The Spine Times Lyon Issue 2

Page 1



LIFELONG LEARNING IN SPINAL CARE Joerg Franke, Chairman of the Education Committee, explains why the EUROSPINE education program is a valuable credential for spine care specialists. WHY DOES EUROSPINE CONSIDER EDUCATION AS ITS FOREMOST ACTIVITY?

Patient Day, done in collaboration between EUROSPINE and SFCR, took place on Tuesday morning. The conference was an open invitation to patients to join Patient Day for a morning of lectures open to the general public.

introductions by Philip Sell (President of the EUROSPINE Society), Jean Charles Le Huec (Local Host of the EUROSPINE 2014), and Antonio Faundez (Chair of the Patient Line Committee).

The conference was delivered in two parts. The first part consisted of short lectures by spinal specialists, rehabilitation specialists and spinal surgeons. The second part was an interactive audience participation Q&A. The topics covered were: t Relevance of surgery for low back pain t Anatomic structures for low back pain t Different types of pain t Childhood pain t What to do prior to seeing a surgeon? t Results of surgery t Persistent pain after surgery t Back pain and sports activities t Scoliosis: when to operate? t Chronic Pain The sessions were moderated by Cedric Barrey and Gilles Perrin. Speakers were Cedric Barrey, Gilles Perrin, Christophe Garin, Nicolas Fraisse, Emmanuel Favreul, Bertrand Debono, Jean Huppert, Pierre Roussouly, and Pierre Volckmann. There were

The meeting was a big success, and whilst the original expectation was that around 30 - 40 patients would join, in total nearly 300 people attended. There was over an hour for discussion and interaction, and the questions varied around topics of surgery, conservative treatment, the origin of back pain and rehabilitation methods. The audience was asked to keep questions more general, thus avoiding specific personal medical history and allowing for great interaction between patients and specialists.

It is EUROSPINE’s mandate to foster excellence in spinal care. Sharing knowledge of best practice techniques and latest advances is a powerful way to achieve this objective. We offer comprehensive education, research and quality-assessment programs as an important part of a lifelong learning approach. Our ultimate goal is to offer an accredited, internationallyrecognised European Spine Certification program. To accomplish this, a commonly agreed-upon core curriculum supported by national societies is a must. At the same time, this standardised curriculum will need to take into consideration regional differences in disease occurrence and treatment modalities. We will be actively consulting with those societies and stakeholders in pursuit of unbiased new education standards that will build trust among our many different stakeholder groups. HOW DO YOU ADAPT AND MEET THE EDUCATION NEEDS OF MEMBERS AND COURSE PARTICIPANTS? In the process of developing our Way Forward strategy, we organised a workshop for a group of young professionals, or in other words, potential future leaders. They provided us with detailed information related to their educational needs. High on the their list was their request for the accreditation of an officiallyrecognised European spine specialist certification.

For the April 2014 EUROSPINE Education Week in Strasbourg – offered in cooperation with our Foundation – we engaged an educational advisor, who collected input from a variety of sources. Overall the feedback was very positive, yet we also collected some helpful information on how to further improve our education program.

Specific recommendations that we are currently addressing are to: t Develop an accredited European spine surgery curriculum (confirming our goal) t Conduct a learning needs analysis t Broaden and update teaching and learning techniques t Better target the audience or “stream” participants In our quest to establish an accredited “European Spine Certification”, we are in close contact with EFFORT and EBOT (UEMS). We have also begun negotiations with established national course systems (e.g. France and Germany) in order to harmonise our efforts. Furthermore, we are in the process of creating an educational platform and jointly defining criteria and measures that support the definition of a Europe-wide core curriculum. WHAT ARE YOUR CURRENT CHALLENGES AND PRIORITIES?

The main challenges of optimising education are coordinating our efforts in the most efficient way and getting the most and best out of our limited financial resources. At EUROSPINE, we are continuously seeking to increase efficiency and simplify processes in terms of introducing changes and improving our education offering. We are currently implementing an EduCom proposal regarding the recommendations received during the Strasbourg Education Week and our approach to a “European Spine Certification”. In order to facilitate better coordination and alleviate strain on our limited budget and resources, our EduCom is constantly considering options how to improve the delivery of all education related activities. EUROSPINE: YOUR PRIMARY SOURCE FOR LIFELONG SPINE CARE EDUCATION The EUROSPINE Education Program is continuously evolving to provide participants with the most relevant and latest content from top spine specialists around the world. We are streamlining our delivery mechanisms to keep overhead low while offering participants the best value for money. Our Education Week and other courses in 2014 were a resounding success, and we look forward to improving our offering even further, culminating in an internationally accredited “European Spine Certification”. Interview with Jörg Franke, Chair of the Education Committee




