4th module= Spinal deformities (2 days)
 

 

  • Diagnostics, patient selection and treatment strategy
  • Idiopathic
  • Secondary
  • Adult

 

Diploma Course Module 4

Introduction and Entry Quiz

  • Introduction and objectives of Diploma Course 4, 10’
  • Entry quiz, 15'

 

Session 1: General Principles

  • Etiopathogenetic primary and secondary scoliosis in growing, 30'
  • Primary adult and degenerative scoliosis, 30'
  • Congenital deformities and spinal cord anomalies, 30'
  • Discussion, 10’
  • Specific Clinical Assessment Deformities, 10'
  • Specific Imaging for Deformities (Xray, CT, MRI, EOS), 30'
  • Biomechanics of the deformed spine, 20'
  • Discussion, 30’

 

Session 2: Principles of Surgical Treatment

  • Pre/op assessment: How to prepare complex cases, 20'
  • Positioning of patient – Blood saving, 20'
  • Importance of balance strategy of planning for deformity correction, 20'
  • Intra-op monitoring, 20'
  • Indication for intra operative image guidance in deformity surgery, 15'
  • Fusion strategy, 15'
  • Discussion, 30’

 

Session 3: Surgical approaches

  • Technique and strategy in posterior approaches, 30'
  • Workshop 1: What is the key place for hybrid fixations (hooks, screws, wires) in deformity correction strategy?, 50’
    • Video support (OOT): Correction of post-traumatic kyphosis of the thoracolumbar spine with modified pedicle subtraction osteotomy
    • Case discussion
    • Hands-on

 

Session 4: Surgical approaches

  • Iliac sacral fixation options, 15'
  • Workshop 2: What are the different options for lumbo-sacral fusions in deformity patients?, 50’
    • Video support (OOT): Correction and stabilization of a double major adult scoliosis from T5 to L5
    • Case discussion
    • Hands-on
  • Technical and strategy in anterior approaches, 20'
  • Role and techniques of spinal osteotomies, 20'
  • Workshop 3: What are the innovative correction options in stiff and/or unbalanced deformities?, 50’
    • Video support (OOT): Hybrid strategy for correction and T3-Sacrum posterior fusion in a severe neuropathic spinal deformity
    • Case discussion
    • Hands-on
  • Questions/Round Table on Indication for posterior and anterior approaches, 50’

 

Guest Lecture

  • Guest lecture, 30’

 

Session 5: Conservative treatment

  • Cast: How and when to do it? What do we expect?, 10'
  • Brace: when and how long to use? Which type is recommended?, 10'
  • Role of rehabilitation/postural exercises and respiratory, 10'
  • Questions and Case discussion, 60’
  • Exit quiz (and answers), 25’
  • Evaluation of the course, 10’
  • Closing remarks, 5’

 

 

END OF MODULE 4

 

Next: Module 5: Revisions and Complications