< PreviousScientific Program AnnualForum’19 10ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | FRIDAY, NOVEMBER 1, CONTINUED SESSION 4 | Robotics—Fact, Fiction, Future Juniper Ballroom MODERATORS: S. Ryu, MD & G. Anderson, MD 3:50“I Don’t Use a Robot. Remind Me Again—Why Should I?” A. CANNESTRA, MD 3:57 “I Want to Use a Robot. How Can I Avoid a Learning Curve that Makes My First Cases Take Twice as Long as Usual?” J. TURNER, MD 4:04“I Use a Robot. What’s Been Good; What’s Been Challenging” I. LIEBERMAN, MD 4:11What’s the Future? K. HUNTSMAN, MD 4:18Radiation Safety with Robotics and Navigation L. TUMIALÀN, MD 4:25Q&A SESSION 5 | Technology Updates (Non-CME) Juniper Ballroom 4:47 Tech Update: How Viper Prime Changed My Practice M. Wang, MD Presented by: DePuy Synthes 4:53 Tech Update: P-15 Peptide Enhanced Bone Graft—A Powerful Bone Graft Material with a Unique Mechanism of Action M. Janssen, DO Presented by: Cerapedics 4:59 Tech Update: Stop Fighting the Tube—Expanded Access, Better Visibility and Improved Instrument Control through an MIS Portal A. Lewis, MD Presented by: SpineCraft 5:05 Tech Update: Tech Update: 5-year Clinical Experience with Fibergraft—A Bioactive Bone Graft C. Angeles, MD Presented by: Prosidyan 5:11 Tech Update: Revolutionizing Single Position Lateral Surgery J. Hyde, MD Presented by: Spinal Simplicity 5:17 Tech Update: Cohere Porous PEEK Technology F. Phillips, MD Presented by: NuVasive 5:23Q&A 5:30Adjourn 5:30–6:30Welcome Reception in Exhibit HallScientific Program AnnualForum’19 11ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2 7:45 amRegistration Pinyon Ballroom Registration Desk 8:20Breakfast Pinyon Foyer & Pinyon Room 6 SESSION 6 | Part 1: Global Alignment and MIS Juniper Ballroom MODERATORS: K. Singh, MD & P. Park, MD 8:50Welcome K. SINGH, MD 8:55Sagittal Parameters: Where We Started and Where We are Now P. DERMAN, MD 9:02Under Correction in Some Patients is the Right Thing to Do P. PARK, MD 9:09 The Impact of Patient Co-Morbidities, the Fragility Index, and Osteoporosis on Decision-making for Surgical Deformity Correction S. IYER, MD 9:16Q&A Point/Counterpoint 9:22Open Correction for Adult Deformity Remains the Gold Standard S. BERVEN, MD 9:27MIS Correction for Adult Deformity is the New Gold Standard G. MUNDIS, MD 9:32Q&A 9:39Expert in the Hotseat Case Presentation Pre-op How Much Would You Correct? What Outcome Will You Get? Case Outcome INTERVIEWER: K. SINGH, MD EXPERT: G. MUNDIS, JR., MD SESSION 6 | Part 2: Complications Juniper Ballroom MODERATORS: K. Singh, MD & S. Iyer, MD 9:49Are We as Surgeons to Blame for Part of the Opioid Crisis? G. LOPEZ, MD 9:56 Are Marketing Forces and Financial Reimbursement Driving MIS Decision Making? P. DERMAN, MD Case Complications 10:10Case Example: MIS Complication and What I Learned L. KHOO, MD 10:15Case Example: MIS Complication and What I Learned N. ANAND, MD 10:20Q&A 10:25SMISS Presentations SESSION 7 | Technology Updates (Non-CME) Juniper Ballroom 10:30 Tech Update: HA PEEK—Fusion Augmenting Interbody Cage Technology C. Hofstetter, MD, PhD Presented by: Innovasis 10:36 Tech Update: Forza XP: Graft Volume Optimization Matters in Expandable Interbody Technologies J. Ryaby, PhD Presented by: OrthofixScientific Program AnnualForum’19 12ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2, CONTINUED 10:42 Tech Update 2: Clinical applications of Trinity ELITE: Allograft with Viable Cells J. Ryaby, PhD Presented by: Orthofix 10:48 Tech Update: MagnetOs: The Importance of Osteoimmunology J. de Bruijn, CEO Presented by: Kuros Bioscience 10:54Q&A 11:00Refreshment Break & Exhibit ViewingExhibit Hall 11:30 am–1:00 pm Concurrent Session Options 8A: Deformity & Cervical Free PapersPinyon Rooms 7–8 8B: Lateral, Biologics & Healthcare Economics Free PapersJuniper Ballroom 8C: Young Surgeons’ Free PapersPinyon Rooms 2–3 CONCURRENT SESSION 8A | Deformity & Cervical Free Papers Pinyon Rooms 7–8 MODERATORS: Y. Kotani, MD & J. Turner, MD 11:30 Paper #47: Reoperation and Complication Rates After Strategic Circumferential Minimally Invasive Surgical (CMIS) Correction of Adult Spinal Deformities (ASD)—A 7-year Study Neel Anand, MD; Babak Khandehroo, MD; Sheila Kahwaty, PA-C; and Edward Nomoto, MD 11:34 Paper #48: Revision Surgery Rates in Patients Undergoing Minimally Invasive Adult Spinal Deformity Surgery: Is There a Correlation with Roussouly Spine Type? Dean Chou; Pierce Nunley; Robert Eastlack; Juan Uribe; Richard Fessler; Khoi Than; Paul Park; Kai-Ming Fu; Michael Wang; Adam Kanter; David Okonkwo; Neel Anand; Gregory Mundis; and Praveen Mummaneni 11:38 Paper #49: Are the New Strategic Circumferential Minimally Invasive Surgical (CMIS) Techniques a Safe and Effective Approach for Correction of Adults Spinal Deformity (ASD) in Elderly Patients? Neel Anand, MD; Edward Nomoto, MD; Babak Khandehroo, MD; and Sheila Kahwaty, PA-C 11:42 Paper #50: The Minimally Invasive Interbody Selection Algorithm for Spinal Deformity Praveen Mummaneni, MD; Christopher Shaffrey, MD; Robert Eastlack, MD; Juan Uribe, MD; Richard Fessler, MD; Leslie Robinson, MD; Joshua Rivera; Dean Chou, MD; Kai-Ming Fu, MD; Adam Kanter, MD; David Okonkwo, MD; Pierce Nunley, MD; and Khoi Than, MD 11:46Discussion 11:54 Paper #51: A Prospective Analysis of Minimally Invasive Surgery for Adult Spinal Deformity: A Multicenter Study Gregory Mundis Jr., MD; Paul Park, MD; Robert Eastlack, MD; Juan Uribe, MD; Stacie Tran; Kenyu Ito, MD; Pierce Nunley, MD; Michael Wang, MD; Richard Fessler, MD, PhD; Neel Anand, MD; Adam Kanter, MD; David Okonkwo, MD; and Christopher Shaffrey, MD 11:58 Paper #52: Treatment of Adult Scoliosis Fractional Curve with Minimally Invasive Surgery: Anterior versus Posterior Approach? Robert Eastlack, MD; Dean Chou, MD; Juan Uribe, MD; Richard Fessler, MD; Khoi Than, MD; Stacie Tran; Paul Park, MD; Kai-Ming Fu, MD; Michael Wang, MD; Adam Kanter, MD; David Okonkwo, MD; Pierce Nunley, MD; Neel Anand, MD; Gregory Mundis, MD; Praveen Mummaneni, MD; and International Spine Study GroupScientific Program AnnualForum’19 13ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2, CONTINUED 12:02 pm Paper #53: Does ACR Result in Greater Morbidity than LLIF Alone When Treating Adult Spinal Deformity? Robert Eastlack, MD; Juan Uribe, MD; Richard Fessler, MD, PhD; Khoi Than, MD; Stacie Tran; Dean Chou, MD; Paul Park, MD; Kai-Ming Fu, MD; Michael Wang, MD; Adam Kanter, MD; David Okonkwo, MD; Pierce Nunley, MD; Neel Anand, MD; Praveen Mummaneni, MD; Gregory Mundis Jr., MD; and International Spine Study Group 12:06 Paper #54: Coronal Balance In Degenerative Scoliosis Treated With Minimally Invasive Spinal Deformity Surgery: Are We Leaning In The Right Direction? Corey Walker, MD; Jakub Godzik, MD; Ifije Ohiorhenuan, MD, PhD; Clinton Morgan, MD; Jay Turner, MD, PhD; and Juan Uribe, MD 12:10Discussion 12:18 Paper #55: Radiographic and Surgical Outcome Analysis of Lenke 1A Adolescent Idiopathic Scoliosis (AIS) Correction: Open vs. Minimally Invasive Matthew Geck, MD; Devender Singh, PhD; Eeric Truumees, MD; and John Stokes, MD 12:22 Paper #56: Minimally Invasive Surgical Technique (MIST) for Treatment of Cervical Spondylolytic Myelopathy and Radiculopathy Reginald Knight, MD; Frank Barber, PA-C; ScottGrainger, BSRN; Melissa Scribani, PhD; and Nicole Krupa, MS 12:26 Paper #57: Therapeutic Comparison of Endoscopic Spine Surgery versus Anterior Cervical Decompression and Fusion for Cervical Spondylotic Myelopathy Xifeng Zhang, Dr 12:30 Paper #58: Can Multilevel Standalone Cervical Fusion Replace Multilevel Plating in Outpatient Setting Fabio Pencle and Kingsley Chin, MD 12:34Discussion 12:42 Paper #59: Does Improved Radiographic Alignment Truly Enhance Dynamic Functional Balance? Ram Haddas, PhD; Damon Mar, PhD; and Isador Lieberman, MD 12:46 Paper #60: The Effect of Duration of Symptoms on Clinical Outcomes Following Anterior Cervical Discectomy and Fusion James M. Parrish, MPH; Nathaniel W. Jenkins, MS; Thomas Brundage, BS; Nadia Hrynewycz, BS; Joon Yoo, BA; and Kern Singh, MD 12:50 Paper #61: Outcomes and Predictors of Failure to Improve Following Unilateral Laminotomy with Bilateral Decompression Michael Schallmo, BS; Ziyad Knio, BS; Wesley Hsu, MD; Benjamin Corona, PhD; Justin Lackey, BS; Alejandro Marquez-Lara, MD; T. David Luo, MD; Suman Medda, MD; Bradley Wham, MD; Tadhg O'Gara, MD 12:54Discussion 1:00Lunch & Last Chance for Exhibit ViewingExhibit Hall CONCURRENT SESSION 8B | Lateral, Biologics & Healthcare Economics Free Papers Juniper Ballroom MODERATORS: J. Roh, MD & A. Kanter, MD 11:30 Paper #62: Lateral Access Window for ALIF at L5-S1: Anatomical Measurements to Aid Safety and Feasibility Brian Kwon, MDScientific Program AnnualForum’19 14ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2, CONTINUED 11:34 Paper #63: Comparative Effectiveness of Adjustable Lordotic Expandable versus Static Lateral Lumbar Interbody Fusion Devices: Two Year Clinical and Radiographic Outcomes Yan Michael Li, MD; Richard Frisch, MD; Zheng Huang, MD, PhD; James Towner, MD; Yan Icy Li, PhD; Jessica Riggleman, BS; and Charles Ledonio 11:38 Paper #64: Laterally Placed Expandable Interbody Spacers Improve Radiographic and Clinical Outcomes: A Two-year Follow-up Study Yan Michael, MD, PhD; Zheng Huang, MD, PhD; James Towner, MD; Yan Icy Li, PhD; Samantha Greeley, BS; and Charles Ledonio, MD, CCRP 11:42 Paper #65: Determinants of Indirect Decompression in Lateral Lumbar Interbody Fusion David Xu, MD; Jakob Godzik, MD; Corey Walker, MD; Joshua Wewel, MD; Nikolay Martirosyan, MD; James Zhou, MD; Jay Turner, MD, PhD; and Juan Uribe, MD 11:46Discussion 11:54 Paper #66: The Role of Osteobiologics in Posterior Spinal Fusion Surgery: Does a Cellular Based Allograft Perform as Well as Autograft Donald Kucharzyk, DO and Dushan Budimir, BS 11:58 Paper #67: Titanium Implants