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Program Overview
State of Spine Surgery: A Think Tank 
9th Annual Symposium
June 21-23, 2012
Los Cabos, Mexico

The distinguished faculty will present provocative sessions with roundtable discussions on:

Defining Value in Spine Care

  • Tools for assessing value in spinal care.
  • Does spinal surgery provide value?
  • Value in spine: Who is talking, who is listening?
  • How can industry participate in the value debate?

Debates

  • Stem cells
  • BMPs
  • Open vs MIS correction of scoliosis

Minimally Invasive Surgery

  • Comparative effectiveness of posterior minimally invasive surgery vs. traditional procedures
  • Lumbar stenosis with degenerative spondylolisthesis; Who can have a decompression alone and who requires a fusion
  • MIS Lumbar laminoplasty: Indications, limitations, critical anatomy and outcomes
  • MIS TLIF: Indications, techniques and outcomes
  • Role of EMG during MIS lateral access:
       Review of different techniques and their impact on clinical outcomes
  • Minimally invasive treatment philosophy for degenerative scoliosis
  • Minimally invasive strategies for the treatment of kyphosis
  • Minimally invasive approaches to spinal trauma

The Lumbar Disc

  • Disc degeneration and low back pain:
      The evidence?
  • Discography: Application in clinical practice
  • Biologic regeneration: Are we close?
  • Heat, lasers, scopes to treat DDD?
  • Fusion for the treatment of DDD:
      Systematic Review
  • Lumbar TDR: 5 years and beyond
  • Lumbar TDR: Is there any future?

The Cervical Disc

  • ACDF Remains the Gold Standard
  • Cervical TDR is the answer
  • Cervical TDR: Extended Indications –
      Multi-level, Adjacent to Fusion

Complications:

  • My worst cervical complications
  • My worst lumbar complications
  • Complications of Motion Preservation
  • Complications of transpsoas lateral interbody fusion: Incidence and prevention
  • Complications of stand-alone ALIF

Innovative Procedures


AND DYNAMIC SEMINARS ON:

“Where Do Spine Surgeons Stand Today with Patients, Regulators, Device Manufacturers and, Most Importantly, With Each Other as Questions of Surgeon Bias and Credibility Dominate the Debate?”

Walter Eisner, Senior Writer of Orthopedics This Week, interviews key players in the world of spine in an armchair opening session:

  • Who to Believe – The Spine Journal Crisis
  • The Long Shadow of Michelson in the Courts
  • Fighting for the Patient at a Shrinking Watering Hole – Players, Regulators & Technology
  • Winners and Losers in the Market – Wall Street Speaks

"Lumbar Fusion Coverage and Reimbursement: An Industry on Borrowed Time”

Moderated by Jeffrey D. Zigler, JD, Director, Health Economics, Reimbursement & Public Policy, MCRA

  • What We’ve Done Since the 2006 MedCAC meeting at CMS: How has the evidence base been built since then?
  • General Spine fusion market trending analysis
  • FDA IDE Studies in Spine
  • Impact of FDA-CMS Concurrent Review Policy
  • First Coast MAC’s policy on lumbar fusion – impact analysis
  • Coverage and analysis requirements from a Medicare contractor’s perspective
  • Where the commercial payor market will likely trend 2012 and beyond
  • Fusion vs. Nonfusion trending impact
  • Payment and coverage Issues
  • The surgeon’s perspective

“New Spinal Technologies: Challenges & Opportunities”:

Perspectives from the Surgeon, Industry, Start-ups, and Venture Capitals


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