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ICEOS

2nd International Congress on Early Onset Scoliosis (ICEOS)
November 7-8, 2008

6:30

Registration Opens
Continental Breakfast and Exhibit Viewing

Viger Foyer
Viger Ballroom

 

Session 1: Growth of the Spine, Spinal Cord and Chest Wall and Etiology of Early Onset Spine Deformities
Session Chairs: G. Thompson, MD and M. McMaster, MD, FRCS

Salle de Bal Ballroom

07:30

Welcome and Course Overview

B. Akbarnia, MD

07:45

A Classification System for the Treatment of Early Onset Scoliosis

D. Skaggs, MD

08:00

Normal and Abnormal Growth of the Spine and Thorax

A. Dimeglio, MD

8:15

Spinal Cord Growth and Its Relation to Spinal Column Growth

R. Keating, MD

8:30

Discussion

 

8:40

Etiology and Pathogenesis of Infantile Idiopathic Scoliosis

M. McMaster, MD, FRCS

8:55

Genetics as Related to Growing Spine

J. Ogilvie, MD

9:10

Discussion

 

9:20

Pulmonary Consequences of Thoracic Insufficiency Syndrome

G. Redding, MD

9:35

The Evolution of Sagittal Segmental Alignment of the Spine During Childhood

M. Yazici, MD

9:50

Discussion

 

10:00

Refreshment Break & Exhibit Viewing

Viger Ballroom

 

Session 2: Free Papers

Salle de Bal Ballroom

10:30

Paper # 1: Diminished Spinal Cord Size with Congenital Scoliosis of the Thoracic Spine: A Risk for Neurological Sequelae: Age Matched, Double Cohort Study.

Gokce Mik, MD; Denis Drummond, MD; Alex Manteghi; Harish Hosalkar, MD; Joshua Auerbach, MD

10:34

Paper # 2: Intraspinal Anomalies in Infantile Idiopathic Scoliosis: Prevalence and Role of MRI

Joshua Pahys, MD; Amer Samdani, MD; Randal Betz, MD

10:38

Paper # 3: The Characterization of the Thoracic Biomechanics of Respiration in Thoracic Insufficiency Syndrome by Dynamic Lung MRI: A Preliminary Report

Robert Campbell, MD; Andrew Auber, MD; James Simmons III, DO, PhD; Ajeya Joshi, MD, Stephen Inscore, MD, M.M.M, Barry Cofer, MD; John Doski, MD

10:42

Discussion

 

10:49

Paper # 4: Lordoscoliosis and Large Intrathoracic Airway Obstruction

Enrique Garrido, MRCS, EBOT; Stewart Kenneth Tucker, FRCS; Mohammed Hamza Hilali Noordeen

10:53

Paper # 5: Cotrel Derotation Casting For Progressive Infantile Scoliosis

James Sanders, MD; Jacques D'Astous, MD; Marcie Fitzgerald, PA(C); Joseph Khoury, MD; Shyam Kishan, MD; Peter Sturm, MD

10:57

Discussion

 

11:03

Paper # 6: Neurologic Risk in Growing Rod Spine Surgery in Early Onset Scoliosis

Wudbhav Sankar; David Skaggs, MD; John Emans, MD; David Marks, FRCS; John Dormans, MD; George Thompson, MD; Suken Shah, MD; Paul Sponseller, MD; Behrooz Akbarnia, MD; Growing Spine Study Group

11:07

Paper # 7: Complications in 910 Growing Rod Surgeries: Use of Dual Rods and Submuscular Placement of Rods Decreases Complications

Shay Bess, MD; Behrooz Akbarnia, MD; George H. Thompson, MD; Paul Sponseller, MD; David L. Skaggs, MD; Suken Shah, MD; Hazem Elsebaie, FRCS, MD; Oheneba Boachie-Adjei, MD; Lawrence Karlin, MD; Sarah Canale; Connie Poe-kocher; Growing Spine Study Group

11:11

Paper # 8: Risk Factors for Rod Fractures in Growing Rod Surgery

Justin Yang, BS; Paul Sponseller, MD; George H. Thompson, MD; John Emans, MD; Richard McCarthy, MD; Pooria Salari, MD; Behrooz Akbarnia, MD

