University of California San Francisco
Presented by the DepartmentsofOrthopaedicSurgery and Neurological Surgery University of California, San Francisco
8TH ANNUALUCSF SPINE SYMPOSIUM
COURSE DIRECTORS
Shane Burch, MDAssistant Professor, DepartmentofOrthopaedicSurgery, UCSF Spine Center University of California, San Francisco
Praveen Mummaneni, MDProfessorandVice-ChairofNeurologicalSurgery;DirectorofMinimallyInvasive SpineSurgery;DirectorofCervicalSpineSurgery;Co-Director,UCSFSpineCenterUniversity of California, San Francisco
FR
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May31-June1
, 2013
Marriott Union SquareSan Francisco, CA
UP
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8TH ANNUALUCSF SPINE SYMPOSIUM
The UCSF Spine Symposium is an annual two day event emphasizing pioneering trends in diagnostic and therapeutic strategies for patients suffering from spinal disorders. This course is designed to be interactive with talks given by leaders in the spine community. All lectures are followed by case discussions aimed at highlighting key issues in breakthrough treatments. The course is designed for neurosurgeons, orthopedists, nurses, physical therapists, physiatrists, anesthesiologists, pain specialists as well as primary care providers.
The purpose of this course is to increase competence and improve clinical practice in the management of patients with spinal pathologies. Attendees will be better equipped to:•Evaluateandtreatspinalpaininacosteffectiveand
reliable manner based on recently published guidelines;•Identifyappropriateindicationsforsurgeryofthe
painful, degenerated spine and identify the appropriate surgical approach in the painful, degenerative spinal conditions based on recently published guidelines;
•Evaluateandtreatlumbardegenerativediseaseand deformity in a cost effective manner and avoid perioperative complications by identifying risk factors that may predispose to morbidity;
•Discusspainmanagementstrategiesforpatients with spine related pain;
•IncreaseutilizationandcompetencewithNASS spinal stenosis guidelines;
•Providephysicalexamsthatincludeaprocesstoidentifylowerextremitypainthatdissipateswhile sittingandexacerbateswithstandingorwalking;
•Identifyspinalinstabilityrelatedtospinaltumorsand formulate surgical treatment plans to deal with neurological deficits and pain in spine oncology patients based on recently published guidelines.
EDUCAT
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SMarriott Union Square San Francisco, CA
May31-June12013ACCREDITATION
The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
UCSF designates this live activityforamaximumof13.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extentoftheirparticipation in the activity.
This CME activity meets the requirements under CaliforniaAssemblyBill1195, continuing education and cultural and linguistic competency.
Pain Management and End-of-Life CareThe approved credits shown aboveincludeamaximumof10.75 credits toward meeting the requirement under CaliforniaAssemblyBill487,Pain Management and End-of-Life Care.
Geriatric MedicineThe approved credits shown above include 4.75 credits toward meeting the requirement under California AssemblyBill1820,GeriatricMedicine
Trauma The approved credits shown above include 2.00 credits toward satisfying the American College of Surgeons Committee on Trauma requirement for trauma-related continuing medical education.
NursesFor the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME.
Physician AssistantsAAPA accepts category 1 credit from AOACCME, Prescribed Credit from AAFP, and AMA Category 1 Credit™ for the PRA for organizations accredited by the ACCME.
May31-June1,2013
8TH ANNUAL
UCSF SPINE SYMPOSIUMMay31-June1,2013
GENERAL INFORMATIONAdvanced registration closes one (1) business day prior to start of course. Pre-registration is preferred to ensure that we have adequate course materials.HOW TO ENROLLEarly Bird Rates prior to 2/27/13 Tuition*:$325Physicians,
$225Nurses/Pharmacists/AlliedHealth Professionals/Residents/Fellows
*add$25after2/27/13PaymentcanbemadebyAmericanExpress,Visa,MasterCard or check.REGISTER VIA:Online: www.cme.ucsf.eduMail: Complete course registration form
and send with payment to: UCSF Office of CME P.O.Box45368 SanFrancisco,CA94145-0368
Fax: Faxcompletedregistrationformto: (415)502-1795(besuretoincludeyourcredit card number)
Phone: To register by phone or to inquire about registration status, please call UCSF’sCMERegistrationOfficeat (415)476-5808.
