Duke Presenters
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Spine Symposium 2021 The Duke Spine Symposium is an interactive, multidisciplinary CME event designed to emphasize state-of-the art treatment of spinal disorders. This course is instructed by leaders in many fields of spine care, including degenerative, minimally invasive, adult and pediatric deformity, pain management, physiatry, anesthesiology, interventional radiology, and physical therapy. All lectures are followed by question-and-answer sessions as well as case discussions to highlight nuances in evaluation and treatment. Objectives The symposium is designed to increase competence and provide the most up-to-date, evidence- based review of the management of patients with spinal disorders. At the end of the course, participants should be able to: • Evaluate and manage preoperative and postoperative spinal pain in a cost-effective manner based on best available evidence o Pain management in the treatment of spinal disease o Pharmacological management of spinal pain o Role of neuromodulation in the treatment of refractory pain • Identify best candidates for conservative management of various spinal disease, review of available treatment options including procedural based, and short- and long-term outcomes of these therapies using an evidence-based approach o Cervical intralaminar versus transforaminal steroid injections o Ablative techniques in the treatment of spinal disease o Risk reduction in interventional spine procedures o Role of acupuncture in patients with cervical and lumbar spine conditions o Common sport injuries of the cervical and lumbar spine o Benefits of physical therapy o Clinical approach to patients with hip pain o Radiofrequency ablation for facet joint pain o Spine injection techniques (fluoro/ultrasound hybrid) o Treatment and work-up for SI joint ablation • Discuss treatment of spinal disorder with a focus on health care economic, delivery of care, patient education, physician education and case review, and methods to improve outcomes, value and quality o Social media and the impact on spine education o Virtual global spine conference platform o Evidence in guiding informed choice in spine surgery o Role of PROs in improving the quality of spine care o Improving surgical spine outcomes by optimizing patients, surgeons, and hospitals o Health economics and spine surgery o Evidence-based, non-surgical spine care • Develop a systematic and reliable approach for evaluating patients with degenerative and complex spinal diseases and deformities and formulate a non-operative or surgical treatment strategy o Adolescent idiopathic scoliosis o Thoracic disc disease o When to say no to surgery o Sagittal spino-pelvic alignment: From theory to clinical application o Combined presentation: Sagittal spino-pelvic alignment: from theory to clinical application o Localizing cervical radiculopathy symptoms: What few spine specialists know o Use of AI in spine surgery planning • Discuss the impact on current and future spinal care of innovative spine procedural treatments and surgical techniques. o Kyphoplasty/vertebroplasty: Patient evaluation, imaging, indications, literature review, and case examples o Update on cervical arthroplasty o Regenerative treatments for discogenic low back pain o Minimally invasive algorithms to treat spinal deformity surgery o Growth modulation techniques in early onset scoliosis: Current state of the art vs. case discussion o Endoscopic transforaminal Interbody fusion: Description of technique, pearls, and pitfalls • Provide an evidence-based approach in strategies for preoperative optimization of co- morbidities o Intraoperative optimization in high-risk patients undergoing spine surgery o Preoperative optimization in high-risk patients undergoing spine surgery Agenda Saturday, May 22, 8:00 a.m.—2:45 p.m., EDT 8:00 a.m. Welcome and Introductions - Course Directors Common Sports Injuries of the Cervical and Lumbar Spine 8:05 William Richardson, MD Role of Neuromodulation in the Treatment of Refractory Pain 8:25 Nandan Lad, MD, PhD Intraoperative Optimization in High-Risk Patients Undergoing Spine Surgery 8:45 Erin Manning, MD Preoperative Optimization in High-Risk Patients Undergoing Spine Surgery 9:05 Jeanna Blitz, MD Clinical Approach to Patients with Hip Pain 9:25 Gabe Smith, MD Localizing Cervical Radiculopathy Symptoms, What Few Spine Specialists Know 9:45 Daniel Riew, MD Pharmacological Management in the Treatment of Spinal Disease 10:05 Cain Dimon, MD When to Say No to Surgery 10:25 Christopher Shaffrey, MD Using AI to Improve Surgical Spine Outcomes by Optimizing Patients, Surgeons, 10:45 and Hospitals Ghaith Habboub, MD 11:05 BREAK Role of PROs in Improving the Quality of Spine Care 11:45 Shay Bess, MD Evidence in Guiding Informed Choice in Spine Surgery 12:05 Sigurd Berven, MD Health Economics and Spine Surgery 12:25 Richard Hostin, MD Sagittal Spino-Pelvic Alignment: From Theory to Clinical Application 12:45 Frank Schwab, MD and Virginie Lafage, PhD Stand Up and Sit Down in a Hurry 1:05 Robert Gaines, MD 1:25 BREAK 1:45 