Online CME Courses

Statement of Need / Program Overview

Often referred to as a “silent epidemic,” osteoporosis is a global problem that is growing in significance as the worldwide population increases and continues to age. It is a serious public health concern in terms of incidence, healthcare costs and complications associated with the disease. Osteoporosis is characterized by low bone mineral density (BMD) which consequently leads to an increased risk for fractures, most commonly of the hip, spine and wrist. The loss of bone mass and strength is typically asymptomatic, thus many individuals are not aware that they have osteoporosis until a fracture occurs. Although low BMD confers an increased risk for fracture, most fractures occur in postmenopausal women and elderly men at moderate risk. Occurrence of an initial fracture has been demonstrated to be a major risk factor for new fractures. Vertebral fractures can lead to back pain, loss of height, kyphosis, immobility, and may also have a profound impact on quality of life and activities of daily living. The goals of osteoporosis treatment are to reduce bone loss, prevent fractures, control pain, and prevent disability. Despite attempts to increase awareness of the magnitude and consequences of osteoporosis and recommendations for screening and treatment from multiple groups, the disease remains under-detected and under-treated in the United States. There is also a need to examine the current evidence on treatment efficacy and outcomes for all treatment options for VCFs in order to advise patients on appropriate therapy for their individual situation.

Agenda

Welcome
Jeanne M. Huddleston, MD

Lecture: Overview of Consensus Guidelines for Osteoporosis Screening for Patients Who Should Undergo BMD Screening
Jeanne M. Huddleston, MD

Lecture: Ensuring Correct Diagnosis of VCFs: Signs, Symptoms and Tests
Mark Dekutoski, MD

Discussion: Practical Tips for Prevention and Diagnosis
Moderator: Jeanne M. Huddleston, MD
Panel: All faculty

Discussion: Best Practices for Communication Between Healthcare Team Members for At-risk Osteoporosis Patients During Their Continuum of Care
Moderator: Mark Dekutoski, MD
Panel: All faculty

Lecture: Pharmacologic Treatments and Lifestyle Changes for Osteoporosis Prevention and Management
Ann E. Kearns, MD, PhD

Lecture: Interventional Treatment Options for Patients with VCFs: When to Refer, Treatment Options, and Outcomes
Jonathan M. Morris, MD

Discussion: Treatment Options
Moderator: Mark Dekutoski, MD
Panel: All faculty

Concluding Comments
Mark Dekutoski, MD

Media

Internet, video with slides.

Agenda

MIS Posterior Fusions
Kevin Foley, MD

MIS Principles of Decompression: Cervical, Thoracic and Lumbar Spine
Larry Khoo, MD

Media

Internet

Agenda

Free Paper #1: Mini-open TLIF Followed by Pedicle Screw Fixation for Lumbar Spondylolisthesis: Minimum 5-year Follow Up – Jin-Sung Kim

Free Paper #2: Comparison of Clinical and Radiological Outcomes Between Open and MIS TLI-F – Wai Mun Yue, MBBS, FRCSEd

Free Paper #3: Clinical Performance Evaluation of a Modular Interbody Fusion Device – Jesse Butler, MD

Free Paper #4: Minimally Invasive vs Open Transforaminal Lumbar Interbody Fusion for the Treatment of Single Level Degenerative Spondylolisthesis – Zachary Kelley, MD

Free Paper #5: The Effect of Minimally Invasive Posterior Cervical Approaches vs. Open Anterior Approaches on Neck Pain and Disability – John W. German, MD

Media

Internet

Agenda

MIS Strategies for Discogenic LBP
Mark Dekutoski, MD

Pre-sacral Surgery: What I Have Learned with this Technique over 5 Years
Jonathan Hyde, MD

World-wide Experience of 10,000 Cases
William Tobler, MD

Media

Internet

Agenda

Free Paper #19: Biomechanical Evaluation of a Standalone Lumbar Interbody Cage with Integrated Screws
Frank M. Phillips, MD

Free Paper #20: A Comparison of MIS Fusion to Open Fusion for Degenerative Lumbar Disorders: A Systematic Review
Raja Rampersaud, MD, FRCS

Free Paper #22: The Efficacy of Silicated Calcium Phosphate Bone Graft Substitute (Actifuse) in Minimally invasive Lumbar Interbody Fusion Procedures
Vamsi V. Nagineni, MD

Free Paper #23: Safety and Complications of Profile of Percutaneous Lumbosacral Axial Interbody Fusion
Neel Anand, MD

Free Paper #24: Axial Interbody Fusion (AxiaLIF) Patients Show Negligible Postsurgical Complications: Analysis of First 70 Consecutive Cases
Atiq Durrani, MD

Media

Internet

Agenda

Anatomy of the Transforaminal Endoscopic Approach
Anthony Yeung, MD

Cervical Endoscopic Surgery: Indications, Technical Pearls, and Outcomes
Gun Choi, MD

Percutaneous Techniques for Disc Decompression: Indications, Technical Pearls, and Outcome
Eduardo Barreto, MD

Media

Internet

Agenda

MIS Lateral Approaches: Avoiding Complications
William Blake Rodgers, MD

Direct Lateral Interbody Fusion: When is a Stand-Alone Construct Acceptable, When is Circumferential Surgery Required?
Juan Uribe, MD

Media

Internet

Agenda

Free Paper #26: Complications in a Mini-open, 90° Lateral, Retroperitoneal, Transpsoas Approach for Discectomy and Fusion in the Lumbar Spine: 2-year Results - William B. Rodgers, MD, FACS

