North American Spine Society (NASS) Spine Across the Sea


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North American Spine Society (NASS) Spine Across the Sea

  1. 1. PRELIMINARY PROGRAMJuly 29–August 2, 2012Kauai Marriott Resort, Kauai, Hawaii USAJointly sponsored by the North American Spine Society andthe Japanese Society for Spine Surgery and Related Research
  2. 2. Dear Spine Care Professionals: Aloha! On behalf of the North American Spine Society (NASS) and the Japanese Society for Spine Surgery and Related Research (JSSR), we invite you to attend Spine Across the Sea, July 29-August 2, 2012, on the beautiful island of Kauai, Hawaii. This meeting will provide spine care professionals an opportunity to share current information and concepts relating to spinal problems. While most will come from the United States and Japan, participants from Asia, the Americas and Europe are expected to attend. Spine Across the Sea will be held at one of Kauai’s premier resort hotels, the Kauai Marriott Resort on Kalapaki Beach. Unique among hotels in Kauai, the resort sits on Kalapaki Bay and offers a wide variety of recreational activities, a superior beach experience and 18 holes of Jack Nicklaus championship golf at the adjacent Kauai Lagoons Golf Club. This unique meeting is held every three years and offers a wealth of benefits: scientific paper presentations, electronic posters and symposia; a technical exhibition; plus breakfasts and networking breaks. The Wine and Cheese Opening Reception on Sunday, July 29 is a great opportunity to meet with colleagues. We look forward to seeing you in Hawaii. Mahalo! Hyun Bae, MD Yukihiro Matsuyama, MD, PhD NASS Program Chairman JSSR Program Chairman Planning Committee 2012 Spine Across the Sea Scientific Program Reviewers James D. Kang, MD, NASS Overall Chair NASS thanks these volunteers who spent numerous hours Shinichi Kikuchi, MD, PhD, JSSR Overall Chair reviewing abstracts: NASS Program Committee Kuniyoshi Abumi, MD, DMSc Avinash Patwardhan, PhD Hyun Bae, MD Sigurd Berven, MD Heidi Prather, DO Alexander J. Ghanayem, MD Kazuhiro Chiba, MD, PhD K. Daniel Riew, MD John C. Liu, MD Alexander C. Ching, MD Paul Santiago, MD Paul Santiago, MD Michael D. Daubs, MD Shigenobu Satoh, MD Jeffrey T. Summers, MD Timothy T. Davis, MD Atsushi Seichi, MD Way Yin, MD Mark Erwin, DC, PhD Tateru Shiraishi, MD, PhD Takeshi Fuji, MD, PhD Toshihiko Taguchi, MD JSSR Program Committee Alexander J. Ghanayem, MD Kazuhisa Takahashi, MD Yukihiro Matsuyama, MD, PhD Harry N. Herkowitz, MD Hiroshi Taneichi, MD Takeshi Fuji, MD, PhD Wellington Hsu, MD Yasuaki Tokuhashi, MD Motoki Iwasaki, MD, PhD Mamoru Kawakami, MD, PhD Manabu Ito, MD, PhD Eeric Truumees, MD Hiroaki Nakamura, MD, PhD Motoki Iwasaki, MD, PhD Alexander R. Vaccaro, MD, PhD James D. Kang, MD Jeffrey C. Wang, MD JSSR Organizing Commitee Mamoru Kawakami, MD, PhD Way Yin, MD Kazuhisa Takahashi, MD Michael Lee, MD Munehito Yoshida, MD, PhD Kazuhiro Chiba, MD, PhD John C. Liu, MD Yasutsugu Yukawa, MD Shigenobu Satoh, MD Jeffrey C. Lotz, PhD Toshihiko Taguchi, MD Hiroaki Nakamura, MD, PhD2
  3. 3. TABLE OF CONTENTS About NASSLearning Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 The North American Spine Society (NASS) is a multidisciplinaryWho Should Attend. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 organization with 7,000 membersSession Recordings On-Demand . . . . . . . . . . . . . . . . . 4 in North America and abroad. The membership consists of orthopedicMembership Information. . . . . . . . . . . . . . . . . . . . . . . . 4 surgeons, neurosurgeons, physiatristsDisclaimer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 and other specialists involved in spine care. The leading multidisciplinaryHeadquarter Hotel and Reservations. . . . . . . . . . . . . . 5 organization in the field of spinalTravel Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 disorders, NASS’ mission is to foster the delivery of quality spine care.Kauai Informaiton and Attractions. . . . . . . . . . . . . . . . 6Island Golf. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 About JSSRAirlines and Flights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 The Japanese Society for Spine Surgery and Related Research (JSSR)CME Information and Certificates. . . . . . . . . . . . . . . . 8 is the largest Japanese organizationTechnical Exhibition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 representing members in the field of spine and spinal cord disorders.Wine and Cheese Opening Reception. . . . . . . . . . . . . 8 JSSR has more than 3,600 members,Meeting Schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 mainly orthopedic surgeons. It holds an annual meeting and publishesRegistration Information. . . . . . . . . . . . . . . . . . . . . . . . 14 an official journal to promote basicDisclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 research and clinical innovation. 3