Kyphoplasty/Vertebroplasty: Patient Evaluation, Imaging, Indications, Literature Review, and Case Examples Alan Sag, MD 2:05 Minimally Invasive Spinal Deformity Surgery Algorithm Praveen Mummaneni, MD 2:25 Regenerative Treatments for Discogenic Low Back Pain David Levi, MD 2:45 Closing Remarks Course Directors Sunday, May 23, 8:00 a.m. — 1:25 p.m. 8:00 a.m. Welcome and Introductions - Course Directors 8:05 Social Media and the Impact on Spine Education Khoi Than, MD 8:25 Virtual Global Spine Conference Platform Ali Baaj, MD 8:45 Evidence-Based, Non-Surgical Spine Care DJ Kennedy, MD 9:05 Specialties within Physical Therapy Michael Schmidt, DPT 9:25 Role of Acupuncture in Patients with Cervical and Lumbar Spine Conditions Carolyn Keeler, DO 9:45 Risk Reduction in Interventional Spine Procedures Michael Guo, MD 10:05 Treatment and Work Up for SI Joint Ablation Alison Stout, DO 10:25 Radiofrequency Ablation for Facet Joint Pain or Ablative Techniques in the Treatment of Spinal Disease Kevin Vorenkamp, MD 10:45 Fluoroscopic/Ultrasound Hybrid Techniques in Spine Care Michael Furman, MD 11:05 Cervical Intralaminar vs. Transforaminal Steroid Injections Timothy Amrhein, MD 11:25 BREAK 11:45 Update on Cervical Arthroplasty Regis Haid, MD 12:05 Thoracic Disc Disease Sergio Mendoza, MD 12:25 Minimally Invasive Techniques to Correct Adult Spinal Deformity Gregory Mundis, MD 12:45 Prone Transpsoas Surgery - Early Experience Muhammad Abd-El-Barr, MD, PhD 1:05 Anterior Vertebral Body Tethering: Are We Ahead of the Curve? Robert Lark, MD 1:25 Endoscopic Transforaminal Interbody Fusion: Description of Technique, Pearls, and Pitfalls Michael Wang, MD 1:45 pm Closing Remarks Course Directors Guest Presenters Ali Baaj, MD Chief of Spine Surgery Associate Professor of Neurological and Orthopedic Surgery University of Arizona | Banner – University Medical Center Sig Berven, MD Professor in Residence Chief, Spine Service Department of Orthopedic Surgery University of California, San Francisco Shay Bess, MD Director of Surgical Quality and Resource Utilization Denver International Spine Center at HealthONE’s Presbyterian/St. Luke’s Medical Center Founder and President of the International Spine Study Group (ISSG) Michael Furman, MD, MS Physical Medicine and Rehabilitation OSS Health Robert Gaines, MD Emeritus Professor of Orthopaedic Surgery University of Missouri School of Medicine Ghaith Habboub, MD Neurosurgeon Cleveland Clinic Richard Hostin, MD Physician and Owner, Southwest Scoliosis Institute Medical Director of Pediatric Spine and Scoliosis, Medical City Children’s Hospital Medical Director, Medical City Scoliosis & Advanced Spine Center DJ Kennedy, MD Professor and Chair Department of Physical Medicine and Rehabilitation Vanderbilt Center for Musculoskeletal Research Virginie Lafage, PhD Senior Director, Spine Research Hospital for Special Surgery Department of Orthopaedic Surgery David Levi, MD Physical Medicine & Rehabilitation Jordan-Young Institute Praveen Mummaneni, MD Professor and Vice Chair, UCSF Department of Neurosurgery Director of the Cervical Spine Program Director of the Minimally Invasive Spine Program Director of Minimally Invasive and Complex Spine Fellowship Program Co-Director of the UCSF Spine Center Gregory M. Mundis Jr., MD Pediatric and Adult Spinal Deformity Surgery Co-Director, San Diego Spine Fellowship Scripps Clinic Division of Orthopedic Surgery Daniel Riew, MD Professor of Orthopedic Surgery, Columbia University Co-Chief, Spine Division, Director of Cervical Spine Surgery Co-Director, Columbia Spine Fellowship Frank Schwab, MD Chief Emeritus, Spine, Hospital for Special Surgery Attending Orthopedic Surgeon, Hospital for Special Surgery Professor of Orthopedic Surgery, Weill Cornell Medical College Attending Orthopedic Surgeon, New York-Presbyterian Hospital Alison Stout, DO Physical Medicine & Rehabilitation, Sports Medicine Evergreen Health Sport & Spine Care Michael Y. Wang, MD, FACS Professor, Neurological Surgery & Rehab Medicine Spine Fellowship Director Chief of Neurosurgery, University of Miami Hospital University of Miami Miller School of Medicine Duke Presenters Muhammad Abd-El-Barr, MD, Sergio Mendoza, MD PhD Associate Professor of Assistant Professor of Orthopaedic Surgery Neurosurgery Timothy Amrhein, MD William Richardson, MD Associate Professor of Professor of Orthopaedic Radiology Surgery Jeanna Blitz, MD Alan Sag, MD Associate Professor of Assistant Professor of Anesthesiology Radiology Cain Dimon, MD Michael Schmidt, DPT Assistant Professor of Clinical Services Coordinator, Anesthesiology Rehabilitation Michael Guo, MD Chris Shaffrey, MD Associate Professor of Chief, Spine Division Orthopaedic Surgery Professor of Neurosurgery Professor of Orthopaedic Surgery Carolyn Keeler, DO Gabe Smith, MD Assistant Professor of Assistant Professor of Neurosurgery Neurosurgery Nandan Lad, MD, PhD Khoi Than, MD Professor of Neurosurgery Associate Professor of Neurosurgery Robert Lark, MD Kevin Vorenkamp, MD Associate Professor of Associate Professor of Orthopaedic Surgery Anesthesiology Erin Manning, MD Assistant Professor of Anesthesiology .