Smith & Newphew GmbH Stryker Europe, Middle East & Africa Ziehm Imaging GmbH

venue The Porto Palácio Hotel Av. Da Boavista, 1269 4100-130 Porto Portugal

Tel: +351 226 086 600 Fax: +351 226 091 467

Email for Reservations: [email protected] General Email: [email protected] Guest Service Email: [email protected] ISIS 4th European Congress International Spine 888.255.0005 toll free in US 4–6 June, 2009 Intervention Society 415.457.4747 office Porto Portugal 161 Mitchell Blvd, Suite 103 415.457.3495 fax Porto Palacio Congress San Rafael, California [email protected] Hotel & Spa 94903 www.spinalinjection.com

registration form Registration Fees ISIS Members: $375 USD, Non Members: $475 USD Fellows/Residents/Allied Health Professionals: $200 USD Late registration fee (after 20 May 2009): $550 USD Payment of fees should made in USD and may be paid either by US bank cheque or credit card (Visa, MasterCard, American Express)

ISIS needs your valid email address, last name address please write it clearly in the box provided. first name

specialty degree city

state

YES, Please send me an ISIS Guideline check # zip code Book today! $90 book/shipping USA $35 International Shipping visa/mc/amex phone

Check here: exp date 3-digit code fax

signature e-mail

meeting location / hotel All applications will be accepted on a first-come, first serve basis (online, via fax & mail) until the course is accommodations full. Registrants will be confirmed via email. If you do Please contact the hotel for reservations not receive a confirmation, please contact our office. Do not book hotel accommodations or airfare until and indicate the group name: you are confirmed into the course. ISIS accepts ISIS Conference no responsibility for airfare or accommodations that must be cancelled.

The Porto Palácio Hotel ISIS is a non-profit medical society. Revenues from this Av. Da Boavista, 1269 and all meetings are used for future ISIS research and educational endeavors. Questionnaires regarding the 4100-130 Porto Portugal course, which are handed out with course materials, Tel: +351 226 086 600 must be filled out and returned to ISIS in order to receive proper credit for the course. Fax: +351 226 091 467 Do not book hotel accommodations or airfare until [email protected] you are confirmed into the course. ISIS accepts no www.hotelportopalacio.com responsibility for airfare or accommodations that must be cancelled.

ISIS has reserved a limited block of rooms ISIS is a non-profit medical society. Revenues from this and all meetings are used for future ISIS research and for attendees at the Port Palácio Hotel. The educational endeavors. price for single occupancy including, buffet breakfast in the Madruga restaurant, Wi-Fi. Internet connection, unlimited usage of the Health Club and Taxes. The rate is 110,00€.

The Porto Palácio Hotel is located in the heart of the business district of the city, with easy access to the A1 highway, 15 minutes from the Porto’s International Airport Francisco Sá Carneiro Airport (OPO). The airport is connected to the city centre by metro, a Bus Shuttle (aerobus) and taxi’s Registration open online, are available. fax or mail www.spinalinjection.com ➣ registration is required! first come