11:15

Discussion

 

11:22

Paper # 9: The Utility of VEPTR in the Older Child with Complex Spine and Chest Deformity

Amer Samdani, MD; Tricia St. Hilaire, BS; John Emans, MD; John Smith, MD; Kit Song, MD; Robert Campbell, MD; Randal Betz, MD

11:26

Paper # 10: Definitive Spinal Fusion for Congenital Scoliosis (CS): Long-term Results with a Minimum Follow-up of Ten Years

Ujjwal Debnath, FRCS, MD; Nanjundappa Harshavardhana, MS(Orth); James Hegarty, BSc; Michael Grevitt, FRCS (Tr & Orth); Hossein Mehdian, FRCS (Tr & Orth); Sathya Thambiraj, FRCS; John Webb, FRCS (Tr & Orth)

11:30

Paper # 11: Histological Changes of Dorsal Nerve Roots and Ganglia Induced by Spinal Fusion in Immature Rabbit Model.

Federico Canavese, MD, Alain Dimeglio, MD, Donatella Volpatti, VMD, Eugenio Pittioni, VMD, Fabio Cavalli, MD, Bartolomeo Canavese, VMD

11:34

Discussion

 
 

KEYNOTE ADDRESS

 

11:40

Biological Implications of Intrinsically Stable Spinal Instrumentation

Marc A. Asher, MD

12:05

Discussion

 

12:15

Walking Break

 

12:20

Meet the Experts (with lunch)

All Maisonneuve rooms are located on the 36th floor, accessible via the elevators in the Viger Foyer.

 

Moderator: P. Sponseller, MD
Panel: Drs. Bollini, Hefti, Johnston, McCarthy, Redding, Shah, Vitale

Case #1: Growing Rod Instrumentation for Cervical Kyphosis in a Pediatric Quadriplegic Patient: A Case Study
Darryl Antonacci, MD; Jason Nydick, DO; Thomas Klein; Amer Samdani, MD; Jahangir Asghar, MD; Randal Betz, MD

Case #2: VEPTR-like Instrumentation for Early Onset Scoliosis
Richard Gross, MD

Maisonneuve A Room

 

Moderator: R. Campbell, MD
Panel: Drs. Dimeglio, Jeszensky, Marks, Ogilvie, Perez-Grueso, Wright, Zeller

Case #3: The Case Reports of the Dual Growing Rod Method using Pedicle Screws as Foundation in Both the Upper and Lower Spine
Takemi Shimaya, MD; Ken Yamazaki, MD; Hideki Murakami, MD; Satoshi Yoshida, MD; Tadashi Shimamura, MD

Case #4: The Treatment of Multiple Congenital Spinal Deformities: Report of 2 Cases
Lynn Letko, MD

Maisonneuve BC Room

 

Moderator: D. Skaggs, MD
Panel: Drs. Akbarnia, Elsabaie, Emans, Keating, McMaster, Thompson, Yazici

Case #5: Multiple Vertebrectomies in Severe Kyphosis Management
Talaat El Hadidi

Case #6: Early Surgical Care in Congenital Dislocation of the Spine
Elke Viehweger, MD; Marie-Christine Giacomelli, MD; Yann Glard, MD; Franck Launay, MD; Philippe Petit, MD; Jean Luc Jouve, MD; Gerard Bollini, MD

Maisonneuve D Room

13:20

Walking Break

 
 

Session 3: Fuse or Not Fuse, and Surgical Options for Congenital Spine Deformities and Tumors
Session Chairs: M. Yazici, MD and D. Marks, FRCS

Salle de Bal Ballroom

13:25

Spinal Fusion Overview: When is Short Segment Fusion or Resection Appropriate? When to Give up on Fusionless Technique?

