Belgian International Spine Symposium

BISS  XXXIst Edition



SCIENTIFIC PROGRAM
R. Gunzburg, M. Szpalski & S. Blumenthal




FRIDAY NOVEMBER 21, 2025

07.30 Registration

07.55 Welcome

GENERAL CONSIDERATIONS
  Chairman: C. Lamartina

08.00 What is the learning curve for robotics and new technology?
JJ Abitbol (San Diego)

08.15 The future of spine imaging
A. Zerbi (Milan)

08.30 Are women the future of spine?
C. Martini (Milan)

08.45 Equipment that has changed the spinal surgery world – from bipolar to bone scalpels
R. Cecchinato (Milan)

09.00 Discussion

09.15 Technology without principles is useless
C. Lamartina (Milan)

09.30 C.Acnes, is it pathogenic or just along for the ride and influence of gut microbiome
S. Blumenthal (Dallas)

09.45 Spine surgery simulators for surgical training-if it’s good enough for pilots…
R. Guyer (Dallas)

10.00 The future of surgical site infection (SSI): Will it become a “Never Event”? And, are care bundles the answer?
D. Wong (Denver)

10.15 Discussion

10.30 Coffee Break

11.00 Are the next frontier robots providing anaesthesia?
R. Garcia (Miami)

11.15 How is technological advancement measured appropriately?
I. Vlok (Cape Town)

11.30 Monkeys can be trained to use robots, the greater world needs skilled surgeons
R. Dunn (Cape Town)

11.45 Lumbar TDR- will it be around in 10 years?
R Guyer (Dallas)

12.00 Discussion

12.15 NASS President Talk
Physical medicine, interventional therapy and AI
Scott Kreiner (Phoenix)

12.30 Lunch Break

DEBATE

13.30 Free hand vs navigation and robotic instrumentation
C. Lamartina vs C. Hofstetter

THE FUTURE OF SPINE I
  Chairman: S. Blumenthal

14.00 Unilateral Biportal Endoscopy (UBE) learning curve and future developments
A. Faundez (Geneva)

14.15 Beyond robotics, digital surgery
H.A. Leroy (Lille)

14.30 Robot assisted endoscopic TLIF
C. Hofstetter (Seattle)

14.45 Spinal endoscopy: from private to public health care
S. Harangi (Rotterdam)

15.00 Cervical TDR in 10 years-incidence and treatment strategies for revisions
S. Blumenthal (Dallas)

15.15 Discussion

15.30 Coffee Break

THE FUTURE OF SPINE II
  Chairman: I. Vlok

16.00 Endoscopic anatomy
A. Faundez (Geneva)

16.15 Does robotics live up to it's promise or is this industry pushing technology?
JJ Abitbol (San Diego)

16.30 When technology goes wrong
I. Vlok (Cape Town)

16.45 Discussion

16.55 Unilateral Biportal Endoscopy: from decompression to fusion
A. Faundez (Geneva)

17.10 Without BMP, is an endoscopic fusion appropriate?
C. Hofstetter (Seattle)

17.25 PRP and stem cells in spine: Effective or a scam.
R. Garcia (Miami)

17.40 Discussion

17.50 End of first day



SATURDAY NOVEMBER 22, 2025

THE FUTURE OF SPINE III
  Chairman: M. Czyz

08.00 Approach to metastatic spine disease – what does the future hold?
R. Cecchinato (Milan)

08.15 Spinal decompression in the future: will the endoscope or the microscope prevail?
D. Wong (Denver)

08.30 Unilateral Biportal Endoscopy: from decompression to fusion
A Faundez (Geneva)

08.45 Discussion

08.55 Innovative Materials in Spine Surgery: The role of Carbon/PEEK in Metastatic and Primary Tumours
D. Thijs (Antwerp)

09.10 Hand held navigation. Clinical and economic considerations
M. Arts (The Hague)

09.25 The future of pedicle aiming
C. Bolger (Dublin)

09.40 Spinal Decompression in the Future: will the endoscope or the microscope prevail?
D. Wong (Denver)

9.55 Late-career learning curve : a comparative study of biportal endoscope and conventional techniques
C. Schizas (Lausanne)

10.10 Discussion

10.25 Coffee Break

AI SYMPOSIUM
  Chairman: D. Wong

10.55 Intelligence-based spine care: what is it and future direction
D. Samartzis (Chicago)

11.10 Examples in healthcare and industry where AI is utilized today and future direction
C. Tomkins-Lane (Calgary) & G. McNamara (Dublin)

11.25 Practical applications of AI for the spine clinician
C. Colloca (New York)

11.40 Discussion

11.55 Large language models and AI - what are they, tips/tricks from the real-world
C. Tomkins-Lane (Calgary) & G. McNamara (Dublin)

12.10 Implications of AI in research/publishing
D. Samartzis (Chicago)

12.25 Artificial intelligence in healthcare: legal risks, compliance, and the path forward
E. Muehlbauer (Chicago)

12.40 Discussion

12.55 Lunch Break

ETHICS AND ECONOMY
  Chairman: D. Samatzis

13.55 Future value in spine surgery: the role of government, comparative effectiveness research, economic credentialing and technology assessment
D. Wong (Denver)

14.10 “Future” technologies that have come and gone – what have we learnt?
I. Vlok (Cape Town)

14.25 Cost-benefit ratio for endoscopy
M. Czyz (Birmingham)

14.40 Is the tail wagging the dog?
R. Dunn (Cape Town)

14.55 Discussion

15.10 Training in spinal surgery: the role of the basics and what are they?
I.Vlok (Cape Town)

15.25 Patient safety in spine surgery for the future: will organizational initiatives have an impact?
D. Wong (Denver)

15.40 Costs of adopting these technologies
JJ Abitbol (San Diego)

15.55 The future of surgical spine tourism
R. Dunn (Cape Town)

16.10 Discussion

16.30 End of the Meeting