Scoliosis Research Society

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This webinar is aimed at discussing the aspects of care around ‘Return to activities after Spinal Deformity Surgery’. The webinar will cover spinal deformity in various age-group based pathologies that would include children, teens, tweeners, young adults, and adults over 55 years. We will also discuss the aspects related to returning to sporting activities.

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This webinar will discuss and present the current best practice for MDs and best advice for our patients and families for expanding the use of PSSE and bracing from an International panel of experts on scoliosis.

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SRS members are at an increased risk of overuse injuries of the upper extremity and cervical spine. New EMG studies demonstrate traditional spine surgery with manual instruments places surgeons at risk for injury, and that use of power can dramatically decrease repetitive forces experienced by the surgeon. Similarly, the use of innovative powered surgical instruments has the potential to increase patient safety by decreasing the force placed on a patient’s spine, increasing the accuracy, and decreasing need for imaging.

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Metabolic bone disease affects all age groups and if left untreated can cause significant morbidity. The purpose of this course is to familiarize the attendees with the diagnostic techniques, differential diagnosis and available treatment options. The course emphasizes the importance of instituting aggressive treatment of the most common metabolic bone disease, osteoporosis, especially before the consideration of surgery.

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Spinal condition patients comprise a diverse population, including race, ethnicity, gender, age, sexual orientation, physical ability, and spiritual beliefs. As spine surgeons our demographics often poorly reflects the diversity of the patient populations we serve, which can have a negative impact on our ability to provide optimal care.

This webinar will set the stage by introducing concepts surrounding diversity and its importance in health care, as well as discuss unique perspectives on diversity as it affects the SRS organization. Subsequent educational offerings will include ways that organizations can become more diverse and inclusive, and strategies for providing culturally competent spine care.

In collaboration with POSNA.

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The process of developing a comprehensive research project, writing and funding a grant application involves specific skills. These skills are frequently not taught during residency training but have become increasingly important in academic medicine. That is where having strong mentors, good understanding of research methodology, and knowledge of institutional, national and international resources and requirements can help guide you.

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Upon completion of this webinar, participants should be able to:

1. Describe the new 3-D braces from Europe and the US and contrast differences and similarities.
2. Better understand fabrication, fitting and in-brace scoliosis correction from the standpoint of the Orthotist.
3. Identify best practice guidelines for brace treatment of Idiopathic scoliosis in Adults and Adolescents.

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Upon completion of this webinar, participants should be able to:

1. Describe how to get involve in outreach trips
2. Analyze spinal deformity management in countries with limited resources
3. Analyze Practices in EOS management in countries with limited resources
4. Recognize how SRS members can provide sustainable and effective expertise in bridging the education gap in developing countries

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Upon completion of this webinar, participants should be able to:

1. Determine indications for anterior approach for common spinal pathologies
2. Identify the risks and potential complications of anterior approaches
3. Review the tips and tricks for successful anterior surgery

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Upon completion of this webinar, participants should be able to:

1. Interpret different AIS sagittal alignment planning methodologies for each specific patient
2. Learn how to execute the planned targeted goals during surgery
3. Have a better understanding of the long-term effects of postoperative sagittal alignment in AIS

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Upon completion of this webinar, participants should be able to:

1. Describe Definition, Classification, Incidence, and Clinical Significance of Proximal Junctional Kyphosis (PJK)/Proximal Junctional Failure (PJF)
2. Consider Biomechanical explanation for Current controversies in PJK studies
3. Learn about the evidence-based effectiveness of various prevention strategies
4. Identify Patients and Surgery related Risk factors for PJK/PJF and Preventive plans
5. Gain understanding of Innovative methods to Prevent the occurrence of PJK/PJF
6. Recognize the incidence of Recurrent PJK/PJF and Treatment options
7. Discuss PJK/PJF Cases with Experts

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Upon completion of this webinar, participants should be able to:

1. Evaluate the evidence for and against detethering prior to scoliosis surgery.
2. Incorporate how factors such as use of halo-gravity traction, shortening osteotomies (PSO/VCR), or timing of staged surgery impact surgical planning with intraspinal anomalies.
3. Formulate a comprehensive approach to managing dural ectasia and durotomies.

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Upon completion of this webinar, participants should be able to:

1. Procure and assemble resources (print, digital, registry, colleague, and mentor) to better prepare for new and challenging cases.
2. Analyze the impact of case volume on the surgical learning curve and surgeon competency.
3. Integrate surgical perspectives from different practice models to achieve greater quality and safety outcomes.
4. Strategize how to scale and improve their clinical practice.
5. Produce and share learning opportunities through research.