F. Perez-Grueso, MD

13:40

Hemivertebrectomy: Posterior Approach Only and Its Effect on Further Growth

S. Shah, MD

13:55

Hemivertebrectomy: Combined Anterior and Posterior Approach

G. Bollini, MD, PhD

14:10

Discussion

 

14:20

Vertebral Column Resection

D. Jeszenszky, MD

14:35

Hemiephysiodesis and Convex Arrest

D. Marks, FRCS

14:50

Discussion

 

15:00

Neurosurgical Management of Spinal Cord Abnormalities in Children with Early Onset Scoliosis

R. Keating, MD

15:20

Discussion

 

15:30

Refreshment Break & Exhibit Viewing

Viger Ballroom

16:05

Debate
Moderator: M. McMaster, FRCS

Resolved: Correction by traction followed by cast or brace is the treatment of choice for syndromic deformity under the age of 6.

Moderator: S. Shah, MD

16:05

Against

G. Bollini, MD / G. Thompson, MD

16:15

For

C. Johnston, MD / R. Zeller, MD

16:25

Against Rebuttal

G. Bollini, MD / G. Thompson, MD

16:30

For: Rebuttal

C. Johnston, MD / R. Zeller, MD

16:35

Discussion

 

16:45

Case Discussions
Panelists: Drs. Elsebaie, Emans, Hefti, McMaster, Perez-Grueso, Thompson

Case #7: Epiphysiodesis and Rib Distraction to Control Severe Early Scoliosis on a Prader Willi Child
Jean-Pierre Farcy, MD

Case # 8: Posterior Vertebral Column Resection in Two Myelopathic Children Under 6 Years of Age with Tuberculous Kyphosis: Short Term Results
Anthony Rinella, MD; Matthew Geck, MD; Juan Uribe, MD; Mario Gonzalez, MD

Case # 9: Spinal Opening-wedge Osteotomy: A Novel Technique for Correction of Complex Congenital Scoliosis
Tamas Fekete; Friederike Lattig; Frank Kleinstueck; Andreas Eggspuehler; Martin Sutter; Dezsoe Jeszenszky

Moderator: R. McCarthy, MD

17:15

Friday Session Summary and Possible Research Questions

M. Yazici, MD

17:20

Walking Break to Concurrent Workshops

 

17:30

Concurrent Workshops with Course Wine and Cheese Reception
All Maisonneuve rooms are located on the 36th floor, accessible via the elevators in the Viger Foyer. Concurrent workshops are not CME-accredited.

 
 

Interactive Case Discussion on Complex Pediatric Deformity
Faculty: David Marks, FRCS, Suken Shah, MD, Paul Sponseller, MD
Supported by: DePuy Spine

Maisonneuve A Room

 

Emerging Techniques & Trends in Osteotomies
Faculty: John Emans, MD, Michael Vitale, MD
Supported by: Medtronic

Maisonneuve BC Room

 

Emerging Techniques & Trends in Osteotomies
Faculty: John Emans, MD, Michael Vitale, MD
Supported by: Medtronic

Maisonneuve D Room

18:45

Adjourn

 

7:00

Concurrent Workshops with Breakfast

 
 

Treatment of Early Onset Scoliosis
Faculty: Michael Vitale, MD
Supported by: Stryker Spine

Maisonneuve A Room

 

New Methods and Technology for Derotation in Deformity Corrections
Faculty: John Emans, MD, David Skaggs, MD
Supported by: Medtronic

Maisonneuve BC Room

8:15

Walking Break

 
 

Session 4: FOCUS TOPIC - Outcomes
Session Chairs: M. Vitale, MD and G. Bollini, MD

Salle de Bal Ballroom

8:25

Introduction: Treatment Outcomes Early Onset Scoliosis: Compared to What?

M. Vitale, MD

8:40

Radiographic Outcomes: Cobb Angles, CT scans, and Other Ways X-rays Might Inform Us

S. Parent, MD

8:55

The Effect of Early Fusion on Outcomes of Children with Early Onset Scoliosis

C. Johnston, MD

9:10

Discussion

 

9:20

Complications of Non-Fusion Procedures in Children with EOS

B. Akbarnia, MD and J. Emans, MD

9:40

What Do We Know About The Effect Of Growing Rods and VEPTR on Pulmonary Function?

G. Redding, MD

9:55

How Do We Best Measure Broadly Defined Issues Of Outcome In EOS?

