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ASIA PACIFIC

Preliminary program

AOSpine Asia Pacific Interactive Courses


September 20 - 22, 2012 Kuala Lumpur, Malaysia

AOSpinethe leading global academic community for innovative education and research in spine care, inspiring lifelong learning and improving patients' lives.

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

Dear AOSpine Participants


On behalf of AOSpine Asia Pacific, we would like to welcome you to the AOSpine Asia Pacific Interactive Course, held in Kuala Lumpur, Malaysia. For this three day program, we will combine Principles, Advances and Masters level programs along with a one day Cadaver Workshop. Four simultaneous Advanced Courses will feature 4 interactive modules, covering lumbar degeneration, cervical degeneration, deformity and spinal trauma. Participants will have the opportunity, not only to learn these important subjects from first class faculty, but also from hands-on practical workshops. All the sessions are highly interactive we urge each one of you to take an active part in the lectures and discussions, to ask questions, and to raise controversies. Please bring your own cases to the courses as there is ample time allocated for discussion. We invite you to enjoy the unique atmosphere of Malaysia, the beauty of Kuala Lumpur which represents the heartbeat of this country and, above all, a great educational experience. Sincerely,

Content
2 AOSpine Mission 3 Welcome to Kuala Lumpur 4 Aim of the course 4 Target participants 5 Course overview 6 Program Directors 6 Educational Advisors 6 Local Course Chairpersons 7 Module Course Chairpersons 8 Day 1, September 20, 2012 11 Day 2, September 21, 2012 16 Day 3, September 22, 2012 20 Course organization 20 Course venues 20 Course information 21 Registration form Christopher Cain Program Director Shashank Kale Program Director

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

Aim of the course


Lumbar degeneration module Back pain is a leading cause for taking time off work. Its cost in terms of loss of man hours and suffering is immense. Lumbar degenerative diseases from the bulk of a spine surgeon's practice. The program is designed in five sessions to provide a comprehensive overview of degenerative diseases of the lumbar spine. Tumors & infections module This module is designed to provide a comprehensive overview of the management of spinal tumors and infections. The first session focuses on primary vertebral tumors, the next on metastatic tumors. The third session is about intradural tumors. Survival and quality of life after surgery are included in this module. The last two sessions focus on spinal infections-one session exclusively for tuberculosis and the last on pyogenic and other infections. Spinal trauma module This module is designed to offer a comprehensive overview of the common spinal trauma pattern encountered by a spine surgeon. The first two sessions focus on cervical spinal injury and the next two on thoracolumbar trauma. The final session is focused on osteoporotic fractures, which now form an increasing part of the clinical workload, given an increasing againg population.

Cervical degeneration module With an increasing aging population, degenerative diseases of the cervical spine have become a significant part of the workload of most spine surgeons. The emphasis of this module is on providing a comprehensive overview of the more complex problems affecting the cervical spine which confront a busy surgeon. The aim will be to present the current evidence base available to guide management. Deformity module The key concepts of deformity classification, treatment and current controversies will be examined in this module. Adolescent, congenital and degenerative scoliosis, kyphosis and spondylolisthesis are covered in separate sessions.

Target participants
Principles level Target participants with less than 3 years of spine surgery experience or surgeons udergoing training in a new technique or procedure. Advances/ Cadaver level Target participants with 3 to 10 years of spine surgery experience, who are aiming to improve the knowledge or specialization in a spinal disorders or specific techniques. Masters level Target participants with more than 10 years of spine surgery experience.

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

Course overview
Wednesday, September 19: Registration starts at 14:00 at Kuala Lumpur Convention Centre (Tentative)

Thursday, September 20
P1-A AOSpine Principles Course 8:00-17:00 Assessment & Management of Spinal Trauma M1 AOSpine Masters Symposium 8:00-17:15 Challenges & Controversies

Friday, September 21
P1-B AOSpine Principles Course 8:00-16:00 Assessment & Management of Degenerative Disease of the Spine A1 AOSPine Advances Course 8:00-18:00 Cranio-cervical Junction & Intradural Pathology A2 AOSpine Advances Course 8:00-17:40 Lumbar Degenerative Disc Disease

Saturday, September 22

A5 AOSPine Advances Course 8:00-18:00 Cervical Degeneration A6 AOSPine Advances Course 8:00-17:40 Lumbar Degenerative Deformity & the Aging Spine A7 AOSPine Advances Course 9:00-18:00 Congenital & Early Onset Deformity A8 AOSPine Advances Course 8:00-18:00 Cervical & Cervico-thoracic Junction

C1 AOSpine Advances Workshop 8:00-17:45 Cadaver Workshop

A3 AOSpine Advances Course 9:00-17:30 Adult Adolescent Scoliosis A4 AOSpine Advances Course 8:00-18:00 Thoraco-Lumbar & Sacral Trauma

Advances Course Pathology:

Cervical Pathology Lumbar Degeneration Deformity Spinal Trauma

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

Program Directors
Christopher Cain University of Colorado Denver Denver, USA Shashank Kale All India Institute of Medical Sciences New Delhi, India

