The Spine Times Liverpool Issue 1

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ISSue 1 /// WEDNESDAY, 2 OCTOBER 2013 ///

Welcome Message EuroSpine President

Welcome To Liverpool Dear Colleagues and Friends, Tim Pigott and Martin Wilby would like to extend to you a warm welcome to Liverpool, cultural capital of the North!

Tim Pigott

Welcome to Liverpool and to our 16th Annual EUROSPINE Meeting !

organised by our Local Hosts Tim Pigott and Martin Wilby. Liverpool is always worth a visit, and I am convinced It is again our aim to offer that in this atmosphere, we a forum that will stimulate will enjoy a challenging and knowledge exchange and stimulating scientific program generate ideas in the field while taking advantage of of research, prevention and wonderful opportunities for treatment of spinal disorders socializing. and related problems. As with our previous meetings, The Spine Society of Europe EuroSpine 2013 promises is coordinating the efforts great scientific and social undertaken within and outside success. The 2013 meeting will Europe to further develop the maintain the highest academic field of spinal disorders and standards, improved yearly by improve the health and fitness the EUROSPINE Program of present and forthcoming Committee. The conference generations. will include the best abstract submissions blindly selected I would like to encourage you for oral presentations, to become an EUROSPINE and participate concurrent focused sessions, member lunch symposia, challenging actively in the tremendous prime-time debates and development of our specialty. e-posters. All papers will be Great that you found your way open for floor discussion. The to Liverpool: Enjoy the event programme committee has with all its aspects! done a great job to select the 15% best submitted abstracts. Ferran Pellisé The meeting has been very well President of EuroSpine, the Spine Society of Europe

Welcome Welcome to Liverpool – where I can guarantee you will be given the warmest of receptions. I am delighted that we have been chosen to host EUROSPINE 2013.

If you are a regular visitor to Liverpool the city you will know it as a vibrant, dynamic place which has unrivalled artistic, musical and sporting prowess and a great night-life. If you have not visited here for some time be prepared to be astonished at the stunning progress the city has made in recent years. And, if you are a first-time visitor then you are in for a real treat. You will find a city, unique in so many ways – from its superb architectural heritage to its renowned sense of humour. Your main problem may well be where to start exploring Liverpool during your free

We hope you find the scientific program stimulating and enjoyable, there is something there to suit everyone! The debates will be provocative

and the presentations informative. We are at hand to advise on local hotspots/ delicacies/eateries/museums and jargon. Did someone mention the Beatles? We look forward to sharing some delicious warm ale with you during the evening entertainment and hope you have a thoroughly enjoyable and memorable visit to this warm and vibrant city.

Martin Wilby

time. You may chose to do so at the world-famous waterfront which forms part of our World Heritage site. The Three Graces - the Liver, Cunard and Port of Liverpool Buildings – provide a stunning background to an international class visitor destination which has taken on a whole new-look with the addition of a canal link, cruise liner terminal and Museum of Liverpool. And while you are at the Pier Head you may well want to take a trip aboard a Mersey Ferry. Liverpool is a city which has constantly been reinventing itself – and nowhere has this been seen more than in the Albert Dock. Once, its warehouses stored cargoes from all over the world, but now they have been converted into apartments, shops and are home to the Tate Gallery and Maritime Museum – just two of the many superb art galleries and museums in the city. It also has the Beatles Story – a must for fans of the Fab Four. In the city centre you will find numerous fine shops, theatres, restaurants and bars and at its heart is the £1 billion Liverpool One development which has made Liverpool into a premier

retail destination along with developments such as the Met Quarter, Clayton Square and Cavern Walks. You also cannot fail to be impressed by the city’s two cathedrals and the fine Georgian architecture which surrounds them. Outside there are attractions ranging from the world-famous Penny Lane to historic Speke Hall. And, sports fans are spoilt for choice with Liverpool and Everton Football clubs, the Aintree racecourse - home of the Grand National and over 40 golf courses within easy reach including the world famous Royal Liverpool and Royal Birkdale. With so much going for it, it was not surprising that Liverpool become European Capital of Culture in 2008, when countless visitors first discovered what an exciting city it is. Since then, Liverpool has built on its reputation as one of the friendliest, most exciting and vibrant cities you can experience. So enjoy your conference – and come back soon! Joe Anderson Mayor of Liverpool