J. Wright, MD

10:10

Discussion

 

10:20

Refreshment Break & Exhibit Viewing

Viger Ballroom

10:50

Case Discussions: Outcome to Date of Patients Treated With Expandable Rods: Did I Helpff This Child?
Moderator: M. Vitale, MD Panelists: Drs. Hefti, Johnston, Redding, Shah, Wright, Yazici

 

11:20

Focus Topic Session Summary

M. Vitale, MD

11:25

Paper #12: Development and Initial Validation of a Disease Specific Outcome Measure for Early Onset Scoliosis

Michael Vitale, MD, MPH; Hiroko Matsumoto; Javier Avendano; David Roye, Jr.

11:29

Paper #13: A New Type of Growing Rod: Preliminary Results

Lotfi Miladi

11:33

Paper # 14: Growing Rods in Cerebral Palsy

Justin Yang, BS; Paul Sponseller, MD; George H. Thompson, MD; Marc Asher, MD; Pooria Salari, MD; Behrooz Akbarnia, MD

11:37

Discussion

 

11:44

Paper # 15: Greater than Two Year Follow-up Shilla Growth Enhancing System for the Treatment of Scoliosis in Children

Richard McCarthy, MD; Frances McCullough; Scott Luhmann, MD; Lawrence Lenke, MD

11:48

Paper # 16: External Fixator Correction for Severe Spinal Deformity

Koki Uno, MD, PhD

11:52

Paper # 17: Growing Rods as a Salvage Procedure After Convex Staple Epiphyseodesis to Control Curve Progression in Young Patients.

Purnendu Gupta, MD; Peter Sturm, MD; Sahar Hassani, MS; Kim Hammerberg, MD

11:56

Discussion

 

12:03

Paper # 18: Growing Polysegmental Construct in the Treatment of Juvenile Idiopathic Scoliosis

Mesentsev Andriy; Petrenko Dmytro, MD

12:07

Paper # 19: The Effect of a New Modification of the Growing Rod Technique on the Success Rate: Distal and Proximal Pedicle Screw Fixation, Dual Rod Application and Routine Lengthening at every 6 months

Houman Ahmadiadli, MD; Z. Deniz Olgun, MD; Muharrem Yazici, MD, Professor of Orthopedics

12:11

Paper # 20: Pelvic Fixation of Growing Rods: Comparison of Constructs

Paul Sponseller, MD; Justin Yang; Behrooz Akbarnia, MD; John Emans, MD; David L. Skaggs, MD; Richard McCarthy, MD; Marc Asher, MD; Muharrem Yazici, MD; Francisco Javier S Perez-Grueso, MD; Connie Poe-kocher; Patricia Kostial, BSN, RN; George H. Thompson, MD; Growing Spine Study Group

12:15

Paper # 21: Growing Rods in Myelomeningocele for Scoliosis Treatment: Long Term Follow Up

Richard McCarthy, MD; Behrooz Akbarnia, MD; Frances McCullough; Pooria Salari, MD; David L. Skaggs, MD.; George H. Thompson, MD; Suken Shah, MD; Francisco Javier S Perez-Grueso, MD; Marc Asher, MD; Muharrem Yazici, MD; Growing Spine Study Group

12:19

Discussion

 

12:26

Lunch

 
 

Session 6: Growth Modulation
Session Chairs: P. Sponseller, MD and B. Akbarnia, MD

Salle de Bal Ballroom

13:25

Biomechanical Consequences of Surgical Realignment of the Growing Spine

I. Stokes, PhD

13:40

Discussion

 

13:45

Paper # 22: Patterns of Progression in the Porcine Scoliosis Model

Frank Schwab, MD; Virginie Lafage, PhD; Jean-Pierre Farcy, MD

13:49

Paper # 23: A Technical Report on the Phenix M Rod, an Expandable Rod Linkable to the Spine, Ribs or the Pelvis and Controllable at Home by Hand through the Skin with a Palm size Permanent Magnet for the Treatment