Educational Advisors
Christopher Cain University of Colorado Denver Denver, USA Richard Emery Mater Hospital Belgian Gardens, Australia

Shashank Kale All India Institute of Medical Sciences New Delhi, India

Zhuo-Jing Luo Xijing Hospital, the Fourth Military Medical University Xian, China

Gomatam Vijay Kumar Institute of Neurosciences Kolkata Kolkata, India

Local Course Chairpersons


Deepak Ajit Singh Prince Court Medical Centre Kuala Lumpur, Malaysia Mun Keong Kwan University of Malaya Kuala Lumpur, Malaysia

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

Module Course Chairpersons


AOSpine Masters Symposium Bryan Ashman Canberra Hospital Canberra, Australia

AOSpine Advances Cadaver Workshop Richard Emery Mater Hospital Belgian Gardens, Australia Gui-Huai Wang Beijing Tiantan Hospital & Capital Medical University Beijing, China

AOSpine Principles Course - Degenerative disease and spinal trauma module Wai Man Hung Tuen Mun Hospital Tuen Mun, Hong Kong Norio Kawahara Kanazawa Medical University Kahoku-gun, Japan

AOSpine Advances Course - Cervical pathology module Yong-Eun Cho Gangnam Severance Spine Hospital, Yonsei University Seoul, Korea Wen Yuan Changzheng Hospital Shanghai, China

AOSpine Advances Course - Lumbar degeneration module Ying Kei Chan Pamela Youde Nethersole Eastern Hospital Chai Wan, Hong Kong Eung-Ha Kim Soon Chun Hyang University Bucheon Hospital Bucheon-Si, Korea

AOSpine Advances Course - Deformity module Shankar Acharya Sir Gangaram Hospital New Delhi, India Brian Freeman Royal Adelaide Hospital Adelaide, Australia

AOSpine Advances Course - Spinal trauma module Bipin Walia Max Superspecialty Hospital New Delhi, India YH Yau Royal Adelaide Hospital Adelaide, Australia

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 20, 2012 AOSpine Masters Symposium [M1] Challenges & Controversies
TIME 08:00 - 08:05 08:05 - 09:00 08:05 - 08:10 08:10 - 08:30 AGENDA ITEM Welcome & introduction to seminar Cervical trauma Case presentation: C3-C7 fracture with cord injury Group discussion - diagnosis & imaging Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes 08:30 - 08:50 08:50 - 09:00 09:00 - 10:00 09:00 - 09:05 09:05 - 09:30 Group presentations (5 min each) Case solution & discussion Cervical degeneration Case presentation: cervical myelopathy Group discussion - diagnosis & imaging Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes 09:30 - 09:50 09:50 - 10:00 10:00 - 10:30 10:30 - 11:30 10:30 - 10:35 10:35 - 11:00 Group presentations (5 min each) Case solution & discussion Coffee break Lumbar disc degeneration Case presentation: low back pain with black disc Group discussion - diagnosis & imaging Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes 11:00 - 11:20 11;20 - 11:30 11:30 - 12:30 11:30 - 11:35 11:35 - 12:00 Group presentations (5 min each) Case solution & discussion Lumbar stenosis & deformity Case presentation: lumbar scoliosis with stenosis Group discussion - diagnosis & imaging Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes 12:00 - 12:20 12:20 - 12:30 12:30 - 13:30 13:30 - 14:30 13:30 - 13:35 13:35 - 14:00 Group presentations (5 min each) Case solution & discussion Lunch Thoracic metastatic disease Case presentation: thoracic renal metastasis Group discussion - diagnosis & imaging Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes Faculty 5 Group 1 & Faculty 5 Group 2 & Faculty 6 Group 3 & Faculty 7 Group 4 & Chairman Faculty 4 Group 2 & Faculty 2 Group 3 & Faculty 3 Group 4 & Faculty 4 Group 1 & Faculty 1 All Faculty 4 Faculty 3 Group 3 & Faculty 2 Group 4 & Faculty 1 Group 1 & Faculty 3 Group 2 & Faculty 4 All Faculty 3 Faculty 2 Group 4 & Faculty 3 Group 1 & Faculty 2 Group 2 & Faculty 1 Group 3 & Faculty 4 All Faculty 2 Faculty 1 Group 1 & Faculty 4 Group 2 & Faculty 3 Group 3 & Faculty 2 Group 4 & Faculty 1 All Faculty1 WHO Chairman

Sept 20

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 20, 2012 (Cont'd) AOSpine Masters Symposium [M1] Challenges & Controversies
14:00 - 14:20 14:20 - 14:30 14:30 - 15:30 14:30 - 14:35 14:35 - 15:00 Group presentations (5 min each) Case solution & discussion Thoracic spondylodiscitis Case presentation: thoracic tuberculosis with kyphosis Group discussion - diagnosis & imaging Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes 15:00 - 15:20 15:20 - 15:30 15:30 - 16:00 16:00 - 17:00 16:00 - 16:05 16:05 - 16:30 Group presentations (5 min each) Case solution & discussion Coffee break Spondylolisthesis Case presentation: grade 3 spondylolisthesis Group discussion - diagnosis & imaging (spinopelvic angles) Group discussion - treatment options Group discussion - technical tips & tricks Group discussion - complications & outcomes 16:30 - 16:50 16:50 - 17:00 17:00 - 17:15 Group presentations (5 min each) Case solution & discussion Summary & close F7 G3 & F6 G4 & F5 G1 & Chair G2 & F7 All F7 Chairman F6 G4 & F6 G1 & F7 G2 & Chair G3 & F5 All F6 All F5

