Lumbar Spinal Stenosis
R. Gunzburg & M. Szpalski
FRIDAY NOVEMBER 22, 2019
8.00 Embryology and development of the spinal canal/anatomy’
8.15 Biomechanics of neural arch and stenosis
8.30 Lumbar Stenosis in Dwarfism
9.00 Natural history of spinal stenosis & asymptomatic incidence
9.15 Etiology and pathogenesis of spinal stenosis
9.40 Coffee Break
DIAGNOSIS / PRESENTATION
10.10 Imaging of spinal stenosis: positional and traditional imaging
10.25 Differentiating the restriction to mobility due to hip OA versus stenosis using gait analysis
10.40 Epidural Lipomatosis: An increasing cause of Stenosis
10.55 Differential diagnosis with vascular Claudication
11.25 Clinical presentations of degenerative lumbar spinal stenosis
11.40 A practical treatment algorithm for degenerative lumbar spinal stenosis
11.55 Non degenerative spinal stenosis: congenital, dysplasia’s and mucopolysaccharidosis & metabolic diseases
12.10 Can sagittal balance type influence the risk of lumbar canal stenosis?
Jean Charles Le Huec
12.40 Lunch Break
13.40 Clinical signs
14.20 Debate : Degenerative spondylo and stenosis: decompress or decompress and fuse
Peter Fritzell vs Zoher Ghogawala
14.50 Nonoperative treatment for lumbar spinal stenosis: the evidence and triage
15.10 A multi-modal conservative approach to conservatively managing spinal stenosis: the evidence base
15.25 Interventional pain
15.55 Coffee Break
16.20 Anterior posterior fusion with reduction of spondylolisthesis with indirect decompression only
16.35 Central v lateral stenosis
16.50 Day case surgery for spinal stenosis, complications and their management?
17.05 3-D Analysis of pathoanatomy-the key to deciding on surgical approach for stenosis
17.30 End of first day
SATURDAY NOVEMBER 23, 2019
8.00 Congenital stenosis and achondronplasia
8.15 Clinical results of Interlaminar endoscopic spinal decompression
8.30 Transforaminal decompression in degenerative spine
8.45 Surgical treatment of stenosis in de novo scoliosis
9.15 Role of Motion Preservation in Spinal Stenosis Dynamic Stabilization of Spondylolisthesis
9.30 Transforaminal vs. interlaminar endoscopic lateral recess decompression
9.45 Technical pearls of micro decompression for canal and foraminal stenosis.
10.15 Coffee break
10.45 Is fusion needed for stenosis without spondy? And, if so, when?
11.00 Microsurgical crossover decompression in multilevel lumbar stenosis
11.15 Superion and Coflex interspinous spacers and I can talk to these technologies as well as other ISP technologies that are competitive.
11.30 MIS TLIF debate vs ALIF/LLIF/OLIF
12.00 Indirect decompression vs posterior decompression fusion
12.15 Indirect decompression via lateral approach
12.30 Indirect decompression via ALIF
13.00 Lunch break
13.15 Indirect decompression vs posterior decompression fusion
13.30 Indirect decompression always happens?
13.45 How much indirect decompression is needed for relief of symptoms highlighting X-stop and Superion
14.00Lumbar deformity in degenerative deformity. Is there a place for decompression only.
ECONOMICAL AND ETHICAL ISSUES
14.30 What the SPORT data tells us about Lumbar Stenosis
14.45 Major provisions of the NASS Guidelines on Lumbar Stenosis.
15.00 Exercise or surgery for spinal stenosis, what does the evidence say?
15.35 Living with spinal stenosis, what is the quality of life?
15.50 Reported failures with interspinous/interlaminar devices
16.25 End of the Meeting