ISSue 1 /// WEDNESDAY, 2 OCTOBER 2013 ///

Florence Nightingale

Art in Liverpool

Early years and the Crimean War Born on 12th May 1820, Florence Nightingale is not only renowned within medical circles, but also the world over as an icon of medical ethics and modern nursing practices. During her lifetime she was a celebrated British social reformer, and first came to prominence during the Crimean War (October 1853 to February 1856) where she treated wounded soldiers and was affectionately known by her patients as ‘The Lady with the Lamp’ due to her frequent candle lit vigils. After the war, publicly donated money was used towards establishing the first organised training school for nurses: the Nightingale Training School at St Thomas’ Hospital, London. Furthermore, she not only highlighted proper training for nurses, but also promoted the notion that good nutrition and hygiene were essential in both hospitals and the home, and that these principles were best promoted to the general public through the work of visiting nurses.

Renowned for both football and pop music, the artistic side of Liverpool is often mistakenly overlooked, and the city is in fact home to a wealth of art galleries offering visitors everything from the most contemporary of modern and conceptual art installations to classical compositions completed many centuries ago.

Connections to Liverpool In 1858, Nightingale visited Liverpool to present two papers at the National Association for the Promotion of Social Science conference. Two years later, Mr William Rathbone, a prominent Liverpudlian and MP for Liverpool from 1868 until 1880, approached Miss Nightingale to ask her advice about setting up a district nursing scheme, as he was already committed towards the care of the sick in their own homes. Mr Rathbone had long been an admirer of Miss Nightingale and her work, and as such, in 1862, with her advice and assistance, Rathbone established a School of Nursing at the Royal Infirmary which also supplied nurses for the sick in their

Tate Liverpool

own homes. This was to be the first district nursing service in the country. Additionally, Nightingale worked on many initiatives with William Rathbone, including the construction and organisation of the third Liverpool Royal Infirmary in Pembroke Place, most of which still survives to this day architecturally, although it is now occupied by The University of Liverpool & other organisations. Later in the same century, Mr Alfred Waterhouse, a British architect born in Liverpool, was commissioned to design the new Royal Infirmary in the city. Much like Rathbone, Waterhouse collaborated with Nightingale, who is alleged to have influenced some of his designs in relation to the height of the wards, thus providing maximum fresh air and light, whilst also advising on the appropriate spacing between beds. The newly designed Royal Infirmary opened in

1890, and provided health care for the people of Liverpool and the surrounding regions until 1978. Remembering Florence Nightingale in Liverpool The Florence Nightingale memorial in Liverpool was completed in 1913 and is set into the boundary wall of The Queen Victoria District Nursing Association building. Although Nightingale is shown in traditional form as as ‚The Lady of the Lamp‘, this particular monument, which was paid for with public funding, is more accurately a memorial to her efforts as a public health reformer and promoter in Liverpool. Without her drive, influence, and professional association with the likes of William Rathbone and Alfred Waterhouse, the Liverpool Royal Infirmary and its Nurses’ Training School would very likely have never been established.

Smartphone & Tablet App Have the most relevant and up-to-date conference information at hand! Not only will you be able to easily access scientific and logistical congress information (e.g. programme, speakers, sessions, congress venue,...), but you will also be able to participate in interactive votings, bookmark your favorite sessions and

access the exclusive e-version of “The Spine Times”. Free WIFI is available within the entire congress venue. Download the EUROSPINE app for all smartphones and tablets from


Home to the National Collection of Modern Art in the north of the UK, Tate Liverpool is located on the prestigious Albert Dock within walking distance from the city centre. One of the most visited galleries outside of London, the gallery showcases a changing programme of special exhibitions throughout the year which bring together artworks from all over the world, and in recent years it has featured artists in special exhibitions including the likes of Gustav Klimt, Pablo Picasso, René Magritte and Claude Monet.

Open Eye Gallery


Founded in 1977, Open Eye is an independent, not-for-profit photography gallery which has consistently championed photography as an art form that is relevant to everyone. In November 2011, it re-launched in a brand new purpose-built home in one of the city’s most prestigious and prominent new developments on the Liverpool Waterfront.