September 20, 2012 AOSpine Advances Cadaver Workshop [C1]


TIME 08:00 - 13:15 08:00 - 08:15 08:15 - 09:45 09:45 - 10:00 10:00 - 11:30 11:30 - 11:45 11:45 - 13:15 13:15 - 14:15 14:15 -16:00 14:15 - 14:30 14:30 - 16:00 16:00 - 17:45 16:00 - 16:15 16:15 - 17:45 AGENDA ITEM Posterior cervical spine approaches Cranio-cervical spine junction: Case presentation and techniques Skills station Cervical decompression/Laminoplasty/Foraminotomy: Case presentation and techniques Skills station Cervico- thoracic spine junction: Case presentation and techniques Skills station Lunch Thoraco-lumbar spine approaches Anterior Thoraco-lumbar spine junction: Case presentation and techniques Skills station Lumbo-sacral spine approaches Anterior Lumbo-Sacral spine junction: Case presentation and techniques Skills station WHO

Sept 20

TIME

AGENDA ITEM

WHO

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AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 20, 2012 AOSpine Principles Course [P1-A] AOSpine Principles Course [P1] Assessment & Management of Spinal Trauma Assessment & Management of Spinal Trauma Sept 20
TIME 08:00 - 09:30 08:10 - 08:20 08:20 - 08:35 08:35 - 08:50 08:50 - 09:05 09:05 - 09:20 09:20 - 09:30 09:30 - 10: 30 09:30 - 09:40 09:40 - 09:55 09:55 - 10:05 10:05 - 10:20 10:20 - 10:30 10:30 - 10:40 10:40 - 11:00 11:00 - 12:30 AGENDA ITEM Session 1. Introduction and Foundation Welcome & Introductory Remarks AO Principles & Learning Objectives Normal Spinal Alignment & Biomechanics Bone healing, grafting techniques and bone substitutes Spinal cord injury & recovery Discussion Session 2. - Cervical Trauma Case Presentation : Upper Cervical Trauma Upper C-spine injury-classification & management Case presentation-lower cervical fractures Lower C-spine injury-classification & management Introduction to Cervical Spine Instrumentation Discussion Coffee Break Practical Exercise - Lateral mass fixation & upper cervical fixation - Lateral Mass screws - C1-C2 Trans-articular screws & alterntives - Odontoid screw 12:30 - 13:30 13:30 - 14:30 13:30 - 13:40 13:40 - 13:55 13:55 - 14:05 14:05 - 14:20 14:20 - 14:30 14:30 - 15:30 15:45 - 15:45 15:45 - 16:00 16:00 - 16:10 16:10 - 16:20 16:20 - 16:30 16:30 - 16:40 16:40 - 16:55 16:55 - 17:00 16:55 - 17:00 Lunch Session 3. - Thoraco Lumbar Trauma Case presentation-thoracolumbar Type A fracture Thoracolumbar injuries-classification & management Case presentation-thoracolumbar fracture with sig canal compromise Selection of Indications for surgery: Anteriro/Posterior, long/short Discussion Practical Exercise - USS Fracture System USS fracture system - posterior wall fratured Session 4. Managing Complications Case Presentation: Infected non union with implant failure Managing neurological complications Managing a Dural tear Post operative infection Implant failure Discussion Session 5. Closing Remarks Closing Remarks / Summary / Take Home Message WHO

