Brussels International Spine Symposium XXVIth Brussels International Spine Symposium  


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Lumbar Spinal Stenosis
R. Gunzburg & M. Szpalski




FRIDAY NOVEMBER 22, 2019

7.30 Registration

7.55 Welcome


BASICS
Chairman: Michael Mayer

8.00 Embryology and development of the spinal canal/anatomy’
Robert Dunn (Cape Town)

8.15 Biomechanics of neural arch and stenosis
Fabio Galbusera (Milan)

8.30 Lumbar Stenosis in dwarfism
Dave Wong (Denver)

8.45 Discussion

9.00 Natural history of spinal stenosis & asymptomatic incidence
Maryem Aguirre (Edinburg)

9.15 Etiology and pathogenesis of spinal stenosis
Bjorn Rydevik (Göteborg)

9.30 Discussion

9.40 Coffee Break


DIAGNOSIS / PRESENTATION I
Chairman: Dave Wong

10.10 Imaging of spinal stenosis: positional and traditional imaging
Alberto Zerbi (Milan)

10.25 Differentiating the restriction to mobility due to hip OA versus stenosis using gait analysis
Isador Lieberman (Dallas)

10.40 Epidural lipomatosis: an increasing cause of stenosis
Dave Wong (Detroit)

10.55 Differential diagnosis with vascular claudication
Frank Vermassen (Gent)

11.10 Discussion

11.25 The use of wearable technology as an objective tool for diagnosis and management of stenosis
Christy Lane (Calgary)

11.40 A practical treatment algorithm for degenerative lumbar spinal stenosis
Michael Mayer (Munich)

11.55 Non degenerative spinal stenosis: congenital, dysplasia’s and mucopolysaccharidosis & metabolic diseases
Robert Dunn (Cape Town)

12.10 Clinical signs
Geoffrey Appelboom (New York)

12.25 Discussion

12.40 Lunch Break


DIAGNOSIS / PRESENTATION II
Chairman: Robert Dunn

13.40 Can sagittal balance type influence the risk of lumbar canal stenosis?
Jean-Charles Le Huec (Bordeaux)

13.55 Neurophysiology
Geoffrey Appelboom (New York)

14.10 Discussion

14.20 Debate : Degenerative spondylolysis and stenosis: decompress or decompress and fuse?
Peter Försth (Uppsala) vs Zoher Ghogawala (Burlington)


CONSERVATIVE TREATMENT
Chairman: Margareta Nordin

14.50 Nonoperative treatment for lumbar spinal stenosis: evidence and triage
Chris Colloca (Phoenix)

15.05 A multi-modal and self-management training program aimed at improving walking ability and other relevant patient-centered outcomes
Chris Colloca (Phoenix)

15.20 Interventional pain treatment
Ian Vlok (Cape Town)

15.35 Discussion

15.50 Coffee Break


SURGICAL TREATMENT I
Chairman: Max Aebi

16.20 Anterior-posterior fusion with reduction of spondylolisthesis and indirect decompression only
Rick Guyer (Dallas)

16.35 Central vs lateral stenosis
Ciaran Bolger (Dublin)

16.50 Transforaminal decompression in degenerative spine
Ralf Wagner (Frankfurt)

17.05 3-D analysis of patho-anatomy: the key to deciding on surgical approach for stenosis
Dave Wong (Denver)

17.20 Discussion

17.30 End of first day


SATURDAY NOVEMBER 23, 2019

SURGICAL TREATMENT II
Chairman: Luiz Pimenta

8.00 Congenital stenosis and achondronplasia
Francisco Vilarejo (Madrid)

8.15 Clinical results of interlaminar endoscopic spinal decompression
Chris Hofstetter (Seattle)

8.30 Day case surgery for spinal stenosis, complications and their management
Ciaran Bolger (Dublin)

8.45 Surgical treatment of stenosis in de novo scoliosis
Claudio Lamartina (Milan)

9.00 Discussion

9.15 Role of motion preservation in spinal stenosis dynamic stabilization of spondylolisthesis
Rolando Garcia (Miami)

9.30 Transforaminal vs interlaminar endoscopic lateral recess decompression
Chris Hofstetter (Seattle)

9.45 Technical pearls of micro-decompression for canal and foraminal stenosis
Brad Weiner (Houston)

10.00 Discussion

10.15 Coffee break


SURGICAL TREATMENT III
Chairman: Rick Guyer

10.45 Is fusion needed for stenosis without spondylolisthesis? And, if so, when?
Brad Weiner (Houston)

11.00 Microsurgical crossover decompression in multilevel lumbar stenosis
Michael Mayer (Munich)

11.15 RCT on lifestyle intervention for stenosis
Christy Lane (Calgary)

11.30 Recommendations of the WFNS Spinal committee for the treatment of lumbar stenosis
Maurizio Fornari (Milan)

11.45 Discussion

12.00 Indirect decompression via lateral approach
Carlotta Martini (Milan)

12.15 Spinal stenosis surgery and dural complications
Helena Brisby (Göteborg)

12.30 Discussion

12.40 NASS President Talk
William Sullivan (Nashville)

13.00 Lunch break


SURGICAL TREATMENT IV
Chairman: Claudio Lamartina

14.00 Indirect decompression vs posterior decompression & fusion
Jean-Jacques Abitbol (San Diego)

14.15 Does indirect decompression always happen?
Luiz Pimenta (Sao Paulo)

14.30 How much indirect decompression is needed for relief of symptoms highlighting X-stop and Superion
Rick Guyer (Dallas)

14.45 Lumbar deformity in degenerative deformity. Is there a place for decompression only?
Richard Assaker (Lille)

15.00 Safety and efficacy in the days post-surgery
Ian Vlok (Cape Town)

15.15 Discussion


ECONOMICAL AND ETHICAL ISSUES
Chairman: Chris Colloca

15.30 What the SPORT data tells us about lumbar stenosis
Dave Wong (Detroit)

15.45 Major provisions of the NASS guidelines on lumbar stenosis
Eric Muehlbauer (Chicago)

16.00 Exercise or surgery for spinal stenosis, what does the evidence say?
Margareta Nordin (New York)

16.15 Discussion

16.30 Living with spinal stenosis, what is the quality of life?
Margareta Nordin (New York)

16.45 Reported failures with interspinous/interlaminar devices
Scott Blumenthal (Dallas)

17.00 Discussion

17.10 End of the Meeting





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