PLEASE NOTE THAT THIS IS THE PRELIMINARY PROGRAMME AND STILL SUBJECT TO CHANGE!!!
Advanced C-Spine Course Program
Instructions for teachers:
As might be expected the trainees should have basic knowledge of spinal anatomy and surgical indications. Basic topics are removed and will
have a place in discussion groups and plenary discussion. Except for “ complex” pathology lectures need to be concise, leave out classical
background, with ample space for questions and organized battle between faculty members. The C-spine module has been changed for a part
and is split in background theory and techniques. Surgical reconstructive techniques do have a larger role in the program.

Two days theoretical course with interaction.

Two days Techniques and Hands-On
Tuesday 15th November 2011
Degenerative Disease
8:00 – 10:10
Plenary Session I : Chair: W. Peul
8:00 – 8:10
Course Introduction: EANS, course structure, workshop structure and accreditation
W.Peul/S. Hide
8:10 – 8:30
Cervical Disc Disease: ACDF, Artifial Disc and Posterior approaches
C.Thome
8:30 – 9:00
Pro-Con e‐voting and plenary discussion
M. Coppes
9:00 – 9:15
Cervical Spinal Stenosis: Indications, Anterior vs Posterior approaches
J. Duff
9:15 – 9:30
OPLL
A. Casey
9:30 - 9:45
Complications in anterior and posterior cervical approaches
R. Assaker
9:45 - 10:10
e‐voting and plenary discussion
C. Thome
10:10 – 10:40 Coffee Break
10:40 – 12:55
Discussion Groups 1, 2 and 3 (each 45 minutes)
13:00 – 14:00 Lunch Break
Trauma
14:00 – 16:00
Plenary Session II: Chair: C.Thome
14:00 – 14:30
Assessment C-Trauma
M. Coppes
14:30 – 14:45
Subaxial trauma – evaluation and treatment options
J. Duff
14:45 – 15:00
Craniocervical trauma – evaluation and treatment options
W. Peul
15:00 – 15:15
Cervicothoracic spine injury
J. Timothy
15:15 – 16:00
E-voting & Discussion
M.Coppes & Faculty
16:00 – 16:30 Coffee Break
16:30 – 18:45
Discussion Groups 4, 5 and 6 (Wine and Spine: 45 mins each)
Light Buffet Supper in Hotel, followed by free evening
PLEASE NOTE THAT THIS IS THE PRELIMINARY PROGRAMME AND STILL SUBJECT TO CHANGE!!!
Wednesday 16th November 2011
8:00 – 10:00
Plenary Session III: Chair: B. Meyer
8:00 – 8:15
Cervical fractures in ankylosing spondylitis
A. Casey
8:15 – 8:30
Paediatric C- spine injury
R. Assaker
8:30 – 8:45
Posttraumatic syringomyelia
J. Lafuente
8:45 – 9:00
Reconstructive surgery for cervical kyphotic deformity
J. Timothy
9:00 – 9:15
Torticollis and rotatory subluxation
B. Meyer
9:15 – 10:00
e‐voting and plenary discussion
A. Casey & Faculty
10:00 – 10:30 Coffee Break
10:30 – 12:15
Plenary Session IV Chair: J Timothy
10:30 – 10:45
Rheumatoid arthritis – pathophysiology and natural history – surgical strategies
J. Wolfs (local)
10:45 – 11:00
Treatment of cervical instability in Down and Marfan´s Syndrome
J. Duff
11:00 – 11:15
Basilar invagination & Chiari malformations-Syrinx
A. Casey
11:15 – 11:30
Achondroplasia ‐ management of associated cervical deformity
R. Assaker
11:30 – 12:15
e‐voting and plenary discussion
J. Lafuente & Faculty
12:15 – 12:30 Coffee
12:30 – 14:45 Discussion Groups 7, 8 and 9 (Lunch bags available)
NOTE: Wilco, if it were possible to remove one of the discussion group topics, leaving only 11, then
it would be possible to give each group 45 mins free over lunch, which would, I think, be a benefit.
