Member of

American Academy of Spine Physicians

An organization of Neurosurgeons & Chiropractic Physicians

dedicated to conservative and cooperative spine care

It is all about the expert in non-operative It is all about the expert in non-operative spine care developing a working relationship spine care developing a working relationship with the expert in spine surgery to improve with the expert in spine surgery to improve

spinecarespinecare

WHY SEEK SPECIALIZED WHY SEEK SPECIALIZED CARE OF THE SPINE ?CARE OF THE SPINE ?

THE INTRICATE SPINETHE INTRICATE SPINE

The spine is complex and is comprised ofThe spine is complex and is comprised of::  • an intricate network of blood vessels an intricate network of blood vessels • countless specialized nerve endings countless specialized nerve endings • hundreds of small nerve fibers which connect to hundreds of small nerve fibers which connect to

structures of the spine structures of the spine • more than 220 specialized ligaments more than 220 specialized ligaments • greater than 120 individual muscles greater than 120 individual muscles • over 100 intricate joints over 100 intricate joints • 24 vertebrae along with the sacrum and coccyx 24 vertebrae along with the sacrum and coccyx • 31 pairs of spinal nerves 31 pairs of spinal nerves • 23 intervertebral discs23 intervertebral discs

WHO NEEDS CARE OF WHO NEEDS CARE OF THE SPINE ?THE SPINE ?

BACK PAIN: THE BACK PAIN: THE STATISTICSSTATISTICS

• Eight out of ten adults will experience low back pain sometime during Eight out of ten adults will experience low back pain sometime during their lifetimetheir lifetime

• After the common cold problems related to the low back are the most After the common cold problems related to the low back are the most frequent cause of lost workdays in individuals over 45 years of age frequent cause of lost workdays in individuals over 45 years of age

• Back pain ranks second to headaches as the most frequent location Back pain ranks second to headaches as the most frequent location for painfor pain

• Greater than 65 million Americans experience back pain every yearGreater than 65 million Americans experience back pain every year

• Back injuries are one of the most common causes for disabilityBack injuries are one of the most common causes for disability

• The annual costs associated with back pain runs into the tens of The annual costs associated with back pain runs into the tens of billions of dollars considering lost productivity, medical expenses and billions of dollars considering lost productivity, medical expenses and worker’s compensation benefitsworker’s compensation benefits

WHAT CAN GO WRONG WHAT CAN GO WRONG WITH THE SPINE?WITH THE SPINE?

CAUSES OF BACK PAINCAUSES OF BACK PAINIncludes but is not limited toIncludes but is not limited to

• Facet SyndromeFacet Syndrome

• Segmental Segmental DysfunctionDysfunction

• Disc HerniationDisc Herniation

• TumorTumor

• CystCyst

• RadiculopathyRadiculopathy

• Scar Tissue Scar Tissue (Fibrosis)(Fibrosis)

• FractureFracture

• InfectionInfection

• Primary CancerPrimary Cancer

• Metastatic CancerMetastatic Cancer

• Spinal StenosisSpinal Stenosis

• Surgical Surgical InstrumentationInstrumentation

• Transitional Transitional SegmentSegment

COMMON SPINE COMMON SPINE CONDITIONSCONDITIONS

• Facet SyndromeFacet Syndrome

• Segmental Segmental DysfunctionDysfunction

• Disc HerniationDisc Herniation

• SpondylosisSpondylosis

• Degenerative Disc Degenerative Disc DiseaseDisease

• RadiculopathyRadiculopathy

• ScoliosisScoliosis

• MyelopathyMyelopathy

• SpondylolithesisSpondylolithesis

• Spinal StenosisSpinal Stenosis

• Muscular Muscular DeconditioningDeconditioning

• Disc BulgeDisc Bulge

• Transitional Transitional SegmentSegment

WHAT IS COOPERATIVE WHAT IS COOPERATIVE SPINECARE ?SPINECARE ?

Cooperative spine care refers to two or more Cooperative spine care refers to two or more health care professionals who work together to health care professionals who work together to

preserve or restore spinal integrity while preserve or restore spinal integrity while prioritizing prioritizing

the patient’s well being.the patient’s well being.

