5th module= Revisions and complications (2 days)
 

 

 

 

 

 

 

 

Diploma Course Module 5

 

 

Introduction and Entry Quiz

  • Introduction and objectives of Diploma Course 5, 10’
  • Entry Quiz, 15'

 

Session 1: General complications

  • Positionning of spine patient and position related complications, 15’
  • Blood management in spinal surgery, 10’
  • Thromboprophylaxis in spinal surgery, 10’
  • Discussion, 15’
  • Surgical site infections:Incidence, causes and prevention , 10’
  • Management of surgical site infections, 20’
  • Discussion, 10’

 

Session 2: General complications

  • Iatrogenic neurological injury: causes, incidence, prevention, 10’
  • Iatrogenic neurological injury: medical and surgical treatment options, 10’
  • Incidental durotomy, CSF fistula: management, 15’
  • Discussion, 15’
  • Workshops 1: Strategy of revision in bone stock failure, 55’
    • Case discussion
    • Hands-on

 

Session 2 (part 2): General complications

  • Biomechanics of failed instrumentation, 15’
  • Pseudoarthrosis management, 15’
  • Discussion, 15’

 

Session3: (Part 1): General complications

  • Approach related complications; cervical spine, 15’
  • Approach related complications; thoracic and lumbar spine, 15’
  • Discussion, 15’

 

Session3: (Part 2): General complications

  • Complications and revisions related to osteoporotic spine, 15’
  • Complications in cervical spine surgery, 15’
  • Complications in lumbar surgery, 15'
  • Complications of minimally invasive spinal surgery, 15’
  • Discussion, 15’
  • Workshops 2: Implant failure (rod and screw) and revision options, 50’
    • Case discussion
    • Hands-on

 

Guest lecture:

  • Guest lecture, 30’

 

Session 4: Deformity surgery related complications

  • Failed back surgery syndrome: management, 15’
  • Adjacent segment degeneration: Myth or reality? , 15’
  • Discussion, 15’
  • Complications in pediatric deformity surgery, 15’
  • Complications in adult deformity surgery related to comorbidities, 15’
  • Complications of management of ankylosing spondylitis, 15’
  • Discussion, 15’
  • Workshops 3: Management of proximal junctional kyphosis or sagittal imbalance when it occurs, 60’
    • Case discussion
    • Hands-on

 

Session 5: Revision surgery 1

  • Spinal balance – imbalance; evaluation and management  , 15’
  • Iatrogenic spine (post laminectomy kyphosis & others), 15’
  • Post-traumatic kyphosis: is it preventable?, 15’
  • Discussion, 15’

 

Session 6: Revision surgery 2

  • Revision pediatric deformity surgery – decompensation, 15’
  • Revision adult deformity surgery – frontal imbalance, 15’
  • Revision adult deformity surgery – sagittal imbalance, 15’
  • Discussion, 15’

 

Session 7: Revision surgery 3

  • Revision of interspinous device and dynamic stabilization, 15’
  • Revision cervical disc surgery, 15’
  • Revision lumbar disc surgery, 15’
  • Management of wounds problems, 15’
  • Discussion, 10’
  • Exit quiz (and answers), 25’
  • Evaluation of the course, 10’
  • Closing remarks, 5’

 

 

END OF MODULE 5