  4. 4. Learning Objectives Disclaimer Upon completion of this meeting, participants will gain The material presented at strategies to: Spine Across the Sea is made • Promote discussion of new scientific developments and available by the North American best practices within spine care organizations. Spine Society for educational • Demonstrate the application of current techniques, purposes only. The material is not procedures and research. intended to represent the only, • Practice evidence- and value-based medicine relative nor necessarily the best, method to spine care. or procedure appropriate for the • Exchange ideas with experts and peers from around the medical situations discussed; globe to strengthen professional relationships. rather, it is intended to present • Analyze international health policy trends and their an approach, view, statement or impact on societies. opinion of the faculty which may be helpful to others who face Who Should Attend similar situations. Join the leading authorities in spine care, representing a NASS disclaims any and all liability multidisciplinary community that includes: orthopedic for injury or other damages to any surgeons, neurosurgeons, radiologists, physiatrists, pain individual attending the meeting management specialists, anesthesiologists, psychologists, and for all claims which may arise chiropractors, physician assistants, nurse practitioners, out of the use of the techniques nurses, physical therapists, researchers, administrators demonstrated therein by such and all other health care professionals with an abiding individuals, whether these claims interest in spine care. shall be asserted by physicians or any other person. SESSIOn RECORDINGS On-Demand CME Credit Available On occasion, changes in program Visit to order the conference content or faculty may occur after session recordings and get 24/7 access to scientific publication of this preliminary presentations. This recording includes electronic posters, program. The final program scientific sessions, symposia, featured lectures and will contain confirmed program more. These web-based, fully synchronized audio, video, content, faculty and presenters. and slide presentations are available anywhere you can Any further changes from the access the internet. Don’t miss your chance to view the published final program will be archived online compilation of what you missed and earn announced at the beginning of CME credit! the session. Membership Information The North American Spine Society is the premier multidisciplinary medical organization representing 7,000 members dedicated to fostering the highest quality, evidence-based, ethical spine care by promoting education, research, and advocacy. With members in 72 countries and 32 specialties, NASS is your link to health care professionals invested in advancing spine care. Learn more at or apply online at
  5. 5. Headquarter HotelKauai Marriott Resort3610 Rice Street, Lihue, Kauai, HawaiiMain Telephone: 808-245-5050Toll-Free Reservations: 800-266-9432Known for its warm island hospitality, the KauaiMarriott Resort on Kalapaki Beach underwent a $50million upgrade, with major enhancements to all itsguestrooms, suites, restaurants and pool deck. Uniqueamong hotels in Kauai, the resort sits on Kalapaki Bayand offers a wide variety of recreational activities,a superior beach experience and 18 holes of JackNicklaus championship golf at the adjacent KauaiLagoons Golf Club. Guests will enjoy one of the largestfamily-friendly pools in Hawaii and our spacious5-star hotel rooms, most of which offer spectacularviews and feature a balcony. Learn surfing, kayaking,scuba, standup paddling and more from the pros withKauai Beach Boys. Pamper yourself with a luxuriousspa treatment at the hotel’s on-site Alexander Spaand Salon. The resort is the idyllic location to meldbusiness and pleasure.Attendee Hotel Reservations Travel RESOURCESAttendee hotel reservations may be made by calling Airportthe Kauai Marriott toll-free at 800-266-9432 or Lihue/Kauai Airport (LIH)online at Reservations Website: be made no later than