JOINTLY PROVIDED BY: GREGORY MUNDIS, JR., MD JUSTIN SMITH, MD, PHD RICK SASSO, MD PROGRAM DIRECTORS VAIL COLORADO 2023 JANUARY 13–16 2023 GRAND HYATT VAIL 33 YEARS AT THE TOP NEW HIGHLIGHTS EVERY YEARPROGRAM DIRECTORS Gregory Mundis, MD Scripps Clinic Medical Group La Jolla, CA Rick Sasso, MD Indiana Spine Group Carmel, IN Justin Smith, MD, PhD University of Virginia Charlottesville, VA Todd J. Albert, MD Hospital for Special Surgery New York, NY Hyun Bae, MD The Spine Institute Center for Spinal Restoration Santa Monica, CA Sigurd Berven, MD University of California, San Francisco San Francisco, CA Michael Fehlings, MD, PhD University of Toronto Toronto, Canada Kevin Foley, MD Semmes-Murphy Memphis, TN Regis Haid, MD Atlanta Brain and Spine Atlanta, GA Han Jo Kim, MD Hospital for Special Surgery New York, NY Frank Phillips, MD Rush University Medical Center Chicago, IL Sheeraz Qureshi, MD, MBA Hospital for Special Surgery New York, NY Christopher Shaffrey, MD Duke University Medical Center Durham, NC Vincent Traynelis, MD Rush University Medical Center Chicago, IL Juan Uribe, MD Barrow Neurosurgical Institute Phoenix, AZ Alex Vaccaro, MD, PhD, MBA Rothman Orthopaedic Institute Philadelphia, PA Randal Betz, MD Brandon Carlson, MD Terrence Kim, MD Michael McCarthy, MD Edward Nomoto, MD Juan Pablo Sardi, MD INVITED FACULTYCASE DISCUSSION FACULTY Dear Colleagues: Year after year, participants tell us that Spine: Base to Summit is one of the best, even the best program they attend. But, even after 33 years, the meeting strives to get better. Please take 2-minutes to review the program. It includes lively discussions in a casual atmosphere covering adult deformity, degenerative, trauma and tumor, MIS and open surgical procedures. We hope you’ll join us! Gregory Mundis, MD | Rick Sasso, MD | Justin Smith, MD, PhD PROGRAM DIRECTORS REGISTER EARLY The course and hotel will fill very rapidly!COURSE OBJECTIVES • Describe the rationale, techniques, and relative merits of various MIS and open surgical procedures for managing lumbar and cervical degenerative, adult deformity, trauma, and tumor cases. • Discuss ways to avoid and / or manage spinal surgery complications. After completing this activity, participants should be better able to: YOUNG SURGEONS GRANT Senior residents, fellows and surgeons who have been in practice for 3 or less years, are invited to apply for a Young Surgeon Grant. Up to 8 surgeons will be selected and will each receive complimentary registration to the meeting and a grant of $750. Application: Submit a copy of your CV to: cbessette@broad-water.com Requirements: To receive complimentary registration and the $750, surgeons who receive this grant will be required to attend the Friday and Saturday afternoon sessions in their entirety, and to participate in a Young Surgeons dinner sponsored by a medical company. SPECIAL GRANT OPPORTUNITIES QUESTIONS Christina Bessette | Email: cbessette@broad-water.com Phone: (630) 681-1040 ext. 305 REGISTER EARLY This course will sell out! “Excellent format and location” —PAST PARTICIPANT January 13–16, 2023 | Grand Hyatt Vail, Vail, CO 3FRIDAY, JANUARY 13 4:15 pm Welcome SESSION 1 (Part 1) | Case Discussions from Base to Summit Lumbar Case #1: We see this every day, but we can’t agree on what to do: Grade 1 spondylolisthesis L4-5 with stenosis and leg pain only in healthy 60 y/o female Case #2: I’m glad we don’t see this every day. Any idea what we should do? Metastatic sacral tumor in otherwise healthy 55 y/o male Cervical Case #3: We see this every day, but we can’t agree on what to do: Focal disc herniation C6-7 in young adult causing unilateral C7 radiculopathy Case #4: I’m glad we don’t see this every day. Any idea what we should do? C6 radiculopathy 1-year after cervical artificial disc replacement in young adult with lethargy, arthralgia, diffuse skin rash throughout body and allergy to cobalt and chromium Deformity Case #5: We see this every day, but we can’t agree on what to do: Lumbar degenerative scoliosis with back and leg pain Case #6: I’m glad we don’t see this every day. Any idea what we should do? Cervical hemivertebra with scoliosis, neck pain, and myelopathy (and a very dominant vertebral artery) SESSION 1 (Part 2) | The View from the Executive Offices Special Panel: The View from the Executive Offices: Where’s the field of spine surgery heading? 6:20 pm Adjourn—Welcome Reception SATURDAY, JANUARY 14 7:00 am Welcome SESSION 2 (Part 1) | Mild to Moderate Degenerative TL/L Deformity • How I decide when I can get away with short-segment fusion for mild to moderate degenerative TL/L degenerative scoliosis • Current evidence for strategies to minimize risk of needing revision surgery for adult deformity Case Discussions: Good Day, Bad Day in the OR Case #1: Bad day. Despite meticulously planning the alignment using the latest software, the achieved alignment and outcome were suboptimal—what went wrong? Case #2: Really bad day. I wish I had treated this patient’s spinal pathology as a deformity rather than “simple” degenerative disease Case #3: Good day. This deformity case turned out so well, it reminds me why I chose to become a spine surgeon: Adult idiopathic scoliosis without fusion treatment. 