Free Paper #27: Minimally Invasive Treatment of Adjacent Segment Degeneration via XLIF - William B. Rodgers, MD, FACS

Free Paper #28: The Importance of All In Lumbar Disc Arthroplasty: 36-Month Follow-up Experience in Extreme Lateral Total Disc Replacement - Luiz Pimenta, MD

Free Paper #29: Rhabdomyolysis and Acute Renal Failure Following Minimally Invasive Lateral Spine Surgery - Elias Dakwar, MD

Free Paper #30: Radiographic Comparison of Lateral Fusion (LLIF) vs. Standard Fusion Methods (ALIF, TLIF and PSF): Analysis of Segmental Sagittal Contour Change - Jonathan N. Sembrano, MD

Media

Internet

Agenda

Anatomical Considerations for MIS Scoliosis
William Taylor, MD

Indications and Results for MIS Surgical Approach (Single Approach: Posterior or Lateral vs. Combined) for Adult Scoliosis
Neel Anand, MD

MIS Surgical Approach for Pediatric Scoliosis
Atiq Durrani, MD

Correction of Sagittal Deformity with MIS Technique
Behrooz Akbarnia, MD

Media

Internet

Agenda

MIS in the Trauma Setting: When? Where? And How?
Steve Ludwig, MD

Minimally Invasive Techniques for Thoracolumbar Spine Trauma
Steve Ludwig, MD

MIS Pelvic Screws
Reginald Knight, MD

Media

Internet

Agenda

Comparison of Clinical and Radiolgical Outcomes between Open and MIS TLIF
Wai Mun Yue, MBBS, FRCSEd, FAMS; Kong Hwee Lee; William Yeo

The Effect of Minimally Invasive Posterior Cervical Approaches Versus Open Anterior Approaches On Neck Pain And Disability
Jeffrey A. Steinberg, BS; John W. German, MD

O-arm Image Guided Pedicle Screw Insertion: Revision And Reoperation Rates In 2,068 Screws
Jonathan N. Sembrano, MD; Edward R.G. Santos, MD; David W. Polly, Jr., MD

Biomechanical Evaluation of a Standalone Lumbar Interbody Cage with Integrated Screws
Martin B. Kornblum, MD; Michael A. Zatushevsky, MD; Alexander W. Turner, PhD; G. Bryan Cornwall, PhD; Frank M. Phillips, MD

Complications In A Mini-open, 90° Lateral, Retroperitoneal, Transpsoas Approach For Discectomy And Fusion In The Lumbar Spine: Two-year Results
William D. Smith, MD

The Importance of All In Lumbar Disc Arthroplasty. 36 Month Follow- Up Experience In Extreme Lateral Total Disc Replacement
Luis Marchi, MS; Etevaldo Coutinho, MD; Luiz Pimenta, MD, PhD

Is The Less Invasive Far Lateral Approach A Safe Way To Reconstruct The Anterior Spinal Column In Advanced Adult Deformity Surgery? A Minimum 2-year Follow-up Study
Behrooz A. Akbarnia, MD; Gregory M. Mundis, MD; Pooria Salari, MD; Ramin Bagheri, MD; Nima Kabirian, MD

Media

Internet

Agenda

Treatment options for osteoporotic compression fractures
Reginald Knight, MD

Outcomes
Mark Dekutoski, MD

Case presentation
Reginald Knight, MD

Discussion of case
Moderator: Reginald Knight, MD
Panel: Daniel Resnick, MD, Mark Dekutoski, MD

Media

Internet

Genetic prognostic testing has the potential to transform the treatment of AIS. Doctors Newton, Ogilvie, Shah, and Shufflebarger explain the science and discuss treatment implications.

How useful are current and emerging AIS classification systems?  Do they help improve outcome?  What are their weaknesses?  Doctors LaBelle, Newton, O’Brien, and Skaggs analyze today’s classification systems and address their shortfalls.

Featuring lectures, discussion and cadaveric demonstrations addressing:

• Fixation Points: Occiput - C2
• Fixation Points: C3-T2
• Cadaver Demonstration: Fixation points and long construct from skull to T2

Featuring lectures, discussion and cadaveric demonstrations addressing:

• Minimally Invasive Spine Surgery: Decompression
• Minimally Invasive TLIF
• Cadaver Demonstration: Minimally Invasive decompression of stenosis, facetectomy

Featuring lectures, discussion and cadaveric demonstrations addressing:

• ALIF vs TLIF vs PLIF for Anterior Column Support; L5-S1
• Sacral Dome Resection for High Grade Spondylolisthesis
• Cadaver Demonstration: Fixation points L1 to sacrum and pelvis; L5-S1 TLIF, sacral dome resection and extensive decortications

Featuring lectures, discussion and cadaveric demonstrations addressing:

• Wide posterior release, Ponte, asymmetric thoracic PSO for coronal deformity
• Cervicothoracic osteotomy
• Cadaver Demonstration: C7 osteotomy

This online continuing education program is designed to provide orthopaedic and neurological spine surgeons with a review of pedicle anatomy, bone remodeling, and osteoporosis. Also presented are the characteristics of pedicle screws, use indications and contraindications, as well as surgical planning and intra-operative guidance. The surgical challenges and complications, including those related to implantation into osteoporotic bone are further explored and fenestrated screws are presented as a viable solution.