Poussin and Gainsborough. One of the finest art galleries in Europe, you’ll also find Tudor portraits and a large collection of Victorian and Pre-Raphaelite works including Dante’s Dream by Rossetti, hanging alongside other artists such as Millais, Turner, Monet and Holman Hunt. The gallery is also known for numerous, temporary modern and conceptual installations by artists from across the globe. The Bluecoat


Offering visitors the chance to view a range of artistic disciplines including live and visual art, music, literature and dance, the Bluecoat building is Grade I listed and over 300 years old. In addition, the gallery is home to a wide range of artists and creative businesses, the likes of which range from jewellery and ceramic ware at the internationally recognised Display Centre, to hand-made accessories, boutique clothing and specialist hand-engraving and silversmith services.

FACT (Foundation For Art & Creative Technology)


More than just an art gallery, FACT is comprised of two galleries, an interactive space, three state-of-the-art cinemas, The Box (a small cinema filled with two person sofas instead of standard cinema seating), a shop, bar and café. Considered the UK‘s leading organisation for commissioning, exhibiting, promoting and supporting artists’ work and innovation in the fields of film, video, and Walker Art C new media, FACT works with Gallery international artists with the aim of developing exhibitions Holding a stunning collection and increasing knowledge of paintings, sculpture and about new technologies and decorative arts spanning over their social impact. six hundred years of artistic history, The Walker is home to works by Rubens, Rembrandt,

ISSue 1 /// WEDNESDAY, 2 OCTOBER 2013 ///

places to visit in Liverpool

Historical Places to see If there’s one thing that the United Kingdom can credibly boast, it’s the wealth of history that permeates almost every facet of the landscape. Medieval castles, iron age hill forts, neolithic stone circles, and even some of the oldest geological rock formations in the world. Liverpool is of course no exception and offers an abundance of historical artefacts spanning from recent history to the stone age. The Royal Liver Building


Undoubtedly the icon of the City of Liverpool, constructed between 1908 and 1911, the Royal Liver Building was designed by English architect Aubrey Thomas. The Grade I listed building was one of the first of its kind to be built

in the UK: a ‘sky scraper’ stylistically more akin to North American architecture of the same time period. Although one can find the iconic ‘Liver Birds’ on buildings throughout the region, it is the two atop the The Royal Liver Building - one facing toward the river, the other toward the land that are the biggest in the city and which to many people represent the very identity of Liverpool.

architecture in the country outside of London, over the course of previous two centuries the Liverpool Docks have spanned over ten miles of the Mersey River’s shores, and encompassed some fifty subsidiary docks including the now world famous Albert Dock. Calderstone Park


Arguably one of the most Liverpool Pier Head ancient historical artefacts in the city, the six neolithic and Docks Calderstones - sandstone Home to the Three Graces: boulders dating back to The Port of Liverpool approximately 4000 to 3000 Building, The Cunard Building BCE - are believed to have and the above mention Royal originally been part of an Liver Building, Liverpool Pier archaic form of tomb, often Head dates back to 1771 and referred to as a ‘dolmen’. is a UNESCO world heritage Comprising two large upright site. With arguably some of stones and horizontal capstone, the most spectacular historic thus forming a Stonehenge


style table before being covered in earth to form a burial mound, the Calderstones are now housed inside a small glasshouse in order prevent weathering. Sefton Park Palm House


An octagonal, three tiered, Grade II listed Victorian glasshouse displaying plants from around the world, the Sefton Park Palm House (only a short walk from Lark Lane) is freely open to the public seven days a week. Administered by the Sefton Park Palm House Preservation Trust, the Palm House was originally completed in 1896 and was a gift to the city by Henry Yates Thompson, a 19th century British newspaper proprietor. At the beginning of the second world war, the building had to

be camouflaged in case the glass reflected moonlight and acted as a guide for enemy aircraft. Strawberry Field A Salvation Army children’s home located in the suburb of Woolton, the earliest reference to ‘Strawberry Field’ dates back to 1870. The land was originally transferred to a wealthy merchants widow in 1912 who eventually sold the estate to the Salvation Army in 1934. Although the property was made famous by the now legendary Beatles song “Strawberry Fields Forever”, the children’s home closed in 2005 and is now a church and prayer centre. The original gates were also replaced with replicas in May 2011.