On-Site Registration: Generally we are able to accommodate on-site registration at our courses, however pre-registration is preferred to ensure that we have adequate course materials. REFUND POLICYCancellations received in writing before the first dayofthecoursewillberefunded,lessa$75administrative fee. No refunds will be made on cancellations received after that date.
FRIDAY, May 31, 20137:15am Registration/ContinentalBreakfast7:55 Welcome and Introduction ShaneBurch
Praveen MummaneniBASIC SCIENCE AND MANAGING PAIN IN THE AGING SPINE8:00 PG Natural History of Painful Spine-related Disorder ShaneBurch8:15 PG Imaging for Painful Degenerative Disc Disease Thomas M. Link8:30 PG Degenerative Disc Disease and Low Back Pain JeffreyC.Lotz8:45 PG Osteoporosis and the Painful Aging Spine AenorJ.Sawyer9:00 G Vertebral Strength and Analysis Tony M. Keaveny 9:15 P A Psychiatrist’s Perspective on Pain Management Robert Hines9:30 Case Presentations ShaneBurchand
Robert Hines9:45 Break10:15 P Biologic Treatments for Discogenic Pain ConorO’Neill10:30 P The SPORT Study: What Have We Really Learned About
Non-operative Care of Spine-related Pain?JoelSaal
10:45 P Innovative Neuroplastic Pain Treatment Michael H. Moskowitz11:00 P Do We Know Everything about LBP? Literature Update SibelDemir-Deviren11:15 P Use of Deep Cervical Flexor Exercises in
Reducing Cervical Spine PainSarah Pawlowsky
11:30 PG Clinical Issues in Rehabilitation of the Aging Spine Robert Gamburd 11:45 PG Management of Pain in Lumbar Facet Joint Degeneration DavidJ.Lee12:00pm INTRODUCTION OF RITCHEY LECTURER ShaneBurch12:05 P State of the Evidence: Non-operative and Operative
Treatment of Low Back PainRichardA.Deyo
12:45 Lunch (included in tuition) and Exhibits1:25 INTRODUCTION OF GUEST SPEAKER Praveen Mummaneni1:30 PGT Management of the Painful Acute Geriatric Odontoid Fracture VincentC.Traynelis2:10 P Peripheral Nerve Entrapments That Mimic Spinal Pathology:
Evaluation and Treatment Both Medical and SurgicalMichel Kliot
2:25 P How to Differentiate and Treat C5 Nerve Palsy versus Brachial Neuritis
JohnW.Engstrom
EVIDENCE-BASED MEDICINE AND QUALITY ASSURANCE FOR TREATMENT OF THE PAINFUL SPINE 2:40 P The Drivers for Hospital Readmissions after Spine Surgery Praveen Mummaneni2:55 G Strategies for Minimizing Surgical Site Infections SigurdBerven3:10 P Optimizing Anesthesia: Minimizing Blood Loss and Pain JeremyLieberman3:25 P Low Back Pain Management from the Perspective of a
Practicing Spine SurgeonL. William Whitlatch
3:40 Break with Wine Tasting in Exhibit Hall4:15 Case Presentations JoelSaal5:30pm Adjourn
Marriott Union Square San Francisco, CA
programCONFERENCE LOCATIONEnjoySanFrancisco’srenownedattractionssuchas the historic cable cars, shopping in Union Square,orvisitSanFrancisco’sculinaryhubattheFerryBuilding.Marriott Union Square is just steps from Union SquareandtheTheatreDistrict.Ablockofguestrooms has been reserved at the special UCSFconferencerateof$169/night.Youareurgedto make your reservations early. The cut off date is May 10, 2013, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. To make hotel reservationspleasecall(800)228-9290or (415)398-8900andidentifyyourselfasamemberof this UCSF conference to receive the special rate.You can also reserve your hotel rooms on-line by visiting the course webpage on our website at www.cme.ucsf.edu. Please click on the reservations link in the Travel & Lodging section.