Manufactured with Proprietary 3D-printing Build Themes Contain Surface Features that Increase Biologic Activity Xiaoxan Xin; Kris Radcliff, MD; and David Rowe, MD 12:02 pm Paper #68: Cost-effectiveness of Microdiscectomy versus Endoscopic Discectomy for Lumbar Disc Herniation Jin-Sung Kim, MD, PhD; Kyung Chul Choi, MD, PhD; and Choon Keun Park, MD, PhD 12:06 Paper #69: Combined Nucleus Pulposus Augmentation and Annulus Fibrosus Repair Prevents Intervertebral Disc Degeneration After Experimental Discectomy Sertac Kirnaz, MD; Christoph Wipplinger, MD; Stephen Sloan; Franziska Schmidt, MD; Antonella Schiavinato; Lawrence Bonassar, PhD; and Roger Härtl, MD 12:10Discussion 12:18 Paper #70: Lost to Follow-up in Minimally Invasive Lumbar Spine Surgery Darren Chen, BA; Avani Vaishnav, MBBS; Catherine Himo Gang; Steven McAnany, MD; Sravisht Iyer, MD; Todd Albert, MD; and Sheeraz Qureshi, MD, MBA 12:22 Best Paper Award Finalist Paper #71: The Economic Impact of Non-reimbursable Events in Open, Minimally Invasive, and Robot Assisted Lumbar Fusion Surgery Avery Brown, MS; Katherine Pierce, BS; Cole Bortz, BS; Haddy Alas, BS; Hamid Hassanzadeh, MD; Lawal Labaran; Dennis Vasquez-Montes, BS; Waleed Ahmad, MS; Sara Naessig, BS; Shaleen Vira, MD; Bassel Diebo, MD; Daniel Sciubba; Pierce Nunley; Shaleen Vira; Paul Park; Michael Gerling, MD; Aaron Buckland, MD; and Peter Passias, MD 12:26 Paper #72: Return to Activities and Discontinuation of Narcotics After Minimally Invasive Lumbar Spine Surgery Jung Kee Mok, BS; Avani Vaishnav, MBBS; Catherine Himo Gang, MPH; Steven McAnany, MD; Sravisht Iyer, MD; Todd Albert, MD; and Sheeraz Qureshi, MD, MBA. Presented by Darren Chen, BA 12:30 Paper #73: MIS in Developing World: An Indigenous Approach to Avoid Economic Burden Viswanadha Arun-Kumar; Viswanadha Bhavya, MS, IDCCM; and J. Naresh Babu, MS, FNBScientific Program AnnualForum’19 15ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2, CONTINUED 12:34Discussion 12:42 Best Paper Award Finalist Paper #74: A Prospective, In-depth Analysis of Perioperative Anterior Thigh Symptoms Associated with a Direct Lateral Access Approach for Lumbar Interbody Fusion Pierce Nunley, MD; Clint Hill, MD; John Malloy, DO; K. Brandon Strenge, MD; and Marcus Stone, PhD 12:46 Paper #75: Comparative Analysis of Vascular Anatomy in OLIF51 Surgery by using MRI and Intraoperative Enhanced CT Hiroyuki Tachi, MD; Yoshihisa Kotani, MD, PhD; Yumejiro Nakamura, MD; and Norimasa Iwasaki, MD, PhD 12:52 Paper #76: Psoas Muscle Mass are Maintained and no Progress of Fatty Degeneration After LLIF Tetsuro Hida, MD; Gregory Mundis Jr., MD; and Robert Eastlack, MD 1:00Lunch & Last Chance for Exhibit ViewingExhibit Hall CONCURRENT SESSION 8C | Young Surgeon Free Papers Pinyon Rooms 2–3 MODERATORS: J. Uribe, MD & L. Pimenta, MD 11:30 Paper #77: The Effect of Surgical Decompression and Fusion on Balance in Patients with Degenerative Lumbar Spondylolisthesis Ram Haddas, PhD; Peter Derman, MD; John Burleson, MD; Andrew Block, PhD; and Isador Lieberman, MD 11:33 Paper #78: Rate of Fusion in Minimally Invasive Transforaminal Lumbar Interbody Fusion Chad Campion, MD; Catherine Olinger, MD; Kirk Thompson, MD; and Raymond Gardocki, MD 11:36 Paper #79: Early Failures after Lumbar Discectomy Surgery: An Analysis of Readmissions and Reoperations in 62,690 patients Andre Samuel, MD; Noor Maza, BS; Avani Vaishnav, MBBS; Francis Lovecchio, MD; Catherine Himo Gang, MPH; Sravisht Iyer, MD; Steven McAnany, MD; Todd Albert, MD; and Sheeraz Qureshi, MD, MBA 11:39 Paper #80: Minimally Invasive Decompression without Instrumentation for Lumbar Spondylolisthesis Tanmoy Maiti 11:42Discussion 11:48 Paper #81: Characterization and Rate of Symptomatic Adjacent Segment Disease following Index Extreme Lateral Interbody Fusion: A Single-institution, Multi-surgeon Analysis Timothy Wang, MD; Vikram Mehta, MD, MPH; Eric Sankey, MD; Luis Ramirez, MPH; Christopher Brown, MD; Robert Isaacs, MD; C. Rory Goodwin, MD, PhD; Isaac Karikari, MD; and Muhammad Abd-El-Barr, MD, PhD 11:51 Paper #82: What is the Learning Curve for Endoscopic Microdiscectomy? Kirk Thompson, MD; Catherine Olinger, MD; Chad Campion, MD; and Raymond Gardocki, MD 11:54 Paper #83: Extreme Lateral Lumbar Interbody Fusion in the Management of Adult Degenerative Scoliosis: A Retrospective Study Caterina Fumo; Luca Proietti; Marco Renzi; Andrea Perna; and Francesco Ciro Tamburrelli 11:57 Paper #84: Indirect Decompression for the Treatment of Degenerative Lumbar Stenosis Peter Derman, MD, MBA; Abbey Lauderback; Eamon Kalafchi, BS; and Donna Ohnmeiss, PhD 12:00 pmDiscussionScientific Program AnnualForum’19 16ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2, CONTINUED 12:06 Paper #85: Minimal Clinically Important Difference and Substantial Clinical Benefit using PROMIS CAT in Cervical Spine Surgery Iyer Sravisht, MD; Benjamin Kechen, BS; Daniel Stein, BS; Michael Steinhaus, MD; Karim Shafi, MD; Thomas Ross, RN; Jingyan Yang, PhD; Kern Singh, MD; Todd Albert, MD; Darren Lebl, MD; Russel Huang, MD; Harvinder Sandhu, MD; Bernard Rawlins, MD; Frank Schwab, MD; Virginie Lafage, PhD; and Han Jo Kim, MD 12:09 Paper #86: Does Positioning of Cervical Disc Arthroplasty Implant Affect Postoperative Outcome Yahya Othman; Russel Huang, MD; Philip York, MD; Avani Vaishnav, MBBS; Steven McAnany, MD; Sravisht Iyer, MD; Todd Albert, MD; Catherine Himo Gang, MPH; and Sheeraz Qureshi, MD, MBA 12:12 Paper #87: Does the Neck Pain, Function, or Range of Motion Differ After Anterior Cervical Fusion, Cervical Disc Replacement, and Posterior Cervical Foraminotomy? Seungyoon Lee; Jin-Sung Kim; and Guang-Xun Lin 12:15 Paper #88: Additional Fusion Surgery After Anterior Cervical Discectomy and Fusion versus Posterior Foraminotomy for Cervical Disc Herniation without Myelopathy Andre Samuel, MD; Michael Steinhaus, MD; Hikari Urakawa, MD; Avani Vaishnav, MBBS; Sravisht Iyer, MD; Steven McAnany, MD; Todd Albert, MD; Catherine Himo Gang, MD; and Sheeraz Qureshi 12:18Discussion 12:24 Paper #89: Comparison of Biomechanical Stability and Rod Strain Between Anterior Column Alignment and Pedicle Subtraction Osteotomy Jakub Godzik, MD, MSc; Bernardo de Andrada; Anna Newcomb, BS; Jennifer Lehrman; Randy Hlubek; Gregory Mundis, Jr., MD; Juan Uribe, MD; Brian Kelly, PhD; and Jay Turner 12:27 Paper #90: Assessing Correlation Between Radiographic and Intraoperative Electrophysiological Monitoring Findings Consistent with Nerve Root Encroachment for Adult Spine Patients Undergoing Elective Sacroiliac Fusion E. Lex