July 6, 2012 to guarantee Phone: 808-274-3800the room rates. Reservations are made on a first- Located less than 5 minutes from thecome, first-served basis and are subject to room Kauai Marriott Resort.availability. The discounted rate may not apply afterthe cut-off date. There are instances when the room Airport Shuttleblock may sell out prior to the cut-off date so secure There is a complimentary airport shuttleyour reservations early. available upon request. When you arrive at the Lihue airport, there is a courtesyMeeting registration must be completed and processed phone located at the Information boothwithin two weeks of reserving your hotel room. If not, outside of Baggage Claim. Guests canyour hotel room will be cancelled without notice. To use the courtesy phone and our “At yourreceive the special conference hotel rates, please Service” agents will advise the shuttle ofmention that you are attending Spine Across the Sea. your arrival.Hotel Room Rates Rental Cars(Room rate per night + taxes) Enterprise Rent-A-Car is located onGarden View $205 USD property at the Kauai Marriott. ToPool View $220 USD reserve your rental car, please call thePartial Ocean View $240 USD Kauai Marriott Resort and ask to beOcean View $260 USD directed to Enterprise Rent-A-Car. 5
  6. 6. KAUAI, HAWAII More of Kauai’s Top Kauai is known as the “Garden Isle” and is considered Sights and Attractions by most people to be the most beautiful island in Wailua River Hawaii. It is the oldest of the Hawaiian Islands. Mount The only navigable river in Hawaii. Waialeale’s lush slopes are home to the wettest tropical rain forest in the world. This in return gives Wailua Falls the island some of the most incredible waterfalls. Wailua Falls is an easily accessible, 80-foot-high waterfall located north The Napali coast on the north shore has majestic of Lihue. cliffs and rugged terrain that make it accessible only Hanalei Town by boat or helicopter. You can hike if you’re very Timeless Hanalei Town is home adventurous. The Wiamea Canyon is on the south to taro farms, art galleries and the side of the island which is often referred to as the Hanalei Pier overlooking beautiful Grand Canyon of the Pacific. Hanalei Bay. Three quarters of the island is covered with beaches Poipu Beach Park for any type of water sports or just relaxing in the Poipu Beach Park, on Kauai’s south warm tropical sun. Kauai is the only Hawaiian Island shore, was once voted “America’s with navigable rivers to get up in the mountains and Best Beach.” explore and swim in the pools and waterfalls. With all the spectacular waterfalls, beautiful beaches, Spouting Horn incredible tropical flowers and Aloha spirit, you will Spouting Horn Park features a understand why Kauai is known as the Garden Isle. blowhole that’s one of the most photographed spots on Kauai. Weather Hanapepe Town Step off the plane and feel the warm embrace of Known as “Kauai’s biggest little Kauai with average July/August temperatures ranging town,” charming Hanapepe Town is between 75 and 84 degrees Fahrenheit. Ocean the art capital of Kauai. temperatures also are perfect, ranging from 71 to 81 degrees Fahrenheit year round. Opaekaa Falls With a roadside lookout, this is one ISLAND ACTIVITIES of Kauai’s most accessible major waterfalls. Contact the Kauai Marriott concierge desk at 808-246-5166 or Kilauea Lighthouse if you are interested in attending a luau on the island On Kauai’s northernmost tip, the of Kauai. For island tours, please contact the resort lighthouse watches over a wildlife activities desk at 808-246-5041. refuge offering amazing views.6
  7. 7. Island GolfFind the golf course of your dreams on Kauai. FromPrinceville to Lihue, Kauai is home to some of theworld’s best golf. Visitors can play beautiful resortcourses or affordable independent courses, where therough is lined with lava rocks while mountain rangesand seascapes frame the greens.The Kauai Lagoons Golf Club at the Kauai MarriottResort reopened in May 2011 with three new holes—one a new ocean hole—and the longest stretch ofcontinuous ocean holes of any course in Hawaii. JackNicklaus originally designed the course, and he againheaded up the renovation work. The result is a coursethat is even more breathtaking and exciting.Additional Kauai golf courses: Kauai Golf Challenge North Shore Golf your way around the island of • Makai Golf Club at Princeville Kauai! The cost is $435 USD for play • Makai Golf Club at Princeville—Woods Course on (3) selected courses and may be • Prince