EANS Advanced Course in Spinal Surgery

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1 EANS Advanced Course in Spinal Surgery Part II: Revisions and Complication Management Sunday 6th November 8.00 Course Introduction, Basic surgical principles Blood management and thromboprophylaxis in spinal surgery Patient positioning and related complications Lafuente Case-based discussion: Positioning-related complication (Mod.) Round table: When are transfusions and coagulation factors neccessary?,, Surgical site infections and CSF fistula Incidence, risk factors and avoidance strategies of SSI Incidence, risk factors and management of CSF fistulas Case-based discussion: Management of repeated CSF fistula (Mod.) Liljenqvist Liljenqvist Case-based discussion: Management of postoperative infection (Mod.) Round table: Local application of antibiotics: When and how? Liljienqvist,, Lunch break 1

2 Visceral complications Visceral complications in cervical spinal procedures Visceral complications in thoracolumbar spinal procedures Kavakebi Case-based discussion: Esophageal injury or chylothorax (Mod.) Case-based discussion: Vascular or ureteral injury Kavakebi (Mod.) Coffee break Biomechanical failures I Adjacent segment degeneration / disease Basics of biomechanical failures Case-based discussion: Postlaminectomy kyphosis (Mod.) 2

3 Monday 7th November Biomechanical failures II Case-based discussion: Management of pseudarthrosis Liljenqvist (Mod.) Girod Girod Case-based discussion: Proximal junctional kyphosis (Mod.) Liljienqvist Round table: When to go to the ilium?,, Girod Biomechanical failures III Case-based discussion: Implant failure in osteoporosis Lafuente (Mod.) Case-based discussion: Implant failure in Parkinsons (Mod.) Lunch break 3

4 Iatrogenic neurological injury Incidence and management of iatrogenic neurological injury Case-based discussion: Iatrogenic neurological injury (Mod.) Case-based discussion: Postoperative C5 palsy (Mod.) Lafuente Lafuente Round table: Postoperative hematoma: When to image? When to revise? Lafuente,, Coffee break Dry lab: Craniocervical instrumentation incl. cervical pedicle scews Lumbosacroiliac fixation Tuesday 8th November Revision surgery Complications and revisions of adult deformity surgery Case-based discussion: Revision of adult deformity surgery (Mod.) Case-based discussion: Mechanical failure in the cervical spine (Mod.) 4

5 Minimally invasive surgery Case-based discussion: Insufficient decompression after MIS (Mod.) Kavakebi Failed back surgery syndrome FBSS: Therapeutic options including revision surgery or SCS Case-based discussion: FBSS (Mod.) Lunch break Dry lab: Craniocervical instrumentation incl. cervical pedicle scews Lumbosacroiliac fixation 5

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