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

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September 21, 2012 AOSpine Principles Course [P1-B] AOSpine Principles Course [P1]
Assessment & & Management Degenerative Disease of theof the Spine Assessment Management of of Degenerative Disease Spine
TIME 08:00 - 08:10 08:10 - 08:20 08:20 - 08:30 08:30 - 08:40 08:40 - 08:50 08:50 - 09:00 09:00 - 09:20 09:20 - 09:40 09:40 - 11:10 09:40 - 09:50 09:50 - 10:05 10:05 - 10:15 10:15 - 10:25 10:25 - 10:35 10:35 - 10:50 10:50 - 11:10 11:20 - 12:30 12:30 - 13:30 13:30 - 14:30 13:30 - 13:40 13:40 - 13:55 13:55 - 14:05 14:05 - 14:20 14:20 - 14:30 14:30 - 14:45 14:45 - 16:00 14:45 - 14:55 14:55 - 15:05 15:05 - 15:15 15:15 - 15:25 15:25 - 15:35 15:35 - 15:45 15:45 - 15:55 15:55 - 16:00 15:55 - 16:00 AGENDA ITEM Case Presentation : Two level Cervical Degeneration & Neural Compression Clinical and Radiological evaluation Indications for treament and treatment options Case Presentation : Cervical Myelopathy Cervical Myelopathy - Anterior, Posterior of combimed approach Discussion Coffee Break Session 7. Lumbar Degenerative Disease Case Presentation: Degenerative Spondylolisthesis & Canal Stenosis Neural decompression : Surgical Techniques & Indications for Fusion Case Presentation: Lumbar Degenerative Disc Disease Clinical features and investigation Non-operative Management of Low Back Pain Indications for surgical intervention and the evidence Discussion Practical Exercise - Lumbar Pedicle Screws, PLIF, TLIF & ALIF Lunch Session 8. - Other Spinal Disorders Case Presenation : Vertebral Metastases - Spinal Card Compression Spinal Malignancy - Assessment, Prognosis, Planning & Intervention Case Presentation : Spinal TB Management Strategies, medial and surgical, for spinal TB Discussion Coffee Break Session 9. - Other Spinal Disorders (continued) Case Presentation : Pedicle screw causing nerve root compression Neural monitoring - Technique, principles and indications Dealing with Complications - Medical, Ethical & Legal Obligations Case Presentation : Grade II Listhesis in adolescent Assessment and non operative treatment of spondylolisthesis Surgical Management of Spondylolisthesis Discussion Session 10. Closing Remarks Closing Remarks / Summary / Take Home Message WHO 08:00 - 09:20 Session 6. Cervical Degeneration Disease

Sept 21

Discussion

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AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 21, 2012 AOSpine Advances Course [A1] AOSpine Advances Course [A1] Cranio-cervical Junction & Intradural Pathology
TIME 08:00 - 10:00 08:00 - 08:10 08:05 - 08:10 08:10 - 08:20 08:20 - 08:25 08:25 - 08:30 08:30 - 08:40 08:40 - 08:45 08:45 - 09:00 09:00 - 09:05 09:05 - 09:10 09:10 - 09:20 09:20 - 09:30 09:30 - 09:35 09:35 - 09:45 09:45 - 10:00 10:00 - 10:30 10:30 - 11:30 10:30 - 10:40 10:40 - 10:50 10:50 - 11:00 11:10 - 11:15 11:20 - 11:30 11:30 - 12:30 11:30 - 11:40 11:40 - 11:50 11:50 - 12:00 12:00 - 12:05 12:05 - 12:15 12:15 - 12:30 12:30 - 13:30 13:30 - 15:30 13:30 - 13:40 13:40 - 13:50 13:50 - 13:55 13:55 - 14:00 14:00 - 14:10 14:10 - 14:20 14:20 - 14:30 14:30 - 14:40 14:40 - 14:45 14:45 - 14:55 14:55 - 15:05 15:05 - 15:15 15:15 - 15:30 16:00 - 18:00 AGENDA ITEM Upper cervical trauma Management of Hangman's fractures(classification,biomechanics,treatment) Case 1: Hangman's fracture (anterior approach) Case 2: Hangman's fracture (posterior approach) Case 3: Hangman's fracture (anterioposterior approach) Case 4: Hangman's fracture(Non-operative treatment) Minimal invasive surgery in Hangman's fractures Management of Hangman's fractures (Non-operative treatment) Discussion Case 1: management of odontoid fracture from anterior Case 2: management of odontoid fracture from posterior Management of odontoid fracture Management of C1 fracture Case 3: mangagement of C1/C2 dislocation Management of traumatic atlantoaxial dislocation Discussion Coffee break Cranio-cervical Junction deformity Biomechancs of the cranio-cervical junction and its application Classification of cranio-cervical junction deformity Surgical technique at craniocervical junction: anterior vs posterior Odontoid resections necessary? Indications/complications Discussion Cranio-cervical Junction disease Rheumatoid arthritis with craniovertebral junction compression Management of the basiliar invagination Management of craniovertebral junction tuberculosis Case 1: Basiliar invagination Treatment the complications of cranio-cervical surgery Discussion Lunch Cranio-cervical Junction Tumor and Intradural Pathology Primary tumor of cranio-cervical junction Operative decision making in metastatic tumor of cranio-cervical junction Case 1: Management of primary tumor of cranio-cervical junction(anterior or posterior) Case 2: Management of primary tumor of cranio-cervical junction(anterior or posterior) Different approach for the Cranio-cervical tumor Treatment the complications of cranio-cervical tumor surgery Discussion Classification of intradural pathology in cranio-cervical junction Case 3: Intradural vascular malformation in cranio-cervical junction Management of dumbell type tumor in cranio-cervical junction Management of ependymoma in cranio-cervical juction Surgical technique at craniocervical intradual rescection Discussion Pratical Exercise (Tentative) WHO