By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable.RENTAL CARHertz is offering special rates for participants of thisconference;simplycall(800)654-2240andrefertoconventionnumber#03BW0132orcallyourtravel agent. You may also make reservations at www.Hertz.com. Advance reservations are recommended.AIR TRANSPORTATIONUCSF has negotiated special fares with American and United Airlines for our course attendees. You may use the following tour codes to book on your own:American(800)433-1790code:A7753BW United—www.united.comcode:ZN9K492826
SATURDAY, June 1, 20137:30am Continental BreakfastTUMOR, TRAUMA, INFECTION, AND CYSTS8:00 P Mini-open Transpedicular Corpectomy for
Treatment of Painful Spine TumorsDeanChou
8:15 P Radiosurgery of the Spine: Indications, Techniques, Pain Management, and Future Directions
IgorBarani
8:30 PT Update in Cervical Spine Trauma: Screening the Patient with Neck Pain
Murat Pekmezci
8:45 P Management of Painful Paraparesis Due to Non-neoplastic Spinal Cord Cysts
Philip R. Weinstein
9:00 P Minimally Invasive Removal of Spinal Tumors Praveen Mummaneni9:15 INTRODUCTION OF GUEST SPEAKER Praveen Mummaneni 9:20 P Update on the Treatment of Painful Metastatic Tumors Michael W. Groff10:00 BreakDEGENERATIVE CONDITIONS AND DEFORMITY10:15 PG Indications for Combined Surgery in Painful Adult Deformity Serena S. Hu10:30 P Painful Complications of Cervical Disc Replacement BobbyTay10:45 PG Clinical and Radiographic Outcomes of Painful Lumbar
Disc Degeneration Following Interbody FusionPaulJ.Slosar
11:00 INTRODUCTION OF RITCHEY LECTURER ShaneBurch11:05 PG The Role of Minimally-invasive Spine Surgery in Treatment
of Adult Deformity and Painful Degenerative ConditionsFrank M. Phillips
11:50 Lunch (included in tuition)PAIN MANAGEMENT – NEW FRONTIERS1:00pm P The Painful Sacroiliac Joint: Myths, Dogma,
and the EvidenceAlanBCDang
1:15 P Spinal Cord Stimulation JeffreyYablon1:30 P Coordination of Pain Management Strategies with
the Patient’s Primary Care PhysicianMelanie M Henry
1:45 PG Case Presentations – Spine Pain in the Elderly 2:15 Break2:30 PT Case Presentation – Spine Pain / Trauma3:30pm Adjourn
P – Pain Credit G – Geriatric Credit T – Trauma Credit
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COURSE DIRECTORS Shane Burch, MDAssistantProfessor,DepartmentofOrthopaedic Surgery, UCSF Spine CenterUniversity of California, San FranciscoPraveen Mummaneni, MDProfessorandVice-ChairofNeurologicalSurgery;DirectorofMinimallyInvasiveSpineSurgery;DirectorofCervicalSpineSurgery,Co-Director,UCSFSpineCenterUniversity of California, San FranciscoSPECIAL GUEST FACULTYRichard A. Deyo, MD, MPHKaiser-Permanente Endowed Professor ofEvidence-BasedFamilyMedicine; DepartmentsofFamilyMedicine,Internal Medicine, and Public Health and Preventive Medicine, Oregon Health and Science University, Portland, ORMichael W. Groff, MD DirectorofSpinalNeurosurgery,BrighamandWoman’sHospital,HarvardMedicalSchool,Boston,MAFrank M. Phillips, MD Professor,OrthopaedicSurgery,Director,Section of Minimally Invasive Spine Surgery,SpineFellowshipCo-Director,Rush University Medical Center, Chicago ILVincent C. Traynelis, MDDirector,NeurosurgerySpineService,ViceChairpersonandProfessor,Neurosurgery Residency Program Director,DepartmentofNeurosurgery,Rush University Medical Center, Chicago, ILCOURSE FACULTY (University of California, San Francisco unless indicated)Igor Barani, MDAssistant Professor of Radiation Oncology,Vice-ChairforClinicalResearchSigurd Berven MD Professor of Orthopaedic Surgery, Co-director of Spine Fellowship and Resident Education Program