COMMON GROUNDCOMMON GROUND

Chiropractic Physicians and Chiropractic Physicians and NeurosurgeonsNeurosurgeons

both have extensive training inboth have extensive training in

NeurologyNeurology

BiomechanicsBiomechanics

andand

Disorders of the SpineDisorders of the Spine

WHO NEEDS COOPERATIVE WHO NEEDS COOPERATIVE CARE OF THE SPINE ?CARE OF THE SPINE ?

COOPERATIVE SPINECARECOOPERATIVE SPINECARE

Candidates for cooperative spinecare include Candidates for cooperative spinecare include individuals who:individuals who:

• have multiple areas of the spine involved to varying have multiple areas of the spine involved to varying degreesdegrees• are not responding to a conservative approachare not responding to a conservative approach• require medication and a physical medicine require medication and a physical medicine

approachapproach• have progressive neurological compromisehave progressive neurological compromise• have a complicated spinal conditionhave a complicated spinal condition• have failed to respond to surgeryhave failed to respond to surgery

STAGES OF SPINE DISEASE STAGES OF SPINE DISEASE AND THE AND THE

SPECTRUM OF CARE SPECTRUM OF CARE

Early Stage End Stage

Cooperative SpinecareCooperative Spinecare

Chiropractic Care Neurosurgical Care

Together chiropractic physicians and neurosurgeons Together chiropractic physicians and neurosurgeons can care for the entire spectrum of spine conditionscan care for the entire spectrum of spine conditions

WHAT IS A SPINE WHAT IS A SPINE PHYSICIAN?PHYSICIAN?

A spine physician is a chiropractic A spine physician is a chiropractic physician or a neurosurgeon who physician or a neurosurgeon who emphasizes care of the spine in their emphasizes care of the spine in their practice. Typically more than 50% of practice. Typically more than 50% of the practice is dedicated to caring for the practice is dedicated to caring for patients with spine disorders. patients with spine disorders.

WHAT IS THE WHAT IS THE AMERICAN ACADEMY OF AMERICAN ACADEMY OF

SPINE PHYSICIANS?SPINE PHYSICIANS?

An Organization for Leaders in An Organization for Leaders in the Field of Spinecarethe Field of Spinecare

An organization of Neurosurgeons & Chiropractic Physicians

dedicated to conservative and cooperative spine care

Mission StatementMission Statement

The objectives of the AASP are to:

• Promote conservative and cooperative spine care• Cultivate open dialogue and clinical interaction between

members• Promote continuing education for chiropractic physicians

and members• Expand available therapeutic options for patients• Provide educational resource for physicians and their

patients

Academy CouncilAcademy Council

• Edward C. Benzel, M.D.Edward C. Benzel, M.D. Cleveland ClinicCleveland Clinic

• George J. Dohrmann, M.D., George J. Dohrmann, M.D., Ph.D.Ph.D.

University of ChicagoUniversity of Chicago

• David H. Durrant, D.CDavid H. Durrant, D.C Chicago Neuroscience InstituteChicago Neuroscience Institute

• Barth A,. Green, M.D.Barth A,. Green, M.D. University of Miami Medical University of Miami Medical

CenterCenter Miami Project to Cure ParalysisMiami Project to Cure Paralysis

• Vincent Lucido, M.D.Vincent Lucido, M.D. President of FCERPresident of FCER

• Stephen L. Ondra, M.D.Stephen L. Ondra, M.D. Northwestern University Medical Northwestern University Medical

CenterCenter

• John F. Shea, M.D., Ph.D. John F. Shea, M.D., Ph.D. Loyola University Medical Loyola University Medical

CenterCenter

• Steven Vanni, M.D.Steven Vanni, M.D. University of Miami Medical University of Miami Medical

CenterCenter

• Wayne M. Whalen, D.C.Wayne M. Whalen, D.C.Past President, California Past President, California Chiropractic AssociationChiropractic Association

• Terry R. Yochum, D.C.Terry R. Yochum, D.C.Colorado School of MedicineColorado School of Medicine

SCIENTIFIC SCIENTIFIC CONSULTANTSCONSULTANTS

Scott Haldemann, DC, M.D., Ph.D. Clinical Neuroscience

Manohar M. Panjabi, Ph.D., D. Tech

Clinical Biomechanics

Common GroundCommon Ground Both disciplines Both disciplines:

• are uniquely trained in neurology

• appreciate the role of biomechanics

• understand the spectrum of spinal

disorders

• emphasize a conservative approach

• assume a hands on approach to spine

care

• isolated, are limited in their approach to

spine care

Benefits Benefits of Cooperative Care of Cooperative Care

• Reduce unnecessary testing • Early detection of spinal disorders at varying

stages of development• Optimize continuity of care• Reduce the risk for unnecessary surgery• Improved patient recovery• Reduced cost of spine care• Limit malpractice exposure

Steps to Success Steps to Success inin Comprehensive Spine Comprehensive Spine CareCare

• Achieve a high technical skill level

• Rediscover the benefits of Cooperative Spine Care

• Simplify your life

• Achieve a competitive edge

• Utilize all the resources available

Academy CouncilAcademy Council

• Edward C. Benzel, M.D.Edward C. Benzel, M.D. Cleveland ClinicCleveland Clinic

• George J. Dohrmann, M.D., George J. Dohrmann, M.D., Ph.D.Ph.D.

University of ChicagoUniversity of Chicago

• David H. Durrant, D.CDavid H. Durrant, D.C Chicago Neuroscience InstituteChicago Neuroscience Institute

• Barth A,. Green, M.D.Barth A,. Green, M.D. University of Miami Medical University of Miami Medical

CenterCenter Miami Project to Cure ParalysisMiami Project to Cure Paralysis

• Vincent Lucido, M.D.Vincent Lucido, M.D. President of FCERPresident of FCER

• Stephen L. Ondra, M.D.Stephen L. Ondra, M.D. Northwestern University Medical Northwestern University Medical

CenterCenter

• John F. Shea, M.D., Ph.D. John F. Shea, M.D., Ph.D. Loyola University Medical Loyola University Medical

CenterCenter

• Steven Vanni, M.D.Steven Vanni, M.D. University of Miami Medical University of Miami Medical

CenterCenter

• Wayne M. Whalen, D.C.Wayne M. Whalen, D.C.Past President, California Past President, California Chiropractic AssociationChiropractic Association

• Terry R. Yochum, D.C.Terry R. Yochum, D.C.Colorado School of MedicineColorado School of Medicine

THE ACADEMY COUNCIL THE ACADEMY COUNCIL MEMBERSMEMBERS

A Brief IntroductionA Brief Introduction

Edward C. Benzel, M.DEdward C. Benzel, M.D. . NeurosurgeonNeurosurgeon

• Chief of Neurosurgery at Chief of Neurosurgery at Cleveland ClinicCleveland Clinic

• President of Spine President of Spine Section of the American Section of the American Association of Association of Neurological SurgeonsNeurological Surgeons

• Author of Textbooks Author of Textbooks titled, Biomechanics of titled, Biomechanics of Spine Stabilization and Spine Stabilization and Fundamentals of Fundamentals of NeuroimagingNeuroimaging

George J. Dohrmann, M.D., PhD.George J. Dohrmann, M.D., PhD. Neurosurgeon Neurosurgeon

• Faculty of University of Faculty of University of Chicago Medical CenterChicago Medical Center

• Editorial Boards of Surgical Editorial Boards of Surgical Neurology, Spinal Cord and Neurology, Spinal Cord and Neurological ResearchNeurological Research

• Represents the United Represents the United States on Committees of the States on Committees of the World Federation of World Federation of Neurosurgical SocietiesNeurosurgical Societies

David H. Durrant, D.C.David H. Durrant, D.C. Chiropractic NeurologistChiropractic Neurologist

• Director of the Chicago Director of the Chicago Neuroscience InstituteNeuroscience Institute

• On the Scientific Committee On the Scientific Committee of the American Academy of of the American Academy of Spine Physicians Spine Physicians

• Author of benchmark Author of benchmark neurology textbook titled, neurology textbook titled, Myelopathy, Radiculopathy Myelopathy, Radiculopathy and Peripheral Entrapment and Peripheral Entrapment SyndromesSyndromes

Barth A. Green, M.D.Barth A. Green, M.D. NeurosurgeonNeurosurgeon

• One of world’s leading One of world’s leading spinal cord injury spinal cord injury researchersresearchers

• Director of Miami Director of Miami Project to Cure Project to Cure ParalysisParalysis

• Chief of the Department Chief of the Department of Neurological Surgery of Neurological Surgery at the University of at the University of MiamiMiami

Vincent Lucido, D.C.Vincent Lucido, D.C. Chiropractic PhysicianChiropractic Physician