Sept 21

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

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September 21, 2012 AOSpine Advances Course [A2] AOSpine Advances Course [A2] Lumbar Degenerative Disc Disease
TIME AGENDA ITEM WHO 08:00 - 08:20 Evidence base review on the relation between disc degeneration and back pain 08:20 - 08:40 Principles of conservative treatment for lumbar disc degeneration 08:40 - 09:00 Spinal injection & radiofrequency ablation for lumbar disc degeneration 09:00 - 09:20 Diskectomy, Microdiskectomy & Micro-endoscopic diskectomy: How to select & technical pearls 09:20 - 09:40 Percutaneous endoscopic lumbar diskectomy (PELD) : Indication and limitation 09:40 - 10:00 Surgical strategies & technical pearls to tackle far lateral & sequestrated lumbar disc with PELD 10:00 - 10:20 Case Discussion 10:20 - 10:50 10:50 - 11:10 11:10 - 11:30 11:30 - 11:40 11:40 - 12:00 12:00 - 12:20 12:20 - 12:40 12:40 - 13:00 14:00 - 14:20 14:20 - 14:40 14:40 - 15:00 Coffee Break Avoidance of complication for lumbar disc decompression, Salvage surgical options Principles of case selection for decompression vs. fusion for degenerated disc disease Surgical options of lumbar fusion: (anterior, posterior, lateral) indications, technical pearsl and limitation Technical pearsl on Lumbosacral fusion and fixation Evidence based review on MIS lumbar spinal fusion and instrumentation Evidence based review on lumbar disc replacement Case Discussion Clinical presentation, epidemiology & natural history of spinal claudication Decompression vs. fusion for spinal claudication: How to select MIS decompression for lumbar spinal stenosis: Indication, limitation and technical pearls

13:00 - 14:00 Lunch

15:00 - 15:20 Choose among the surgical options for lumbar spinal fusion, avoidance of complication & salvage procedures 15:20 - 15:40 16:00 - 16:30 16:30 - 16:50 16:50 - 17:10 17:10 - 17:30 17:30 - 17:40 Spinal claudication assessment tools for surgical outcome and patient satisfaction Coffee break Evidence based evaluation of stand alone lumbar interspinous spacer (extension block) Evidence based evaluation of lumbar interspinous dynamic load sharing device Evidence based review on posterior dynamic stabilization options for lumbar degenerative disc disease Question and discussion 15:40 - 16:00 Case Discussion

Sept 21

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AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 21, 2012 AOSpine Advances Course [A3] AOSpine Advances Course [A3] Adult Adolescent Scoliosis
TIME 09:00 - 09:15 09:15 - 09:30 09:30 - 09:45 09:45 - 10:00 10:00 - 10:15 10:15 - 10:30 10:30 - 10:45 10:45 - 11:00 11:00 - 11:15 11:15 - 11:30 11:30 - 11:45 11:45 - 12:00 12:00 - 12:15 12:15 - 12:30 12:30 - 12:45 12:45 - 13:00 13:00 - 14:00 14:00 - 14:15 14:15 - 14:30 14:30 - 14:45 14:45 - 15:00 15:00 - 15:15 15:15 - 15:30 15:30 - 15:45 15:45 - 16:00 16:00 - 16:15 16:15 - 16:30 16:30 - 16:45 16:45 - 17:00 17:00 - 17:15 17:15 - 17:30 Early Onset Idiopathic Scoliosis Developmental Growth of the Lung and Chest Wall Role of Serial Casting and Brace Treatment Growth modulation techniques (inc convex growth arrest) Discussion Coffee Break Halo Traction Staples Growing Rods (Luque Trolley, Hybrid) Shilla Magnetic Powered Extensible Rods VEPTR Proximal junctional kyphosis in distraction-based growing rods Discussion Lunch Adolescent idiopathic scoliosis (including assessing maturity) Treatment Options: Observe, Brace, Surgery Importance of Pre-op MRI Assesing Curve Flexibility (Bending Films) Selective Fusions outcomes / evidence for recommendations Anterior versus Posterior approach Role of multi-modal SC monitoring Coffee Break Reduction Techniques (posterior and anterior) What to do when you lose SC monitoring? AIS in the Adult patient Adult degerative scoliosis - intervention - when, why and what? Adjuncts to fixation in osteoporotic bone Discussion AGENDA ITEM Congenital Scoliosis WHO