Golf Course at Princeville at Hanalei purchased at any of the course locations East Side below. More information is available at • Wailua Golf Course South Shore • Kiahuna Golf Club Kauai Lagoons Golf Club • Kukuiolono Golf Course Poipu Bay Golf Course • Poipu Bay Golf Course Puakea Golf Course Lihue Prince Golf Course • Kauai Lagoons Golf Club Makai Golf Club • Puakea Golf CourseAirlineS AND FlightsDelta Airlines (800-221-1212) has several flights a day to Lihue and several other Hawaiiandestinations from Atlanta, Cincinnati, Salt Lake City, and Los Angeles.United Airlines (800-241-6522) flies to Honolulu from several cities and directly to Lihue (LIH)from both San Francisco and Los Angeles. Flying directly to Kauai (LIH) saves you from having tostop in Honolulu.Hawaiian Airlines (800-367-5320) is one of the two main inter-island carriers on Hawaii. HawaiianAirlines offers non-stop service to Honolulu from several mainland cities including: Seattle, Portland,Sacramento, San Francisco, Los Angeles, San Diego, Las Vegas, and Phoenix.go! Airlines (888-IFLYGO2) flies inter-island flights between Honolulu, Oahu (HNL), Hilo, BigIsland (ITO), Kona, Big Island (KOA), Kahului, Maui (OGG), and Lihue, Kauai (LIH).Lihue Airport (LIH), pronounced lee-HU-ay, handles virtually all arrivals on Kauai. The terminalin Lihue is small, modern, and efficient. Airlines that fly directly to Kauai include Delta, Hawaiian,United, US Airways (from Pheonix), and Alaska Airlines (from Seattle). Because of the limitednumber of airlines servicing Kauai, many people fly other airlines to Honolulu and then use aninter-island carrier to travel to Kauai. 7
  8. 8. Continuing Medical Technical Exhibition Education Credit Kauai Ballroom Salon 3 This activity has been planned and implemented Experience first-hand technology, in accordance with the Essentials and Standards products and services from vendors who of the Accreditation Council for Continuing can help you manage your professional Medical Education (ACCME). The North goals and strategic objectives. American Spine Society is accredited by the ACCME to provide continuing medical education Technical Exhibition hours: for physicians and takes responsibility for the Mon., July 30 6:30 a.m.–12:00 p.m. content, quality and scientific integrity of this Tues., July 31 6:30 a.m.–12:00 p.m. CME activity. Wed., August 1 6:30 a.m.–12:00 p.m. Thurs., August 2 6:30–10:00 a.m. The North American Spine Society designates this live activity for a maximum of 20.50 AMA Following are exhibiting companies as PRA Category 1 Credits™. Physicians should claim of March 22: only the credit commensurate with the extent of Advanced Biologics their participation in the activity. Alphatec Spine, Inc. Baxano, Inc. The American Medical Association has Bradshaw Medical, Inc. determined that physicians not licensed in the K2M U.S. to participate in this CME activity are eligible Life Instrument Corporation for AMA PRA Category 1 Credits™. Nutech Medical, Inc. Stryker The American Academy of Physician Assistants TeDan Surgical Innovations, LLC (AAPA) accepts Category 1 credit from AOACCME, prescribed credit from the American Companies interested in exhibiting should Academy of Family Physicians (AAFP) and download the exhibitor prospectus at AMA PRA Category 1 Credits™ for the Physician’s Recognition Award from organizations, such as NASS, accredited by the ACCME. Wine and Cheese Each state has different requirements for nurses, Opening Reception physical therapists and other nonphysician The Wine and Cheese Opening Reception providers; please contact the credit granting marks the official start of Spine Across the organization for their requirements. Sea on Sunday, July 29, 6:00-7:30 p.m. on the Luau Grounds at the Kauai Marriott For credit that may be acceptable to state Resort. This is an opportunity to see medical associations, specialty societies or state familiar faces and meet new colleagues. boards of medical licensure, please contact those organizations for their requirements. CME Certificates Meeting evaluations are submitted electronically and a CME certificate can be printed for the sessions you have attended once you have completed the evaluation. Additional information will be available in the final program.8