7-year follow-up Debate 30-degree degenerative lumbar scoliosis with mild sagittal imbalance Modern MIS techniques should be the standard of care for most cases: lower complications, faster recovery, better outcomes vs. MIS is great for marketing, but traditional techniques remain the most effective approach for most cases Case Confessional This is the deformity case I wish the Program Chairs had not asked me to present SESSION 2 (Part 2) | New Technology Debate: Patient Specific Surgery We’ve gone too far. Custom implants are industry driven vs. Personalized medicine is the future of spine surgery Debate: Surgical Planning Of course, there’s value in planning the majority of degenerative cases. It results in better outcomes vs. Planning has gone too far. For the majority of cases, it’s not needed PROGRAM 4 SPINE: BASE to SUMMITSESSION 3 | Cervical Myelopathy • Intrinsic spinal cord changes in cervical spondylotic myelopathy. What’s the cause? • Mild myelopathy. Should we operate? Case Discussions: Good Day, Bad Day in the OR Case #1: Bad day. OPLL with myelopathy. I wish I didn’t do a laminoplasty Case #2: Really bad day. CSM-laminoplasty resulting in progressive kyphosis Debate: Three and Four Level ACDFs No problem as stand-alone vs. This should be backed up with posterior instrumentation 10:15 Adjourn 4:15 pm Welcome SESSION 4 (Part 1) | Case Discussions & Tech Updates Lumbar and Sacro-Pelvic Case #1: Dysplastic spondylolisthesis Case #2: Revision lumbar disc replacement surgery Tech Update #1 Tech Update #2 Case #3: This seemed to be an uneventful lumbar fusion, but the patient is still complaining of leg pain. Imaging and the neuro workup are all negative. Now what? SESSION 4 (Part 2) | Case Discussions & Tech Updates Lumbar and Sacro-Pelvic Case #4: Broken drill bit in S2AI screw with bit in the pelvis Tech Update #3 Tech Update #4 Case #5: For this case, should I fuse the SI joint? Case #6: Complicated sacral insufficiency fracture following a short-segment lumbosacral fusion 6:15 pm Adjourn SUNDAY, JANUARY 15 7:00 am Welcome SESSION 5 (Part 1) | Cervical Arthroplasty • Asymptomatic osteolysis is a big deal • Asymptomatic osteolysis. Who cares? Case Discussions: Good Day, Bad Day in the OR Case #1: Bad day. I wish I did an ACDF instead of arthroplasty Case #2: Really bad day. I wish I did anything other than an arthroplasty Case #3: Good day. I’m glad I did an artificial disc Debate: Hybrid: Arthroplasty and ACDF For this type of case, it’s a great operation vs. Hybrid: makes NO sense. Just make up your mind Case Confessional Maybe I’ll blame my fellow for this case SESSION 5 (Part 2) | New Technology—MIS • When does MIS Deformity create bigger problems? • At what point is MIS simply too cumbersome? Technology over logic SESSION 6 | Lumbar Degenerative • Restoring segmental lordosis is critical with short-segment fusion in the lower lumbar spine • Short-segment kyphosis doesn’t matter as the adjacent segments will compensate Case Discussions: Good Day, Bad Day in the OR Case #1: Bad day. I wish I’d done an open TLIF with bilateral facet resection instead of an MIS TLIF Case #2: Good day. I’m glad I did an MIS TLIF on this case, and here’s why Debate: MIS TLIF for Grade II L5-S1 Degenerative Spondylolisthesis with Disc Space Collapse Not a good idea. It’s just a setup for adjacent segment disease and the foundation for a flatback vs. It’s a great operation and has fewer complications and faster recovery 10:15 Adjourn January 13–16, 2023 | Grand Hyatt Vail, Vail, CO 5 PROGRAMSUNDAY, JANUARY 15, CONTINUED 4:15 pm Welcome SESSION 7 (Part 1) | Case Discussions & Tech Updates Cervical and Trauma Case #1: Geriatric Odontoid Fracture Case #2: Hangman Fracture Non-CME Tech Updates Case #3: Unilateral facet dislocation with incomplete SCI: Treatment algorithm-MRI? SESSION 7 (Part 2) | Case Discussions & Tech Updates Cervical and Trauma Case #4: C1 Burst fracture with TAL rupture Tech Update #7 Tech Update #8 Case #5: Extension distraction injury in patient with AS Case #6: Cervico-thoracic complex deformity—T2 osteotomy? 6:15 pm Adjourn MONDAY, JANUARY 16 7:00 am Welcome SESSION 8 (Part 1) | New Technology and the Role of Data Case Confessional Darn, this case went south on me… Visualization for Surgery • The eyes of a robot are far superior to the human eye. Why we should all consider • Augmented reality will bridge the gap between human and machine Data—How We Can Use It, and How We Can Get Abused by It • What every spine surgeon should know about the data that is available from insurance companies and administration • How we can we use data to drive the conversation with insurance carriers & hospital administrations • Surgeon initiated clinical studies are a way that insurance companies keep us busy while they rewrite the narrative about the delivery of care, i.e. It takes us 