Sept 21

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

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September 21, 2012 AOSpine Advances Course [A4] AOSpine Advances Course [A4] Thoraco-Lumbar and Sacral Trauma
TIME 08:00 - 08:10 08:10 - 08:20 08:20 - 08:30 08:30 - 08:40 08:40 - 08:50 08:50 - 09:00 09:00 - 09:10 09:10 - 09:20 09:20 - 09:30 09:30 - 09:40 09:40 - 09:50 09:50 - 10:00 10:00 - 10:30 10:30 - 10:40 10:40 - 10:50 10:50 - 11:00 11:00 - 11:10 11:10 - 11:20 11:20 - 11:30 11:30 - 11:40 11:40 - 11:50 11:50 - 12:00 12:00 - 12:10 12:10 - 12:20 12:20 - 12:30 12:30 - 13:30 13:30 - 13:40 13:40 - 13:50 13:50 - 14:00 14:00 - 14:10 14:10 - 14:20 14:20 - 14:30 14:30 - 14:40 14:40 - 14:50 14:50 - 15:00 15:00 - 15:10 15:10 - 15:20 15:20 - 15:30 16:00 - 18:00 AGENDA ITEM Introduction Acute Management of Spinal Cord Injury Spinal Cord Injury - A Cure? Non-Operative Management of Fractures Classification of Thoraco-Lumbar Fractures Case Illustrated Discussion Sacral Fractures Case Illustrated Discussion Fusion versus Non-Fusion Stabilisation Case Illustrated Discussion Review and Comments Coffee Break Posterior Approaches & Key Tips Anterior or Combined Approaches & Key Tips Management of Dural Injury in Trauma Case Illustrated Discussion Minimal Access Surgery for Traumatic Fracture Case Illustrated Discussion Treatment Algorithm for Fractures in Ankylosing Spondylitis Challenges in the Surgical Fixation of the Ankylosed Spine Case Illustrated Discussion Vertebroplasty and Kyphoplasty - Evidence Case Illustrated Discussion Review and Comments Lunch Strategies for Instrumentation of the Osteoporotic Spine Case Illustrated Discussion Malignant Spinal Fractures - When To Operate? Embolisation in Malignancy - Indications and Timing Case Illustrated Discussion Minimal Access Surgery for Malignant Fracture Case Illustrated Discussion Post-Traumatic Kyphosis Case Illustrated Discussion Post-Traumatic Syringomyelia Case Illustrated Discussion Review and Comments Practical Exercise (Tentative) Why Operate? WHO

Sept 21

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AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 22, 2012 AOSpine Advances Course [A5] Cervical Degeneration


TIME 08:00 - 10:00 08:00 - 08:10 08:10 - 08:20 08:20 - 08:25 08:25 - 08:35 08:35 - 08:45 08:45 - 09:00 09:00 - 10:00 09:00 - 09:10 09:10 - 09:20 09:20 - 09:30 09:30 - 09:45 09:45 - 10:00 10:00 - 10:30 10:30 - 11:30 10:30 - 10:40 10:40 - 10:45 10:45 - 10:55 10:55 - 11:05 11:05 - 11:15 11:15 - 11:30 11:30 - 12:30 11:30 - 11:40 11:40 - 11:50 11:50 - 12:00 12:00 - 12:10 12:10 - 12:20 12:20 - 12:30 12:30 - 13:30 13:30 - 14:30 13:30 - 13:35 13:35 - 13:40 13:40 - 13:50 13:50 - 14:00 14:00 - 14:10 14:10 - 14:20 14:20 - 14:30 14:30 - 15:30 14:30 - 14:35 14:35 - 14:40 14:30 - 14:40 14:40 - 14:50 14:50 - 15:00 15:00 - 15:10 15:10 - 15:25 15:25 - 15:30 16:00 - 18:00 AGENDA ITEM Spondylotic myelopathy Nature History of the Mutilevel Cervical Spondylotic Myelopathy Case 1: Two cases of successful anterior surgical treatment for mutilevel CSM (corpectomy/fusion; multiple ACDF) Case 2: One cases of successful anterior surgical treatment for mutilevel CSM (Hybrid) Case 3: Two cases of posterior surgical treatment for CSM (laminectomy/fusion; laminoplasty) Principle of selection the appropriate approach for management of mutilevel CSM Discussion Cervical radiculopathy Nature History of the Mutilevel Cervical radiculopathy Case 1: Two cases of successful anterior surgical treatment for Cervical radiculopathy (corpectomy/fusion; multiple ACDF) Case 2: Two cases of posterior surgical treatment for Cervical radiculopathy (laminectomy/fusion; Posterior foramenotomy) Evidence based management of cervical radiculopathy Discussion Coffee break Reconstruction for cervical spine Instrumentation in the anterior surgical treatment Case : Unsuccessful cases without plate (failures with kyphosis, subsidence, nonunion) Does the instrumentation indispensable for a good clinical outcome in anterior surgery? Instrumentation in the posterior surgical treatment Does the instrumentation indispensable for a good clinical outcome in posterior surgery? Discussion Manage complications Postoperative dysphagia - relative factors, assessment and management C5 palsy in laminectomy and laminoplasty Axial pain - In comparision with laminectomy and laminoplasty Adjacent segment degeneration in the anterior decompression and fusion? Adjacent segment degeneration in laminectomy and laminoplasty? Discussion Lunch Cervical Non-Fusion Case 1: Successful non-fusion case Case 2: Unsuccessful non-fusion case Long-term outcome - comparision with different protheses in the cervical arthroplasty The long-term outcome for single level disc- Arthropasty vs. ACDF Adjacent segment degeneration - can we avoid in cervical arthroplasty? Hetertopic ossification in cervical artifical disc repalcement Discussion OPLL and RA Case 1: Successful anterior decompression case of OPLL Case 2: Successful posterior decompression case of OPLL The principle and application of direct anterior resection and decompression for OPLL The principle and application of indirect posterior decompression for OPLL Case: subaxial cervical spine in rheumatoid arthritis Long-term outcome of subaxial cervical spine in rheumatoid arthritis Discussion Closing remarks (End of lecture) Practical Exercise (Tentative) WHO