  9. 9. MEETING SCHEDULESunday, July 292:00–6:00 p.m. Registration6:00–7:30 p.m. Wine and Cheese Opening ReceptionMonday, July 306:30–7:15 a.m. Breakfast6:30 a.m.–12:00 p.m. Technical Exhibition Open | ePosters Open for Viewing6:30 a.m.–1:15 p.m. Registration7:15–7:20 a.m. Opening Remarks7:21–9:06 a.m. General Session: Basic Research9:07–9:36 a.m. Best Poster Podium Presentations | Break/Technical Exhibition9:37–10:57 a.m. Syposium: Minimally Invasive Lateral Access to the Lumbar Spine Moderator: John C. Liu, MD Minimally invasive lateral access to the lumbar spine has gained tremendous popularity. The ability to reach the anterior lumbar spine to perform interbody fusions has allowed surgeons to treat patients with a variety of spine diseases including degenerative disc disease, pseudoarthrosis, adjacent level degeneration and spine deformity. This session covers the history, indications, surgical anatomy and techniques for safely navigating through minimal access to the lateral spine. A number of case exam- ples also are discussed. Upon completion of this session, Agenda: participants will gain strategies to: • Introduction and Case Presentation (John C. Liu, MD) • Identify the indications for DLIF/XLIF. • Pertinent Lateral Surgical Anatomy and Technique • Describe the most pertinent surgical (Hyun Bae, MD) anatomy. • How to Avoid Complications in the Lateral Approach • Apply DLIF/XLIF in deformity surgery. (Neel Anand, MD) • Discuss complications and how to • Application in Spinal Deformity (Frank Acosta, MD) practice avoidance in DLIF/XLIF. • Case Presentation: Is This a Good Patient for Minimally Invasive Direct Lateral Approach? (John C. Liu, MD)10:58–11:28 a.m. Break/Technical Exhibition11:29 a.m.–1:15 p.m. General Session: MIS and New Procedures 9
  10. 10. Tuesday, July 31 6:30–7:15 a.m. Breakfast 6:30 a.m.–12:00 p.m. Technical Exhibition Open | ePosters Open for Viewing 6:30 a.m.–1:15 p.m. Registration 7:15–7:20 a.m. Opening Remarks 7:21–8:34 a.m. General Session: Cervical Spine 8:35–8:50 a.m. Best Poster Podium Presentations | Break/Technical Exhibition 8:51–10:09 a.m. Symposium: Cervical Deformity Moderator: Paul Santiago, MD Deformities of the cervical spine can lead to significant functional and neurological impairment in the adult patient. Deformity of the cervical spine can arise from congenital, traumatic, infectious and inflammatory causes. Often these deformities do not come to surgical attention until they are quite advanced. This symposium covers the natural history, work-up, surgical techniques and outcomes of deformities of the cervical spine, with an emphasis on the use of osteotomy techniques for the correction of sagittal plane deformities of the cervical spine and cervicothoracic junction. Upon completion of this session, Agenda: participants will gain strategies to: • Case Presentations: Natural History, Diagnosis, • Identify the common types of cervical Work-up (Paul Santiago, MD) spine deformities. • Treatment of Inflammatory/Infections Deformities • Discuss the natural history of iatrogenic (Alexander R. Vaccaro, MD, PhD) cervical spine deformity and possibly how • Treatment of Degenerative and Post-surgical to prevent it. Deformities (K. Daniel Riew, MD) • Assess different techniques used for the correction of cervical spine deformity, including pedicle subtraction osteotomies of the cervicothoracic junction. 10:10–10:25 a.m. Break10
  11. 11. 10:26–11:36 a.m. Symposium: Adult Deformity Moderator: Yukihiro Matsuyama, MD, PhD This symposium details the natural history, clinical symptoms as well as the classification of adult scoliosis based on surgical treatment. Upon completion of this session, Agenda: participants will gain strategies to: • Natural History of Scoliosis (Shunji Tsutsui, MD, PhD) • Review the natural history. • Classification of Adult Scoliosis (Yu Yamato, MD, PhD) • Describe clinical symptoms of deformity. • Surgical Treatment of Adult Scoliosis • Classify adult scoliosis based on surgical (Hiroshi Taneichi, MD; Morio Matsumoto, MD; treatment. Motoki Iwasaki, MD, PhD)11:37–11:57 a.m. Break/Technical Exhibition11:58 a.m.–1:15 p.m. General Session: Spinal Deformity1:16–1:30 p.m Earthquake and Healthcare Speaker: Shinichi Kikuchi, MD, PhD Dr. Kikuchi gives a firsthand account of the disaster and how the Japanese are moving forward to overcome the earthquake and tsunami.Wednesday, August 16:30–7:15 a.m. Breakfast6:30 a.m.–12:00 p.m. Technical Exhibition Open | ePosters Open for Viewing6:30 a.m.–1:15 p.m. Registration7:15–7:20 a.m. Opening Remarks7:21–8:34 a.m. General Session: Cervical Diagnostics and Imaging8:35–8:50 a.m. Best Poster Podium Presentations | Break/Technical ExhibitionContinued on next page 11
