Treatment of Elderly Patients Ith Spinal Disorders
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TREATMENT OF ELDERLY PATIENTS ITH SPINAL DISORDERS JULY -AUGUST , | KAUAI, HI FINAL PROGRAM AND PROCEEDINGS 2 ELCOME TO SPINE ACROSS THE SEA NASS Overall Chair Je rey C. Wang, MD IN KAUAI JSSR President and Overall Chair Toshihiko Taguchi, MD Thank you for attending Spine Across the Sea, a joint meeting of the North American Spine Society (NASS) and Japanese Society JSSR Organizing Committee for Spine Surgery and Related Research (JSSR). Yasuaki Tokuhashi, Vice-President, JSSR Atushi Okawa, Secretary, JSSR The meeting brings together spine specialists to hear research Masashi Yamazaki, MD and discuss topics related to the treatment of elderly patients Mamoru Kawakami, MD with spinal disorders. Examine topics important to your practice, Yoichi Shimada, MD evaluate the latest research and enjoy all Kauai has to o er. 2018 Spine Across the Sea Scientifi c Abstract Reviewers Come to the opening reception on the white sands of Kalapaki NASS thanks these volunteers who spent Beach fronting Nawiliwili Bay where you’ll enjoy beautiful views, numerous hours reviewing abstracts: good conversation, cool beverages and delicious appetizers. Barrett Boody, MD Watch the sunset on Kauai. Russell C. DeMicco, DO Colin M. Haines, MD Days begin early with a hot breakfast and the opportunity to view Hirotaka Haro, MD, PhD instruments and devices in the Technical Exhibition. Podium Kazuhiro Hasegawa, MD, PhD presentations and symposia follow addressing adult spinal Gen Inoue, MD, PhD deformity, MIS fusion, biologics, motion preservation, lumbar Manabu Ito, MD, PhD and cervical spine disorders, and osteoporosis. Takashi Kaito, MD, PhD Ian David Kaye, MD The education ends by 1:30 p.m. so you have time to explore Masao Koda, MD, PhD Kauai and take advantage of the numerous resort activities and Ajit A. Krishnaney, MD picturesque island adventures such as the Garden Isle’s Na Pali Morio Matsumoto, MD Yukihiro Matsuyama, MD, PhD Coast and Kalalau Trail, and hike through Waimea Canyon. Naohisa Miyakoshi, MD, PhD Patrick Morrissey, MD Interact with faculty and colleagues in a casual setting conducive Hideki Nagashima, MD to open discussion. It’s a great opportunity to invigorate your Masaya Nakamura, MD, PhD mind and body. Hiroaki Nakamura, MD, PhD Kotaro Nishida, MD Jason W. Savage, MD, NASS Chair Pierce D. Nunley, MD Hirotaka Haro, MD, JSSR Chair Seiji Ohtori, MD, PhD Gregory D. Schroeder, MD, NASS Co-chair Atsushi Okawa, MD Erik Olsson, MD Sumihisa Orita, MD, PhD R. Douglass Orr, MD, FRCSC Dominic W. Pelle, MD Kris E. Radcli , MD Koichi Sairyo, MD Daisuke Sakai, MD, PhD Jason W. Savage, MD Miho Sekiguchi, MD Patrick A. Sugrue, MD Jun Takahashi, MD, PhD TABLE OF CONTENTS Katsushi Takeshita, MD, PhD Hiroshi Taneichi, MD Meeting Information . 4 Thursday, August 2 . 21 Daisuke Togawa, MD, PhD Meeting-at-a-Glance . 6 Electronic Posters . 25 Robert R. Turner, DPT, MS, OCS Scott Wagner, MD Program Schedule . 8 Author Index . 35 Kevin M. Walsh, MD Sun., July 29/Mon., July 30 . 8 Disclosure Index . 38 Je rey C. Wang, MD Gregory Whitcomb, DC Tuesday, July 31 . 13 Technical Exhibition . 45 Barrett Woods, MD Wednesday, August 1 . 17 Proceedings . 47 Jack E. Zigler, MD 3 MEETING INFORMATION Learning Objectives Continuing Medical Education Credit Upon completion of this meeting, participants will gain This activity has been planned and implemented in strategies to: accordance with the Essentials and Standards of • Promote discussion of new scientifi c developments the Accreditation Council for Continuing Medical and best practices within spine care organizations; Education (ACCME). The North American Spine • Demonstrate the application of current techniques, Society is accredited by the ACCME to provide procedures and research; continuing medical education for physicians and takes • Practice evidence- and value-based medicine relative responsibility for the content, quality and scientifi c to spine care; integrity of this CME activity. • Provide an environment for the exchange of ideas in spine care with experts and peers from around the The North American Spine Society designates this live globe. activity for a maximum of 18.