Sept 22

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

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September 22, 2012 AOSpine Advances Course [A6] AOSpine Advances Course [A6] Lumbar Degenerative Deformity and the Aging Spine
TIME 08:00 - 08:20 08:20 - 08:40 08:40 - 09:00 09:00 - 09:20 09:20 - 09:40 09:40 - 10:00 10:00 - 10:20 10:20 - 10:50 10:50 - 11:10 11:10 - 11:30 11:30 - 11:40 11:40 - 12:00 12:00 - 12:20 12:20 - 12:40 12:40 - 13:00 13:00 - 14:00 14:00 - 14:20 14:20 - 14:40 14:40 - 15:00 15:00 - 15:20 15:20 - 15:40 15:40 - 16:00 16:00 - 16:30 16:30 - 16:50 16:50 - 17:10 17:10 - 17:30 17:30 - 17:40 AGENDA ITEM Decompression alone for degenerative spondylolisthesis Fusion for degenerative spondylolisthesis MIS for Lumbar degenerative spondylolisthesis Case discussion Clinical problem, epidemiology, natural history & classification of adult spinal coronal deformity Assessment of alignment & body balance Question and Discussion Coffee Break Decompression alone for degenerative scoliosis MIS in degenerative scoliosis Pre-op assessment & avoidance of complication Lumbosacral fusion and fixation Salvage surgical procedures Case Discussion Lunch Clinical presentation, epidemiology & natural history of osteoporotic spinal collapse Anterior vs. posterior surgical options for osteoporotic spinal collapse Posterior shortening osteotomy of kyphosis after osteoporotic spinal collapse Pre-op assessment & avoidance of complication, Salvage surgical options for failed case Surgical strategy to improve implant fixation & bone purchase Case Discussion Coffee break Evidence based evaluation of vertebroplasty and kyphoplasty Surgical & Pharmacological strategies to improve implant fixation & bone purchase Stragegies & biological options to improve bone fusion Question and discusion Long vs short fusion of degenerative scoliosis, selection of fusion levels WHO

Sept 22

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AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

September 22, 2012 AOSpine Advances Course [A7] AOSpine Advances Course [A7] Congenital and Early Onset Deformity
TIME 09:00 - 12:30 09:00 - 09:15 09:15 - 09:30 09:30 - 09:45 09:45 - 10:00 10:00 - 10:15 10:15 - 10:30 10:30 - 10:45 10:45 - 11:00 11:00 - 11:30 11:30 - 12:00 12:00 - 12:15 12:15 - 12:30 12:30 - 13:00 13:00 - 14:00 14:00 - 16:30 14:00 - 14:15 14:15 - 14:30 14:30 - 14:45 14:45 - 15:00 15:00 - 15:15 15:15 - 15:30 15:30 - 15:45 15:45 - 16:00 16:00 - 16:15 16:15 - 16:30 17:00 - 18:00 AGENDA ITEM Kyphosis Congenital kyphosis Acquired kyphosis (spinal tuberculosis in children) Scheuermann's kyphosis Kyphosis in growing spine : when and how to intervene Osteotomies for correction of kyphosis Ankylosing spondylitis - pitfalls and techniques in deformity correction Ankylosing spondylitis - management of anderson lesion Discussion Coffee break Post-traumatic kyphosis : indication of surgery, degree of kyphosis vs. global sagittal alignment, surgical execution Proximal junctional kyphosis Adult deformity / Complications Discussion Lunch Spondylolisthesis High grade spondylolisthesis Sagittal global balace and health related quality of life in lumbosacral spondolylolisthesis The evolution of the surgical treatment of high grade adolescent isthmic spondylolisthesis:success and failures In situ transfixation Single stage reduction and unilateral transforaminal lumbar interbody fusion for high grade isthmic spondylolisthesis Discussion Anterior release and posterior reduction and stabilization Gaines procedure MIS fusion technology Discussion Practical Exercise (Tentative) WHO