Arnaud Soubeiran, PhD; Lotfi Miladi; Jacques Griffet, MD; Thierry Odent, MD; Vincent Cunnin, MD; Jean Dubousset, MD

13:53

Discussion

 

14:00

Case Discussions
Panelists: Drs. Elsebaie, Marks, McCarthy, Perez-Grueso, Skaggs, Yazici

Case # 10: Neurological Complication after Growing Rod Implants Exchange: A Case Report
Behrooz Akbarnia, MD; Daniel Oliveira, MD; Pooria Salari, MD; Patricia Kostial, BSN, RN

Case # 11: Shortening of Growing Rod Spinal Instrumentation Reverses Acute Cardiac Failure
David Skaggs, MD; Gerald Bushman; Todd Grunander; Pierre Wong; Wudbhav Sankar

Case # 12: VEPTR as an Alternative for Early Kyphectomy in Children Congenital Kyphosis in Myelomeningocele.
Latalski Michal, MD, PhD; Fatyga Marek, MD PhD; Raganowicz Tomasz, MD PhD; Gregosiewicz Andrzej, Prof. MD PhD

Moderator: B. Akbarnia, MD

14:30

Refreshment Break & Exhibit Viewing

Viger Ballroom

15:00

Non-Fusion Distraction Procedures: Spine Based

P. Sponseller, MD

15:15

Non-Fusion Distraction Procedures: Thoracic Insufficiency Based

R. Campbell, MD

15:30

Discussion

 

15:40

Non-Fusion Tension-Based Procedures

J. Ogilvie, MD

15:55

Non-Fusion Growth-Directed Procedures

R. McCarthy, MD

16:10

Motion Preservation

R. Zeller, MD

16:25

Dynamics of Pediatric Device Innovation

M. Vitale, MD and R. Campbell, MD

16:30

Discussion

 

16:40

Debate: Chest Cage Based vs. Spine Based
(A case will be presented)

Moderator: G. Thompson, MD

16:40

Chest Cage Based Team

R. Campbell, MD / J. Emans, MD

16:50

Spine Based Team

D. Skaggs, MD / D. Marks, FRCS

17:00

Chest Cage Based Rebuttal

R. Campbell, MD / J. Emans, MD

17:05

Spine Based Rebuttal

D. Skaggs, MD / D. Marks, FRCS

17:10

Discussion

 

17:15

Awards

B. Akbarnia, MD

17:20

Research Questions and Closing Comments

B. Akbarnia, MD

17:30

Adjourn

 

1 Contributions of Disc and Vertebral Wedging to Scoliosis Progression During the Pubertal Growth Spurt
Ryan Will, MD; Ian Stokes, PhD; Matthew Walker, MS; James Sanders, MD

2 Effect of Intra-operative Tensioning of an Anterolateral Spinal Tether on Spinal Growth Modulation in a Porcine Model
Burt Yaszay, MD; Peter Newton, MD; Vidyadhar Upasani, MD; Shunji Tsutsui, MD; Michael Slivka, M.Sc.; Riley Hawkins

3 Spinal Hemiepiphysiodesis by Staping Alters Initial Biomechanical Properties of Motion Segments
Eric Wall, MD; Meghan Moore; Donita Bylski-Austrow, PhD

4 Timing of Definitive Fusion in Early Onset Scoliosis (EOS) treated by Growing Rod (GR) Construct - A Retrospective study with a minimum follow-up of 13 years
Ujjwal Debnath, FRCS, MD; Nanjundappa Harshavardhana, MS(Orth), Dip SICOT; Hossein Mehdian, FRCS (Tr & Orth); Jeffrey McConnell, MD

5 Safety and Efficacy of Growing Rods for Pediatric Congenital Spinal Deformities
Hazem Elsebaie, FRCS, MD; Muharrem Yazici, M.D.; George H. Thompson, M.D.; John Emans, MD; David S. Marks, FRCS; David L. Skaggs, M.D.; Alvin Crawford, MD; Lawrence Karlin, MD; Richard McCarthy, M.D.; Connie Poe-Kocher; Patricia Kostial, BS; Behrooz Akbarnia, M.D.; Growing Spine Study Group