14:45 – 15:00 Coffee Break
15:00 – 17:30
Plenary Session V : Tumors, Infections, various: Chair: J. Lafuente
Incorporate a Round Table in this session
15:00 – 15:15
Intramedullary tumors
B Meyer
15:15 – 15:30
Extramedullary tumours
J Lafuente
15:30 – 15:45
Vascular malformations
B Meyer
15:45 – 16:00
Surgical Strategies for Primary and Secondary Tumours of the upper Cervical Spine
W. Peul
16:00 – 16:15
Surgical Strategies for Primary and Secondary Tumours of the subaxial Cervical Spine
J. Timothy
16:15 – 16:30
Infections of the cervical spine
M. Coppes
16:30 – 16:45
Neurophysiological Monitoring in spinal surgery
TBA
1645 – 1715
Coffee Break
17:15 – 1930
Discussion Groups 10, 11 and 12 (Wine and Spine)
Faculty Dinner
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PLEASE NOTE THAT THIS IS THE PRELIMINARY PROGRAMME AND STILL SUBJECT TO CHANGE!!!
Surgical Techniques: Workshops and Anatomy Lab
Instructions: The group will be divided in 2 groups of max 30 people.
Day One will be focused on anterior approaches, and Day 2 on posterior approaches.
The groups will be scheduled as follows:
0730 – 0930
0930 – 1130
1130 – 1230
1230 – 1330
1330 – 1430
1430 – 1445
1445 – 1645
1645 – 1845
Group 1
Workshop 1
Anatomy 1
Lunch
Workshop 2
Break
Anatomy 2
-
Group 2
Workshop 1
Anatomy 1
Lunch
Break
Workshop 2
Anatomy 2
Workshops:
Theory of approaches and different instrumentation available. Combination of a concise presentation & sawbones
Sponsor companies each to demonstrate one of the listed techniques, using their own products???
We have arranged a separate room/area for each company, with groups of trainees rotating between the different areas.
Is this how you envisage it, Wilco?
Anatomy Lab:
Focus on surgical decompression and surgical techniques. Start with a few slides of technique.
7 human C-spine specimens per group (16 in all: to be turned over for Friday) plus one demonstration cadaver
4 C-arm X ray (FRED: could you please confirm total number available)
Microscopes (one in lab; speak to Zeiss about additional microscopes)
Drill + high speed
Retractor systems
Decompression instrumentarium
Sponsor companies to make available a range of products, from which the trainees can choose.
No rotation; each approach to be demonstrated in turn at the demo table, and trainees to attempt it “hands-on” on their
own cadaver (there will be four trainees, plus one faculty member for five cadavers, and five trainees plus one faculty
member for the remaining two)
PLEASE NOTE THAT THIS IS THE PRELIMINARY PROGRAMME AND STILL SUBJECT TO CHANGE!!!
Thursday 17th November 2011
Sawbones Workshop
Slide presentation + Instruction Industry (Different Systems)
First Session
1) Anterior techniques ACDF (including modern techniques)
2) Anterior Plating
3) Reconstructive Vertebral Body Replacement
Second Session
4) Disc Prothesis
5) Dens Access
6) Zero P
Trainees to be divided into three groups, rotating between the different areas where each approach/systems is
demonstrated.
Anatomy Lab
First session
1) ACDF + Disc Prothesis
2) Multilevel Anterior Diskectomy + Anterior Plating +cages
3) Decompressive Corpectomy & Anterior Reconstruction with vertebral body replacement
Second session
4) Anterior dens access fixation (Eventually High Anterolateral Approach)
5) Transoral approaches
6) TBA:
PLEASE NOTE THAT THIS IS THE PRELIMINARY PROGRAMME AND STILL SUBJECT TO CHANGE!!!
Friday 18th November 2011
Sawbones Workshop
Slide presentation + Instruction Industry (Different Systems)
First Session
1) Lateral Mass fixation
2) Pedicle screwfixation
3) Hookfixation
Second Session
4) Occiptocervical fixation techniques
5) Cervicothoracic Fixation
6) Laminoplasty
Anatomy Lab
First Session
1) Laminoplasty + Drill laminectomy
2) Lateral Mass screw-rod fixation
3) Cervical + Thoracic pedicle fixation
Second Session
4) Direct Harms C1 + C2 fixation
5) Transarticular Magerl Screw Fixation
6) Craniocervical Fixation
7) (Verterbral Artery Identification)
PLEASE NOTE THAT THIS IS THE PRELIMINARY PROGRAMME AND STILL SUBJECT TO CHANGE!!!
Discussion Groups
1
Soft disc, radiculopathy
2
Cervical myelopathy stenosis
3
Cervical Trauma ‐ cranio‐cervical
4
Subaxial trauma
5
Rheumatoid
6
Congenital ‐ Chiari malformation
7
Intramedullary/ extramedullary Tumour
8
Secondary/primary bone Tumour
9
Kyphotic deformity
10
Neuromonitoring
11
Infection
12
Vascular malformation