Sept 22

AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

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September 22, 2012 AOSpine Advances Course [A8] AOSpine Advances Course [A8] Cervical and Cervico-thoracic Junction
TIME 08:00 - 08:10 08:10 - 08:20 08:20 - 08:30 08:30 - 08:40 08:40 - 08:50 08:50 - 09:00 09:00 - 09:10 09:10 - 09:20 09:20 - 09:30 09:30 - 09:40 09:40 - 09:50 09:50 - 10:00 10:00 - 10:30 10:30 - 10:40 10:40 - 10:50 10:50 - 11:00 11:00 - 11:10 11:10 - 11:20 11:20 - 11:30 11:30 - 11:40 11:40 - 11:50 11:50 - 12:00 12:00 - 12:10 12:10 - 12:20 12:20 - 12:30 12:30 - 13:30 13:30 - 13:40 13:40 - 13:50 13:50 - 14:00 14:00 - 14:10 14:10 - 14:20 14:20 - 14:30 14:30 - 14:40 14:40 - 14:50 14:50 - 15:00 15:00 - 15:10 15:10 - 15:20 15:20 - 15:30 16:00 - 18:00 AGENDA ITEM Introduction Occipital-Cervical Dissociation Case Illustrated Discussion Skull Traction and Halo Fixation - Discussion Occipital Condylar and Atlas Fractures Anterior Odontoid Fracture Fixation Case Illustrated Discussion C1/2 Transarticular Screws and Wiring Techniques Case Illustrated Discussion Case Illustrated Discussion Review and Comments Coffee Break C1/2 Rotatory Subluxation Case Illustrated Discussion Hangman's Fracture - Surgical Strategies Bilateral Facet Dislocation Unifacet Dislocation and Peri-Facet Fractures Case Illustrated Discussion Subaxial Cervical Lateral Mass versus Pedicle Screws Corpectomy and Plating Case Illustrated Discussion Decisions on Decompression in Central Cord Syndrome Case Illustrated Discussion Review and Comments Lunch Anterior Approach and Tips Posterior Approach and Tips Tips on Intraoperative Positioning, Traction and Turning Instrument to or Beyond Cervico-Thoracic Junction Case Illustrated Discussion Minimal Access Surgery in Cervical Trauma Timing of Decompression in Acute Spinal Cord Injury Cervical Fractures in Ankylosing Spondylitis Case Illustrated Discussion Post-Traumatic Kyphosis Case Illustrated Discussion Closing Remarks Practical Exercise (Tentative) WHO

Sept 22

C1/2 Lateral Mass, Pedicle, Pars and Translaminar Screws

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AOSpine Asia Pacific Interactive Courses, Kuala Lumpur, Malaysia, 2012

Course organization
Cherry Ngai Project Manager AOSpine Asia Pacific Fax E-mail +852 2581 1772 cngai@aospine.org

Course venues
Kuala Lumpur Convention Centre 50088 Kuala Lumpur, Malaysia Phone +60 3 2333 2888 Fax +60 3 2333 2800 Email info@klccconventioncentre.com Web www.klccconventioncentre.com Cadaver Workshop University of Malaya Orthopaedic Surgery Department Lembah Pantai 50603 Kuala Lumpur, Malaysia

Course information
No insurance The course organisation does not take out insurance to cover participants against cancellation of course, accidents, or other risks. Security Security check at the entrance of the building. Access permitted with name tag only. Dress code casual Course language English Mobile phone use Mobile phone use is not allowed in the lecture halls and in practical exercise rooms. Please be considerate of others by turning your mobile phone off. Recording of course materials Recording, photographing, or copying of lectures, practical exercises, or any course materials is absolutely forbidden. Intellectual property Course materials, presentations, and case studies are the intellectual property of the course faculty or AOSpine International. All rights are reserved. Copyright 2010 by AOSpine International, all rights reserved. Check hazards and legal restrictions on www.aospine.org/disclaimers.aspx AOSpine Associate AOSpine will add participants as our AOSpine Associate by default if the participants are not yet AOSpine Member. Participants will receive AOSpine e-Newsletter on quarterly basis.

ASIA PACIFIC

REGISTRATION FORM
Please check ONE only Date 9/20 9/20 9/20-21 Date 9/21 9/21 9/21 9/21 Date 9/22 9/22 9/22 9/22 Code M1 C1 P1-A & P1-B Code A1 A2 A3 A4 Code A5 A6 A7 A8 Course AOSpine Masters Symposium AOSpine Advances Cadaver Workshop AOSpine Principles Course Course Cranio-cervical Junction & Indradural Pathology Lumbar Degenerative Disc Disease Adult Adolescent Scoliosis Thoraco-lumbar and Sacral Trauma Course Cervical Degeneration Lumbar Degenerative Deformity and the Aging Spine Congenital and Early Onset Deformity Cervical and Cervico-thoracic Junction Fee CHF 500 CHF 500 CHF 600 Fee CHF 600 CHF 600 CHF 600 CHF 600 Fee CHF 600 CHF 600 CHF 600 CHF 600

Please check ONE only

Please check ONE only

First Name: Date of Birth: Gender: 0 Male 0 Female

Last Name: Nationality: AOSpine Member No Yes ID number:

Institution / Dept: Position: Specialty: Address: Countr y: Telephone: Fax: Postal Code: Mobile: Email: 0 Spine Surgeon 0 Neurosurgeon 0 Orthopedic Surgeon 0 Other

CREDIT CARD PAYMENT AUTHORIZATION Card Type: Card No: CVV Code: 0 Visa 0 Mastercard 0 American Express

Expiry Date: Signature:

Please return this completed form to: Patrick Wong Unit 2605, Miramar Tower, 132 Nathan Road, Tsim Sha Tsui, HK Email pwong@aospine.org Fax +852 2581 1772

AOSpine Asia Pacific Unit 2605, Miramar Tower, 132 Nathan Road, Tsim Sha Tsui, Kowloon, Hong Kong T +852 2581 1797, F +852 2581 1772, aosap@aospine.org

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