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in About NASS the activity. The North American Spine Society (NASS) is a multidisciplinary organization with approximately The American Medical Association has determined 8,000 members in North America and abroad. that physicians not licensed in the U.S. to participate in The membership consists of orthopedic surgeons, this CME activity are eligible for AMA PRA Category 1 neurosurgeons, physiatrists, other medical/ Credits™. interventional physicians and a liated healthcare professionals involved in spine care. The leading The American Academy of Physician Assistants multidisciplinary organization in the fi eld of spinal (AAPA) accepts Category 1 credit from AOACCME, disorders, NASS’ mission is to foster the delivery of prescribed credit from the American Academy of quality spine care. Family Physicians (AAFP) and AMA PRA Category 1 CME™ credit for the Physician’s Recognition Award from organizations, such as NASS, accredited by the About JSSR ACCME. The Japanese Society for Spine Surgery and Related Research (JSSR) is the largest Japanese organization Each state has di erent requirements for nurses, representing members in the fi eld of spine and spinal physical therapists and other nonphysician providers; cord disorders. JSSR has more than 3,600 members, please contact the credit granting organization for their mainly orthopedic surgeons. They hold an annual requirements. meeting and publish its o cial journal to promote basic research and clinical innovation. For credit that may be acceptable to state medical associations, specialty societies or state boards for medical licensure, please contact those organizations for their requirements. CME Certifi cates Attendees can submit evaluations electronically after the meeting and print CME certifi cates directly from the NASS website at www.spine.org/CME. Contact [email protected] with questions. Forgotten passwords can be requested from the login page by using the email address used to register for the conference. 4 MEETING INFORMATION Session Recordings OnDemand Opening Reception NASS and JSSR members will receive free access The Opening Reception marks the o cial start of to the recordings with a general registration. The Spine Across the Sea on Sunday, July 29, from recording includes abstract presentations, symposia 6:00–7:30 p.m. at Luau Grounds. Enjoy beer, wine and and ePosters. These web-based , fully synchronized appetizers while mingling with friends and colleagues. audio, video and slide presentations are available Please join us. anywhere you can access the Internet. CME credit is available for all content. www.spineacrossthesea.org. SpinePAC at Spine Across the Sea 2nd Annual Meeting content will be posted as it becomes available. Golf Outing All content will be posted no later than two weeks Tuesday, July 31, 2018 after the conference adjourns and will be available 2:30 p.m. indefi nitely. The Ocean Course, Hokuala Resort Hosts Drs. Jason W. Savage, Je C. Wang and David Speaker Information Center A. Wong cordially invite you to the second annual Kauai Court SpinePAC President’s Golf Outing taking place during the meeting. Guests will enjoy a relaxing afternoon at Symposia presenters can upload or amend their one of the world’s "twelve most beautiful courses" – presentations by visiting the Speaker Information MSN Travel. The Ocean Course at the Hokuala Resort, Center in the Kauai Court at least 3 hours prior to a Jack Nicklaus Signature track, features the longest the scheduled session start time. Speakers are continuous strip of oceanfront golf in all of Hawaii. not permitted to use their own laptops for their This is an event you won’t want to miss. All donations presentations. benefi t the NASS political action committee, SpinePAC, our voice in Washington, DC. Podium and ePoster presentations cannot be uploaded or amended on site. No exceptions will be made. Disclaimer Speaker Information Center hours: The material presented at Spine Across the Sea is made Sunday, July 29 2:00 - 6:00 p.m. available by the North American Spine Society and Japanese Monday, July 30 6:30 a.m. – 1:00 p.m. Society for Spine Surgery and Related Research for educational Tuesday, July 31 6:30 a.m. – 1:00 p.m. purposes only. The material is not intended to represent the Wednesday, August 1 6:30 a.m. – 1:00 p.m. only, nor necessarily the best, method or procedure appropriate for the medical situations discussed; rather, it is intended to Thursday, August 2 6:30 a.m. – 1:00 p.m. present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations. Technical Exhibition NASS disclaims any and all liability for injury or other damages Halele'a to any individual attending the meeting and for all claims which may arise out of the use of the techniques demonstrated therein Experience fi rst-hand technology, products and by such individuals, whether these claims shall be asserted by services from vendors who can help you manage your physicians or any other person. professional goals and strategic objectives. On occasion, changes in program content or faculty may occur. Technical Exhibition hours: This Final Program contains the current program, faculty and Monday, July 30 6:30–11:30 a.m. presenters information available. Any further changes will be announced at the beginning of the session. Tuesday, July 31 6:30 a.m.–12:30 p.m. Wednesday, August 1 6:30–9:30 a.m. 5 MEETING-AT-A-GLANCE SUNDAY, JULY TUESDAY, JULY 2:00-6:00 p.m. Registration 6:30-8:00 a.m. Hot Breakfast Speaker Information Center Halele'a Kauai Court 6:30 a.m.-12:30 p.m. Technical Exhibition 6:00-7:30 p.m.