6 Spinal Hemiepiphysiodesis by Modified Staple Induces Curvatures
Eric Wall, MD; Rich Grant; Joe Reynolds; Donita Bylski-Austrow, PhD

7 Nutritional Improvement Following VEPTR Surgery in Children
David L. Skaggs, M.D.; Wudbhav Sankar; Josh Albrektson; Tishya Wren; Robert Campbell, MD

8 A new technique of vertebral desepiphyseodesis for progressive anterior congenital kyphosis
Gerard Bollini, Professor; Benjamin Blondel, MD; Elke Viehweger, MD

9 Three-dimensional Analysis of Congenital Spinal Deformity: Evaluation of Inter-observer reliability
Noriaki Kawakami, MD; Shiro Imagama; Lenke Lawrence, M.D.; Timothy Kuklo, M.D.; Richard McCarthy, M.D.; Charles Johnston, M.D.; Spinal Deformity Study Group

10 Computed Tomographic Validation of the Porcine Model for Thoracic Scoliosis
Frank Schwab, MD; Ashish Patel, MD; Virginie Lafage, PhD; Jean-Pierre Farcy, MD

11 Analysis of implant related complications in growing rods. Can it improve the outcome?
Hazem Elsebaie, FRCS, MD

12 Vertebral Body Growth - Normal, Lytic Spondylolisthesis, and Scoliotic. A Correlative and Archeologic Study
Thomas Whitesides, MD

13 Does subcutaneous placement of the rods give better results in Growing Rod Technique?
Behrooz Akbarnia, M.D.; Shahid Khan; Pooria Salari, MD; Sina Tebi; George H. Thompson, M.D.; Richard McCarthy, M.D.; Francisco Javier S Perez-Grueso, M.D.; Hazem Elsebaie, FRCS, MD; Paul Sponseller, M.D.; Patricia Kostial, BS; Rishi Kadakia; Lawrence Karlin, MD; David S. Marks, FRCS; Growing Spine Study Group E-POSTER Title Authors (Primary Author underlined)

14 Spine Stable Hemiepiphysiodesis Increases Disc Static Compressive Stress and Mildly Decreases Dynamic Stresses
Eric Wall, MD; David Glos, BSE; Frank Sauser, MAE; Donita Bylski-Austrow, PhD

15 Dorsal Spine Infection in Pediatric Age Group
Mohamed Wafa, MD; Hazem Elsebaie, MD

16 The Additive Effects of a Multimodal Blood Avoidance Program in Preventing Blood Loss in Scoliosis Surgery.
David Godfried, MD

17 The significance of surgical techniques evolution in the treatment of deformities associated to rare diseases: scoliosis in Prader-Willi syndrome
Tiziana Greggi; Francesco Vommaro

18 VEPTR-instrumentation in non-congenital spine deformities: Efficient improvement of pelvic obliquity, moderate correction of scoliosis
Carol Hasler, PD Dr.; Fritz Hefti, Prof

19 Treatment of Progressive Spinal Deformity using the VEPTR device with a Bilateral Percutaneous Rib to Pelvis Technique in Non-Ambulatory Children with Neuromuscular Disease
John Smith, MD; Melissa Smith, CPNP

20 The Treatment of Multiple Congenital Spinal Deformities - Report of 2 Cases
Lynn Letko, MD; Dr. med.

21 Four Decade Results in Surgical Management of Congenital Scoliosis: A UK experience of 2 Cases
Nanjundappa Harshavardhana, MS(Orth), Dip SICOT

22 Management and surgical planning of severe infantile cervical kyphosis
Frank Kleinstueck; Tamas Fekete; Friederike Lattig; Dezsoe Jeszenszky

23 Excision and short segment posterior instrumentation in the treatment of benign vertebral tumors associated with scoliosis in the growing spine.
Hazem Elsebaie, FRCS, MD; Mohamed Wafa, MD orthopaedics ; Talaat El Hadidi

24 Post Laminectomy Kyphosis in Pediatric Age Group
Mohamed Wafa, MD

25 The treatment of the pathologic spine fractures in children.
Ryszard Tomaszewski; Jacek Kler