Hanna, MD; Jacob Braunstein, MD; Jessica Barley, PhD; William Barfield, PhD; and John Glaser, MD 12:30 Paper #91: How Does Minimally Invasive Lumbar Decompression Surgery Impact Lumbar Muscle Health? Sohrab Virk, MD, MBA; Avani Vaishnav, MBBS; Jung Kee Mok, BS; Joshua Wright-Chisem, MD; Catherine Himo Gang, MPH; Sravisht Iyer, MD; Steven McAnany, MD; Todd Albert, MD; and Sheeraz Qureshi 12:33 Paper #92: Electrospun Synthetic Bone Graft Promotes Stem Cell Function and Spinal Fusion Derek Ju, MD; Juliane Glaeser, PhD; Linda Kanim; Dmitry Sheyn; and Hyun Bae, MD 12:36Discussion 12:42 Paper #93: The Incremental Cost of Increasing Surgical Technology in Lumbar Spine Fusion Surgery Peter Passias, MD; Avery Brown; Haddy Alas; Cole Bortz; Katherine Pierce; Hamid Hassanzadeh; Lawal Labaran; Sara Naessig; Waleed Ahmad; Dennis Vasquez-Montes; Bassel Diebo; Daniel Sciubba; Pierce Nunley; Paul Park; Charla Fischer; Shaleen Vira; Themistocles Protopsaltis; Aaron Buckland; and Michael Gerling 12:45 Paper #94: Results of a Pilot Study to Characterize Pre-Operative and Post-Operative Opioid Use in Spine Clinic Patients Yamaan Saadeh, MD; Gic-Owens Fiestan, BS; Jibran Fateh, BS; and Paul Park, MDScientific Program AnnualForum’19 17ANNUAL FORUM ’19 | LAS VEGAS, NEVADA | OCT. 31–NOV. 2, 2019 Program | SATURDAY, NOVEMBER 2, CONTINUED 12:48 Best Paper Award Finalist Paper #95: Intravenous Ketorolac Substantially Reduces Opioid Use Following Lumbar Spinal Fusion: Early Results of a Randomized, Double-blinded, Placebo Controlled Trial Sravisht Iyer, MD; Evangelia Zgonis; Michael Steinhaus, MD; Karim Shafi, MD; Jeffrey Varghese, MD; Daniel Stein, BS; Jingyan Yang; Todd Albert, MD; Frank Schwab, MD; Darren Lebl, MD; Han Jo Kim, MD; Matthew Cunningham, MD, PhD; James Farmer, MD; Frederico Girardi, MD; Russel Huang, MD; Sheeraz Qureshi, MD; Bernard Rawlins, MD; James Beckman, MD; and Harvinder Sandhu, MD 12:51Discussion 12:55 Non-CME Young Surgeon New Technology Lunch Debate: Creating Reproducible Screw Placement with Freehand, Navigation, and Robotics K. Poelstra, MD, PhD & M. Steinmetz, MD Supported by: Stryker Pinyon Rooms 2–3 SESSION 9 | New Technology Juniper Ballroom MODERATORS: K. Singh, MD & I. Lieberman, MD 1:40Augmented vs. Virtual Reality: What’s on the Horizon? J. STEINBERGER, MD 1:48 Predictive Analytics: A Way to Determine Who Should or Shouldn’t Have Surgery? S. KHAN, MD 1:56Trends in New Technology: What’s on the Horizon? J. ROH, MD 2:04Q&A Point/Counterpoint: The Value of Patient Specific Implants 2:14Valuable and Measurably Improves Patient Outcomes I. MOSS, MD 2:19Limited Benefits but Increased Costs S. IYER, MD 2:24Q&A 2:30Best Paper Award & Raffle Drawing SESSION 10 | Moving from Proficient to Expert: Tips for How We Get Better Juniper Ballroom MODERATORS: W. Taylor, MD & J. Wu, MD 2:35Endoscopic Procedures and the Role of Virtual Reality C. HOFSTETTER, MD 2:42Awake MIS Fusions M. WANG, MD 2:49Improving your MIS Decompression Technique R. HÄRTL, MD 2:56Improving your MIS TLIF Technique S. QURESHI, MD 3:03Q&A 3:10Advanced Techniques: Lateral Lumbar Interbody Fusions W. TAYLOR, MD 3:17Tips for Bringing MIS into your Deformity Practice G. MUNDIS, MD 3:24Expanding Your Practice to Include Endoscopic Cervical J. SHEN, MD 3:31Q&A 3:45AdjournNext >