• Former President of the American Chiropractic Association (ACA)

• President of the Foundation for Chiropractic Education and Research (FCER)

• Former ACA chiropractic physician of the year

Stephen L. Ondra, M.D.Stephen L. Ondra, M.D. NeurosurgeonNeurosurgeon

• Director of the Back and Neck Director of the Back and Neck Institute at Northwestern Institute at Northwestern University Medical CenterUniversity Medical Center

• Member of editorial board of Member of editorial board of the Journal of Spinal the Journal of Spinal DisordersDisorders

• Faculty member of Faculty member of Northwestern University Northwestern University Medical SchoolMedical School

John F. Shea, M.D., Ph. D.John F. Shea, M.D., Ph. D. Neurosurgeon Neurosurgeon• Faculty member of the

Loyola University Department of Neurological Surgery

• Faculty member of Loyola University Department of and Cell Biology (Neurobiology) and Anatomy

• Nationally recognized expert in the field of spinal surgery

Steve Vanni, D.O., D.C.Steve Vanni, D.O., D.C. NeurosurgeonNeurosurgeon

• Practicing chiropractic Practicing chiropractic physician physician

• Practicing Practicing neurosurgeonneurosurgeon

• On surgical staff at On surgical staff at Jackson Memorial Jackson Memorial Hospital in FloridaHospital in Florida

Wayne M. Whalen, D.C.Wayne M. Whalen, D.C. Chiropractic NeurologistChiropractic Neurologist• Board Certified Chiropractic Board Certified Chiropractic

NeurologistNeurologist

• Past President of the Past President of the California Chiropractic California Chiropractic AssociationAssociation

• Holds a Diplomate in Holds a Diplomate in Chiropractic RehabilitationChiropractic Rehabilitation

Terry R. Yochum, D.C.Terry R. Yochum, D.C. Chiropractic Radiologist Chiropractic Radiologist

• Instructor of Skeletal Instructor of Skeletal Radiology at the University Radiology at the University of Colorado Medical Schoolof Colorado Medical School

• Author of the textbook titled, Author of the textbook titled, Essentials of Skeletal Essentials of Skeletal RadiologyRadiology

• Past President of the Past President of the American Board of American Board of Chiropractic RadiologyChiropractic Radiology

Scott Haldeman, D.C., M.D., Ph.D.Scott Haldeman, D.C., M.D., Ph.D. NeurologistNeurologist

• Ph.D. in neurophysiologyPh.D. in neurophysiology

• Medical neurologist and Medical neurologist and chiropractic physicianchiropractic physician

• Serves on the Editorial Serves on the Editorial Boards of the following Boards of the following Journals; Spine, JMPT and Journals; Spine, JMPT and the Journal of the the Journal of the Musculoskeletal SystemMusculoskeletal System

Manohar M. Panjabi, Ph.D., D. Tech.Manohar M. Panjabi, Ph.D., D. Tech. Specialist in Biomechanics Specialist in Biomechanics

• Author of the textbook titled, Clinical Biomechanics of the Spine with Dr. White of Harvard

• Head of the Department of Biomechanics at Yale University

• Recognized authority on biomechanics of the spine

Certificate of MembershipCertificate of Membership

AASP MEMBERS INTEGRATE AASP MEMBERS INTEGRATE TO DEVELOP A COOPERATIVE TO DEVELOP A COOPERATIVE

APPROACH APPROACH

AASP MEMBERS AASP MEMBERS COMMUNICATING WITH THE COMMUNICATING WITH THE

LATEST TECHNOLOGYLATEST TECHNOLOGYDeveloping the spinecare referral networkDeveloping the spinecare referral network

Members work together to evaluate and treat

complicated conditions

TRAINING OF THE SPINE TRAINING OF THE SPINE PHYSICIANPHYSICIAN

CHIROPRACTIC CHIROPRACTIC PHYSICIANPHYSICIAN

Education and TrainingEducation and Training

• 3-4 years of college (pre-chiropractic training) 3-4 years of college (pre-chiropractic training) • 3-5 of chiropractic education with internship 3-5 of chiropractic education with internship • Option of 2-5 additional years of post-doctoral Option of 2-5 additional years of post-doctoral

training and/ or residency in specialty fields.training and/ or residency in specialty fields.