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Upon completion of this webinar, participants should be able to:

1. Identify indications and contraindications for interbody fusion techniques.
2. Describe the technical details of various minimally invasive deformity surgery approaches.
3. Appraise patient details to choose the appropriateness for MIS interbody fusion.
4. Integrate the MISDEF algorithm in adult scoliosis treatment when suitable.

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Upon completion of this webinar, participants should be able to:

1. Identify the impact of radiation exposure to the surgeon and the patient and how surgeon experience has the ability to positively impact both
2. Identify the emerging role of robotics in spinal deformity surgery
3. Describe the relationship between navigated surgery and minimally invasive surgery for spinal deformity in the adult and pediatric population
4. Discuss the potential benefits of predictive analytics and other surgical safety strategies
5. Chose the appropriate enabling technologies that best fit the surgeon’s practice

In partnership with SOSORT

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Upon completion of this webinar, participants should be able to:

1. Describe the proper protocols for bracing and scoliosis specific exercises.
2. Implement non-operative management strategies to your clinical practice.
3. Identify patients that would benefit from bracing and/or SSE treatments.
4. Incorporate bracing and/or SSE to the patient with spinal deformity.

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Upon completion of this webinar, participants should be able to:

• Identify the risks and benefits of casting vs bracing.
• Identify the risks and benefits of traditional growing rods (TGR) vs magnetically controlled growing rods (MCGR).
• Identify the risks and benefits of distraction-based growth-friendly techniques vs early spinal fusion.
• Identify the risks and benefits of treating growth-friendly surgery graduates with observation vs final fusion.

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Upon completion of this webinar, participants should be able to:

• Gain an understanding of ethical decision-making in several clinical issues encountered by spine deformity surgeons.
• Become familiar with the SRS Standards of Professionalism guidelines that may be helpful when he/she is faced with an ethics-related issue in the future.

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Upon completion of this webinar, participants should be able to:

• The value of dashboard reporting with large, prospective registry comparative data.
• The utility of quality improvement registries and benefits of participation.
• The value of predictive analytics and machine learning in surgical outcomes.
• How to become involved and the feasibility of participation.

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Upon completion of this webinar, participants should be able to:

• Identify the implications of sagittal imbalance and long spinal fusions on sagittal acetabular orientation during THA.
• Recognize the influence of lumbar osteotomy on sagittal acetabular orientation.
• Realize the implications spine surgery has on later THA.
• In the AIS population, be aware of how lower extremity deformities can affect spine deformity and change surgical planning.
• Know how variations in pelvic parameters can alter strategies in the pediatric spine.
• Gain understanding of how Neuromuscular Scoliosis relates to Neuromuscular hip deformity.

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Upon completion of this webinar, participants should be able to:

• Recognize the intra-operative technical surgical difficulties with regards difficult anchors and the ability to correct a very stiff curve
• Recognize and mitigate problems arising from intra-operative neuro-monitoring changes that warrant a pro-active involvement, algorithmic approach and maintain a good verbal and non-verbal communication with the team
• Being cognizant of the problems that can lead to a systemically unstable patient where a ‘step back’ approach would be mandated to support the anesthesiologists’ team, and utilizing effective blood conservation strategies
• Identifying and discussing new technologies such as robotics.

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Upon completion of this webinar, participants should be able to:

• Implement telemedicine applications in your practice to continue follow-up care and avoid interruption of new patient intake in your practice
• Facilitate a virtual exam including diagnosis and patient/family discussion of spinal disorders from pediatric to adult
• Create virtual strategies to connect with your care team, continue resident and fellow education and incorporate patient engagement

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Upon completion of this webinar, participants should be able to:

• Effectively counsel patients and staff on the risks of radiation exposure
• Choose the most appropriate radiation reduction techniques for your practice
• Differentiate the magnitude of radiation from fluoroscopy versus X-Ray versus Computed Tomography (CT) and know risks and benefits of each modality

This webinar was supported, in part, by a grant from DePuy Synthes.

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Upon completion of this webinar, participants should be able to:

• Define the expected natural history of neuromuscular scoliosis beyond skeletal maturity.
• Propose a multidisciplinary management strategy to optimize the care of complex neuromuscular patients as they transition from pediatric to adult care.
• Evaluate surgical methods and goals in the management of ambulant versus non-ambulant adult patients with neuromuscular deformity.
• Provide strategies to assist transitional care of patient with neuromuscular disease from pediatric to adult institutions.