4-5 years to collect, analyze and publish clinical research, while it takes a week for them to run the data on their providers! • The role of surgeon leadership to win the data game. PROGRAM 6 SPINE: BASE to SUMMITMONDAY, JANUARY 16, CONTINUED SESSION 8 (Part 2) | Lumbar Disc Herniation • Current state of disc regeneration. Coming soon or science fiction? • How much is enough for a herniated lumbar disc? After decades of experience, here is my approach to deciding how aggressive of a discectomy to perform Debate: L4-5 intraforaminal disc herniation with radiculopathy and motor weakness This needs a facetectomy and fusion vs. I can get this decompressed enough with an MIS tubular approach vs. No need to fuse and put away your tubes! Full-endoscopic surgery will get the job done. SESSION 8 (Part 3) | Cases That’ll Get You Talking. “Have You Ever Seen This?!” Cases #1–6 10:00 Adjourn January 13–16, 2023 | Grand Hyatt Vail, Vail, CO 7 PROGRAM “I keep coming back. Excellent meeting.” —PAST PARTICIPANTHOTEL GRAND HYATT VAIL Situated at the base of Vail Mountain along the banks of picturesque Gore Creek, The Grand Hyatt Vail is a deluxe resort in the heart of the Rocky Mountains. The Grand Vail Hyatt’s on-property chairlift provides Vail’s only true ski-in/ ski-out luxury resort, with onsite rentals and ticket office, aided by a world-class ski concierge. Luxuriously appointed guest rooms feature contemporary décor and offer a lovely respite from time well spent in the mountains. ROOM RATE $429 plus $38 resort fee and taxes per night for a standard category room. Superior category rooms are 350 square feet and sleep up to 4 people. The hotel does have a limited number of suites for an additional fee per night. RESERVATION PROCEDURE Click here Phone: 1-800-420-2424 Please mention you are with the Spine: Base to Summit group or mention BroadWater to receive the discounted room rate when making your reservation over the phone. EXTEND YOUR STAY The Grand Hyatt Vail is honoring the discounted group rate 3 days before and 3 days after the meeting. DEADLINE It is recommended that participants book their hotel rooms as soon as possible. After December 12, 2022 the group room rate will no longer be available. 8 SPINE: BASE to SUMMITSKI INFORMATION Lift tickets may be directly purchased from Epic Pass ® For the best pricing, purchase your Epic Pass(es) before arriving in Vail. • Private Ski Valet —There will be a complimentary private ski valet at the Grand Vail Hyatt specifically serving the Base to Summit meeting attendees. This is a true luxury ski-in/ski-out experience where you will be greeted with a warm beverage, toasty boots, and your very own fireplace and lounge. You’ll never carry your skis to and from the chair lift. COURSE REGISTRATION REGISTRATION Register early as the limited space will fill very rapidly! Surgeons $945 Fellows/Residents/Allied Health$695 Guests—Adult$250 Guests—Children Ages 5–12$145 • Registration fee includes daily buffet breakfast, après-ski refreshments, welcome reception, and course materials • Guest registration fee includes daily buffet breakfast and wine and cheese reception Fast, Easy, and Secure Online Registration REGISTER NOW! QUESTIONS Please call BroadWater at (630) 681-1040 or email@broad-water.com January 13–16, 2023 | Grand Hyatt Vail, Vail, CO 9WHO SHOULD ATTEND? This advanced course is for orthopaedic and neurological surgeons, fellows, and residents who include spine surgery in their practices. ACCREDITATION STATEMENT In support of improving patient care, this activity has been planned and implemented by Medical Education Resources (MER) and BroadWater. MER is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. PHYSICIAN DESIGNATION Medical Education Resources designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. DISCLOSURE POLICY Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational activities. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in health care and not the business interest of a commercial interest. JOINT PROVIDERSHIP This activity is jointly provided by Medical Education Resources, Inc., a non-profit medical education company and BroadWater, LLC. COMMERCIAL SUPPORT Various medical companies have been invited to exhibit at this course. Full disclosure of financial and other types of support will be disclosed in the course syllabus materials. CANCELLATIONS & REFUNDS • Full refund less $150 administrative fee if cancelled prior to December 14. No refunds after December 14. • Other costs incurred by the registrant, such as airline or hotel penalties, are the responsibility of the registrant. • In the unlikely event that COVID prevents us from holding Spine: Base to Summit in person, 50% of registration fees will be refunded, and 50% of registration fees will be applied or to next year’s meeting. ATTENDANCE The course chairmen reserve the right to refuse admission to anyone whose presence is considered to be incompatible with course objectives. CME ACCREDITATION REGISTER NOW! 10 SPINE: BASE to SUMMITNext >