The chiropractic physician is The chiropractic physician is particularly skilled in a drugless, non-particularly skilled in a drugless, non-surgical and rehabilitative approach to surgical and rehabilitative approach to spinal disorders. spinal disorders.

NEUROSURGEONNEUROSURGEONEducation and TrainingEducation and Training

• years of college (pre-medical training) years of college (pre-medical training) • 4 years of medical school 4 years of medical school • 1 year of general surgery 1 year of general surgery • 5-7 years of neurosurgical residency5-7 years of neurosurgical residency

The neurosurgeon is particularly The neurosurgeon is particularly skilled in pharmaceutical and surgical skilled in pharmaceutical and surgical approaches to spinal disorders.approaches to spinal disorders.

CONTINUING EDUCATION CONTINUING EDUCATION FOR SPINE PHYSICIANSFOR SPINE PHYSICIANS

CONTINUING EDUCATIONCONTINUING EDUCATION

Chiropractic Physicians and Chiropractic Physicians and Neurosurgeons receive the same level of Neurosurgeons receive the same level of education through the American Academy education through the American Academy of Spine Physicians.of Spine Physicians.

Training on the same platform helps Training on the same platform helps facilitate a working relationship and facilitate a working relationship and continuity of care for the patient with a continuity of care for the patient with a spine disorder.spine disorder.

Chiropractic Physicians and Neurosurgeons Chiropractic Physicians and Neurosurgeons can achieve Diplomate Status through the can achieve Diplomate Status through the

AASPAASP

The Highest level of AcademicThe Highest level of AcademicDistinction with the AASP is FellowDistinction with the AASP is Fellowwith the American College of Spine with the American College of Spine

PhysiciansPhysicians

THE AMERICAN ACADEMY OF THE AMERICAN ACADEMY OF SPINE PHYSICIANSSPINE PHYSICIANS

PUBLIC SERVICESPUBLIC SERVICES

THE PICTHE PIC ONLINE PATIENT/PUBLIC INFORMATION ONLINE PATIENT/PUBLIC INFORMATION

CENTERCENTEROne of the largest online databases of information on the spine and One of the largest online databases of information on the spine and

spinecarespinecare

THE PICTHE PIC ONLINE PATIENT/PUBLIC INFORMATION ONLINE PATIENT/PUBLIC INFORMATION

CENTERCENTEROne of the largest online databases of information on the spine and One of the largest online databases of information on the spine and

spinecarespinecare

• Need-to-Know Need-to-Know InformationInformation

• Searchable Searchable DatabaseDatabase

• PicturesPictures

• AnimationsAnimations

• Fact SheetsFact Sheets

• Downloadable Downloadable FormatsFormats

FIND A SPINE SPECIALIST THROUGH THEFIND A SPINE SPECIALIST THROUGH THE NATIONAL DIRECTORY OF SPINE PHYSICIANSNATIONAL DIRECTORY OF SPINE PHYSICIANS

The largest online directory of spine physiciansThe largest online directory of spine physicians

FIND A SPINE SPECIALIST THROUGH THEFIND A SPINE SPECIALIST THROUGH THE NATIONAL DIRECTORY OF SPINE PHYSICIANSNATIONAL DIRECTORY OF SPINE PHYSICIANS

The largest online directory of spine physiciansThe largest online directory of spine physicians

Search the Directory Search the Directory ByBy

• SpecialtySpecialty

• Level of Academic Level of Academic DistinctionDistinction

• LocationLocation

THE PUBLICATIONTHE PUBLICATION “30 Tips for Spine Health”“30 Tips for Spine Health”

American Academy of Spine American Academy of Spine PhysiciansPhysicians

website addresswebsite address

www. spinephysicians.orgwww. spinephysicians.org

THE FUTURE OF THE FUTURE OF SPINECARESPINECARE

• Conservative CareConservative Care• Cooperative CareCooperative Care• Interdisciplinary CareInterdisciplinary Care• Early DetectionEarly Detection• Early InterventionEarly Intervention• Preventative ApproachesPreventative Approaches• NeurorehabilitationNeurorehabilitation• Advances in Diagnostic Advances in Diagnostic

TechnologyTechnology• Genetic/Molecular TreatmentGenetic/Molecular Treatment• Minimally Invasive Surgical Minimally Invasive Surgical

ApproachesApproaches• Functional NeurosurgeryFunctional Neurosurgery

American Academy of Spine Physicians