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Upon completion of this webinar, participants should be able to:

• Appropriately work up a patient with a new lesion found in the spine.
• Recognize and address spinal deformity as part of both indications and treatment for patients with spinal tumors.
• Discuss the NOMS algorithm and SINS system as they apply to patients with metastatic disease of the spine.
• Identify common errors made in working up patients with primary tumors of the spine.

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Upon completion of this webinar, participants should be able to:

• Implement decision making from each perspective: patient, surgeon, hospital, and policy.
• Incorporate a true shared decision making model for all stakeholders in ASD surgery, including the patients.
• Provide an outline of the current predictive modeling methodology being utilized in ASD surgery.
• Improve patient selection via appropriate risk stratification, optimize clinical and radiographic outcomes, and explore the economics of ASD surgery.

This webinar was supported, in part, by a grant from Globus Medical.

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Upon completion of this webinar, participants should be able to:

• Identify the potential advantages of vertebral body tethering compared to the standard arthrodesis procedure in AIS.
• Define the principle of growth modulation in correcting and maintaining curve correction in the skeletally immature AIS patient.
• Term established indications for the tethering procedure.
• Define the prerequisite skill sets required in the performance of the tethering procedure.
• Delineate the pitfalls, complications, and unknown long term outcomes associated with spinal tethering procedure.

This webinar was supported, in part, by a grant from Globus Medical.

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This webinar will cover case-based tips on how to get started in global outreach and how to create long standing outreach programs.

This webinar was supported, in part, by a grant from K2M.

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This webinar will cover how to use Social Media fruitfully in order for it to have a positive impact on a clinical practice as well as identify ways to communicate in Social Media while staying HIPPA compliant.

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This webinar will cover a range of common clinical scenarios from the early presentation in the pediatric population to the later presentation of symptomatic disease in the adult. Contemporary non-operative and operative treatment options will be discussed.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the Scoliosis Research Society (SRS). SRS is accredited by the ACCME to provide continuing medical education for physicians.

The Scoliosis Research Society (SRS) designates this web activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

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This webinar will describe how current treatments for Early Onset Scoliosis affect the health of children and articulate the actual indications for surgery and when it should be performed.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the Scoliosis Research Society (SRS). SRS is accredited by the ACCME to provide continuing medical education for physicians.

The Scoliosis Research Society (SRS) designates this web activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

In partnership with POSNA

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This webinar focuses on what constitutes value, and how it can be created through standardization and improvement of practice with special reference to pediatric and adult spinal deformity care.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the Scoliosis Research Society (SRS). SRS is accredited by the ACCME to provide continuing medical education for physicians.

The Scoliosis Research Society (SRS) designates this web activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

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Upon completion of this webinar, participants should be able to:

1. Analyze the variety of intraspinal anomalies seen and determine the best management strategies for the most common.
2. Classify the types of split cord malformations seen and when these should be treated prior to spine deformity correction.
3. Discuss strategies to minimize neurologic complications in patients with intraspinal anomaly and scoliosis.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the Scoliosis Research Society (SRS). SRS is accredited by the ACCME to provide continuing medical education for physicians.

The Scoliosis Research Society (SRS) designates this web activity for a maximum of 1 AMA PRA Category 1 Credit™. The physician should claim only the credit commensurate with the extent of their participation in the activity. Only those who participated in the live stream of the webinar can claim CME. Those who only viewed the recorded version can not.

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Upon completion of this webinar, participants should be able to:

1. Identify both the indications and the contraindications of cast treatment of early onset scoliosis.
2. Describe the important technical aspects of applying a proper scoliosis cast.
3. Discuss common pitfalls in scoliosis casting and how to avoid them.
4. Determine when scoliosis casting should be abandoned and other methods used instead.

Casting Webinar Agenda

• Introduction
  Robert P. Huang, MD & James O. Sanders, MD
• Natural History
  James O. Sanders, MD
• Role of Casting in EOS
  Charles E. Johnston, MD
• EDF Casting Technique
  Jacques D’Astous, MD
• Results of EDF Casting
  Peter F. Sturm, MD
• Questions & Panel Discussion

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the sponsorship of the Scoliosis Research Society (SRS). SRS is accredited by the ACCME to provide continuing medical education for physicians.

The Scoliosis Research Society (SRS) designates this web activity for a maximum of 1 AMA PRA Category 1 Credit™.