ISSue 1 /// WEDNESDAY, 2 OCTOBER 2013 ///

People Behind The Scenes

CME points and Certificate of Attendance CME points are assigned to participants per half-day slot. To collect your CME points for your certificate, you need to SCAN THE BARCODE on your name badge at the selfscanning stations located just in front of the Plenary Hall each half-day at the following times: Morning: between 08:00 and 11:00 Afternoon: between 13:30 and 16:30

Your Certificate will be available for download via a personal link which the Organisers will send you via email one week after the conference. The scientific programme of the EUROSPINE 2013 Congress has been accredited a maximum of 17 European CME credits (ECMEC), 3 per half day (2 for Thursday morning), by the European Accreditation Council for Continuing Medical Education (EACCME).

Please note that on Friday afternoon, October 4, the self-scanning stations can be found in the registration area. Imprint

The „good souls“ of the EUROSPINE head office – Judith Reichert Schild and Anna Ganthaler – not only make sure that the society is up and running smoothly and

that members and applicants are professionally served throughout the whole year, they are also responsible for perfect organization of the annual conference.

Burning Questions Each issue of The Spine Times will include a burning question for the readers that features an interactive voting process. To participate you just have to scan one of the QR-codes (according to your designated answer) with your smartphone. The results will be published in the next issue.

yes In the era of high definition MRI scans in degenerative spine, is there still a need for invasive diagnostic means such as provocative discography, or dynamic myelography?

5 Great Reasons to join EUROSPINE The Spine Times® is a registered trademark by EUROSPINE – the Spine Society of Europe // OHIM trademark No. 010618296

The Spine Times® is a free Contact: congress newspaper published by The EUROSPINE Society. Publisher: Ferran Pellisé Publishing House: EuroSpine, The Spine (EUROSPINE President) Everard Munting Society of Europe (EUROSPINE Secretary) On-Site Editors: Judith Reichert Schild Haluk Berk, Thomas Blattert Seefeldstrasse 16 8610 Uster-Zürich Contributors: Switzerland Anna Ganthaler, Ferran Tel. +41 44 - 994 14 04 Pellisé, Tim Pigott, Jonathan Fax +41 44 - 994 14 03

Members are the heart of EUROSPINE. Our society is fortunate to have a membership base of experts in spine care who are at the cutting edge of new technologies, procedures and practices. As part of our new “Way Forward” strategy, we are currently taking a number of steps to simplify and improve membership processes and communications. In addition, we are implementing regular member surveys to ensure that our members are always heard and that smart ideas are implemented. To realize our goal of providing services to spine care professionals from diverse disciplines, cultures and countries, EUROSPINE is seeking to expand its membership base. This growth will not only benefit members as a whole, as new ideas and concepts come to light, but will also increase EUROSPINE’s political influence as an advocate for spine issues. EUROSPINE members enjoy a number of benefits:

Meetings, Courses & Workshops EUROSPINE members pay a reduced fee to attend the Annual Meeting, which is a well-established networking event presenting innovative scientific discussions of primary interest to all spine specialists. In addition, we’re planning to further diversify our meeting activities with short specialised events in order to meet more sub-speciality demands. Education & Research Our members receive preferred and prioritized access to EUROSPINE’s education and research activities. EUROSPINE is constantly looking for new opportunities to provide education on the best patient care and prevention of spinal diseases. In contrast to other spine organisations, EUROSPINE’s education program also offers more than academics, including live educational events and webcasts. EUROSPINE provides research grants and offers seminars on research skills. Expertise EUROSPINE keeps you informed of the latest developments in spine care and provides assessments


Weatherill-Hunt, Martin Wilby Photographs: Martin Steiger, mrmichaelangelo /, Shaun Jeffers /, Vayes / Flickr Feedback: Powered by Follow us on Facebook and Twitter

To stay up-to-date, like us on and follow us on twitter (@EuroSpineSoc). Please use the official congress hashtag #EUROSPINE2013 for tweets about the conference.

of current techniques and treatments, as well as “best practice” spine-related learning and research. The European Spine Registry offers our members the opportunity to benchmark data on the quality and effectiveness of patient treatments, while Patient Line provides important information to patients in 6 languages. Committees & Activities Members are strongly encouraged to become involved in EUROSPINE activities and to participate on committees (e.g. presenter, faculty, committee member). Committee participation involves extensive teamwork, allowing members to share their expertise and learn from other professionals. Networking Develop a network and exchange ideas with leading spine experts in a multi-disciplinary environment. Our events and committees offer great opportunities for expanding your contacts on a professional level while developing friendships with like-minded colleagues in Europe and all over the world.

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