Dean Chou, MDAssociate Professor of NeurosurgeryAlan BC Dang, MDAssistant Professor of Orthopaedic SurgerySibel Demir-Deviren, MDAssociate ProfessorJohn W. Engstrom, MDBettyAnkerFifeDistinguishedProfessor; ClinicalChiefofService,DepartmentofNeurologyRobert Gamburd, MDPhysiatrist, SOAR, Physiatry Medical Group, Redwood City, CAMelanie M. Henry, MD, MPH Professor of Anesthesia and Perioperative Care Robert Hines, MDCo-Director,BayAreaPainMedicalAssociates,MillValley,CASerena S. Hu, MDProfessor, Chief of Orthopaedic Spine Service Tony M. Keaveny, PhDProfessor of Mechanical Engineering andBioengineering,UCBerkeley,Berkeley,CAMichel Kliot, MDProfessor of Clinical Neurosurgery, Director,CenterforManagementandSurgeryofPeripheralNerveDisorders at UCSFDavid J. Lee, MDProfessor of Anesthesia and Perioperative CareJeremy Lieberman, MDProfessor and Chief of Spine AnesthesiaThomas M. Link, MD, PhDProfessor of Radiology, Chief, Musculoskeletal Imaging Jeffrey C. Lotz, PhD Professor of Orthopaedic Surgery, Director,BioengineeringLab, Research Labs
Michael H. Moskowitz, MD, MPHStaff Psychiatrist, SpineCare Medical Group,Inc.,DalyCity,CAValli P. Mummaneni, MDAssociate Professor of Anesthesia and Perioperative CareConor O’NeillAssistant Professor of Orthopaedics Sarah Balys Pawlowsky, PT, DPT, OCSAssistant Professor of Physical Therapy and Rehabilitation ScienceMurat Pekmezci, MD Assistant Professor of Orthopaedic SurgeryJoel Saal, MDPhysical Medicine and Rehabilitation Physician, Sports, Orthopedic and Rehabilitation Medicine Associates (SOAR), Redwood City, CAAenor J. Sawyer, MDAssistant Professor of Orthopaedic SurgeryPaul J. Slosar, MD MedicalDirector-SpineCare Institute of San Francisco; President - SpineCare Medical Group; Assistant Director,SurgicalFellowshipandSurgicalResearch, San Francisco Spine Institute, San Francisco, CABobby Tay, MDAssociate Professor of Orthopaedic Surgery;Co-Director,SpineFellowshipProgramPhilip R. Weinstein, MDProfessorEmeritus,DepartmentofNeurological SurgeryL. Willam Whitlatch, MD, PhDNeurosurgeon, Northstate Neurosurgical Associates, Chico, CAJeffrey Yablon, MDAssociate Clinical Professor of Neurosurgery;MedicalDirectorofPeggyHerman Center for the Neurosciences, QueenoftheValleyMedicalCenter,Napa, CA
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8 TH ANNUAL UCSF SPINE SYMPOSIUMMay 31 - June 1, 2013 Marriott Union Square San Francisco, California
MOR13003
Mail to : UCSF Office of CME P.O.Box45368 SanFrancisco,CA94145-0368 Fax:(415)502-1795
Online registration: www.cme.ucsf.eduRegistrationInformation:(415)476-5808 CourseInformation:(415)476-4251
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Please indicate if you have any special needs: Registration Fees(Receipt/Confirmationwillbemailedwithintwotofourweeks):By2/27/13 *$325PhysiciansAfter2/27/13 *$350PhysiciansBy2/27/13 *$225Nurses/Pharmacists/AlliedHealthProfessionals/Residents/FellowsAfterBy2/27/13 *$250Nurses/Pharmacists/AlliedHealthProfessionals/Residents/FellowsCheck enclosed payable to UC RegentsPlease charge my credit card: *Visa* MasterCard *AmExfor$
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Refund Policy: Cancellations received in writing before the first day of the course will be refunded, lessa$75administrativefee.Norefundswillbemadeoncancellationsreceivedafterthatdate.Please check our website for up-to-date information on the course: www.cme.ucsf.edu.
Marriott Union Square 480SutterStreet SanFrancisco,CA94108 http://www.marriott.com/sfous (866)912-0973
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