  12. 12. 8:51–10:09 a.m. Symposium: Ask the Professors: Interesting and Complex Spine Cases Moderator: James D. Kang, MD In this session, the moderator presents several illustrative cases and asks the panel of experts for their opinions on the management of these patients. Lively discussion on preoperative evaluation, radiological work-up, conservative therapy options, surgical treatment options and techniques, as well as postoperative concerns are thoroughly addressed. Audience participation is encouraged. Upon completion of this session, participants will gain strategies to: • Explain the principles of cervical stenosis surgery. • Assess the principles of complicated degenerative spinal deformity surgery. • Discuss principles of thoracic disc herniations and their treatment. • Describe the management of spine surgery complications in the cervical and lumbar spine. • Gain insight into how the experts in the field treat complicated spine pathology. Faculty: Kuniyoshi Abumi, MD, DMSc; Tateru Shiraishi, MD, PhD; Yasuaki Tokuashi, MD; Jeffrey C. Wang, MD; S. Tim Yoon, MD, PhD 10:10–10:25 a.m. Break/Technical Exhibition 10:26–11:36 a.m. Symposium: Neurological Complications Associated with Spinal Interventions: Patterns of Injury, Anatomy and Avoidance Moderator: Way Yin, MD The incidence of serious neurological complications associated with spinal interventions has increased dramatically over the last decade, likely associated with the popularity of injections for the diagnosis and treatment of spine pain. Most complications remain sub judice. Accordingly, reported incidences and patterns of injury may be underestimated in the scientific literature. Several patterns of severe neurological injury can now be discerned, and may be categorized into injuries associated with direct trauma to the spinal cord and secondary vascular events. This symposium combines case studies with relevant anatomical considerations and technical considerations relevant to modern spinal interventions to minimize the occurrence of these complications. Upon completion of this session, participants Agenda: will gain strategies to: • Case Presentations (Way Yin, MD; • Describe basic anatomical relationships of Timothy T. Davis, MD) the spinal nerves and vessels. • Neuraxial Anatomy, Relational Foraminal • Explain how knowledge of regional anatomy Anatomy, Vascular Anatomy, Fluoroscopic may reduce the likelihood of complications Correlation (Frank H. Willard, PhD) associated with spinal injections. • Technical Considerations (Way Yin, MD) • Analyze technical considerations which may reduce the risks of complications associated with spinal injections. 11:37–11:57 a.m. Break/Technical Exhibition 11:58 a.m.–1:15 p.m. General Session: Complications and Trauma12
  13. 13. Thursday, August 26:30–7:15 a.m. Breakfast6:30 a.m.–10:00 a.m. Technical Exhibition Open | ePosters Open for Viewing6:30 a.m.–1:15 p.m. Registration7:15–7:20 a.m. Opening Remarks7:21–9:05 a.m. General Session: Diagnostics, Epidemiology, Function, Outcomes and Miscellaneous9:06–9:36 a.m. Best Poster Podium Presentations | Break/Technical Exhibition9:37–10:57 a.m. Symposium: Kyphotic Deformity with Compression Fracture Moderator: Mamoru Kawakami, MD, PhD It is important to prevent kyphotic deformity after vertebral compression fracture, which may result in residual back pain and neurological deficits due to compression of the spinal cord and cauda equina. The sequelae can be a significant burden for patients, impairing physical function and quality of life. Surgical intervention should be considered to restore spinal alignment and neurological function without pain in patients with kyphotic deformity with vertebral compression fracture. This symposium focuses on treating the kyphotic deformity with compression fracture. Upon completion of this session, participants Agenda: will gain strategies to: • Anterior Surgical Treatment of Kyphotic • Assess how much kyphotic deformity Deformity with Compression Fracture should be corrected. (Manabu Ito, MD) • Review the surgical indications to determine • Posterior Surgical Treatment of Kyphotic if an anterior or posterior approach is most Deformity with Compression Fracture beneficial. (Tomohiko Hasegawa, MD) • Discuss how patients with osteoporosis are best treated for kyphotic deformity.10:58–11:28 a.m. Break11:29 a.m.–1:15 p.m. General Session: Degenerative Spinal Highlights 13
  14. 14. REGISTRATION INFORMATION Go to for instructions, registration and policies. For any questions, call NASS at 866-960-6277 or 630-230-3600. Conference Registration Categories and Fees By April 27 After April 27 Member Physician* $695 $795 NASS Member Affiliate Health $495 $595 NASS Member Resident & Fellow In-training $495 $595 Nonmember Physician $795 $895 Nonmember Affiliate Health $555 $655 Limited to individuals directly employed by a hospital, healthcare network, university, or freestanding facility administering to patients (e.g. DC, PA, NP, RN, PT) Nonmember Resident & Fellow In-training $555 $655 Must provide a letter on letterhead from your program director Commercial Business $795 $895 Interest in spine field but does not treat patients Guest (Limit 1) $160 $160 Includes continental breakfasts (Mon-Thurs) and Opening Reception *JSSR Members: To receive the Member rate, please email and indicate that you are a JSSR member. CONFERENCE REGISTRATION FEES Registration fees for Spine Across the Sea are designated in US currency. Visa, MasterCard, and American Express are accepted. All education sessions (Monday, July 30 through Thursday, August 2); Wine and Cheese Opening Reception (Sunday evening, July 29); continental breakfasts and networking breaks (Monday through Thursday) are included in the registration fee. Spine Across the Sea 2012 On-Demand On-Demand 24/7 online access to all presentations: Member, $50; Nonmember, $75.14
  15. 15. DISCLOSURENASS Financial Conflict of Interest Disclosure PolicyNASS recognizes that professional relationships with industry are essential for development of newspine technologies and medical advancement. According to the NASS Ethics Committee, whichauthored the disclosure policy, “the goal is to create an environment of scientific validity, in whichlearners can accurately judge whether the information they receive is objective and unbiased,and to be sure that our members are current and forthright in their dealings with one anotherand with their colleagues and patients.” The establishment of uniform disclosure requirementsfrees individuals from having to decide which relationships might influence his or her decision-making and which are irrelevant; transparent disclosure allows the audience to participate in theinterpretation of the significance. All authors and faculty speaking at Spine Across the Sea wererequired to provide complete disclosure of all conflicts of interest.Commercial Support DisclosureAs a sponsor accredited by the ACCME, the North American Spine Society must ensure balance,independence, objectivity and scientific rigor in all its sponsored activities. All individualsparticipating in a sponsored activity are expected to disclose to the activity audience any significantfinancial interest or other relationship (1) with the manufacturer(s) of any commercial product(s)and or provider(s) of commercial services discussed in an educational presentation and (2) with anycommercial supporters of the activity. Significant financial interest or other relationship may include:grants or research support, employee, consultant, major stockholder, member of the speaker’sbureau, etc. Disclosure information will be made available visually on a PowerPoint® slide beforeeach presentation, in the final program and orally by the moderator.Program Committee Statement on Resolution of Conflict of Interest in PresentationsThe intent of this disclosure is to ensure that all conflicts of interest, if any, have been identifiedand have been resolved prior to the speaker’s presentation. By doing so, the North AmericanSpine Society has determined that the speaker’s or author’s interests or relationships have notinfluenced the presentation with regard to exposition or conclusion; nor does the society view theexistence of these interests or commitments as necessarily implying bias or decreasing the value ofthe presentation.FDA DisclosureIf a device or drug requiring FDA approval is identified as an important component of apresentation, the author must indicate the FDA status of those devices or drugs as Approved,Investigational or Not Approved for distribution within the United States. The final program willinclude all FDA status information. Certain medical devices and drugs identified at Spine Acrossthe Sea may have FDA clearance for use for specific purposes only, or in restricted researchsettings. The FDA has stated it is the responsibility of the physician to determine the FDA statusof each drug or device he or she wishes to use in clinical practice and to use these products incompliance with applicable law. 15
  16. 16. 7075 Veterans Blvd.Burr Ridge, IL