One of EUROSPINE’s long time goals is to promote our society to young and active members and to provide support for bright minds in spinal care from an early stage in their careers. As a result, a new “Young Members“ membership category has been approved and ratified at the recent general assembly in Prague in early 2014. A “Young Member“ is defined as being a candidate who is less than 40 years of age. This membership type will be valid for a two-year period;

afterwards it will automatically be turned into a full membership. “Young Members“ will be eligible to join EUROSPINE at only half the price of a full membership, thus EUR 70,-- per annum. This will enable them access to a wide range of membership benefits. Features: t Significantly reduced registration fee at EUROSPINE meetings and courses t Subscription to the

t t t t t t t

European Spine Journal, paper and online version Access to educational content (e.g. webcasts) Access to research grants and fellowships eNewsletter Voting right at the General Assembly Participation at the European Spine Registry: Spine Tango And many more…

Christoph Siepe, Chair of the Membership Committee


Annual Meeting (early bird registr.)

Financial benefit

Financial benefit Spring Meeting

Financial benefit Task Force Research


€ 140.-

€ 300.-

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€ 200.-


€ 70.-

€ 300.-

€ 380.-

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€ 0.-

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ANTOINE DE SAINT-EXUPERY Morocco. Eventually, he would become a pioneer of early international postal flight, and by 1929 he had moved to Argentina where he was appointed director of the Aeroposta Argentina airline. He surveyed new air routes across South America, negotiated agreements, and even occasionally flew the airmail or carried out search and rescue mission for downed fliers.

Born in Lyon on 29th June 1900, Antoine de Saint-Exupéry was a renowned French aristocrat, writer, poet, and pioneering aviator. He became a laureate of several of France‘s highest literary awards and also won the U.S. National Book Award in 1941. He is best remembered for his novella ‘The Little Prince’ (Le Petit Prince), and for his lyrical aviation writings, including ‘Wind, Sand and Stars’ and ‘Night Flight’. The third of five children to the Countess Marie de Fonscolombe and Count Jean de Saint Exupéry, the family could trace its lineage back several centuries. However, and after his father’s death from a stroke shortly before Antoine’s fourth birthday, the family was plunged into financial uncertainty, transforming their status to that of so called ‘impoverished aristocrats‘. Unfortunately, this was not the first time (or indeed the last) that tragedy would befall the Saint-Exupéry family, and during the First World War whilst both Antoine and his younger

brother François were studying at the Marianist College Villa St. Jean in Fribourg, Switzerland, François (aged fifteen) contracted and soon after died of rheumatic fever. At only seventeen years of age himself, Antoine essentially became the ‘man’ of the SaintExupéry family, and the young author was left to console his distraught mother and sisters whilst simultaneously having to deal with the grief of losing a close family member himself. In the following years, Antoine experienced several academic and vocational set backs, and notably failed to graduate both from a Naval Academy and - after studying there for fifteen months as an architectural auditor - the École des Beaux-Arts. Nevertheless, his early military career would arguably set the foundations for some of his later authorial success, and after taking private flying lessons, Antoine was eventually offered a transfer from the French Army to the Air Force, where he received his wings after being posted to the 37th Fighter Regiment in Casablanca,

Saint-Exupéry‘s first novella, ‘l’Aviateur‘ (The Aviator), was published in a short-lived literary magazine le Navire d‘argent (The Silver Ship), and later in 1929, his first book, ‘Courrier Sud’ (Southern Mail) would be published, thus marking the beginning of an illustrious career as an aviator and journalist. In 1931, the publication of ‘Vol de nuit’ (Night Flight) established him as a rising star in the literary world. It would be the first of his major works to gain widespread acclaim, and later became the winner of the prix Femina. During the Second World War, Saint-Exupéry spent considerable time living and working in New York, where he would write and illustrate ‘The Little Prince’. The manuscript was eventually completed in mid October 1942, and was first published months later in early 1943 in both English and French, but only in the United States. Sadly, and much to the alarm of his airforce compatriots, his family, and the literary world in general, Saint-Exupéry went missing whilst conducting an aerial reconnaissance mission from a Corsican airbase on 31st July 1944, and was never seen again. Hence, when ‘The Little Prince’ was eventually printed in his native homeland of France, it was done so posthumously, after the liberation.

6. Bouchon Le Jura 25 Rue Tupin, 69002 Lyon

perfectly to the Mediterranean influences of the cuisine.

Arguably the perfect place to experience the traditional world of Lyon‘s famous bouchons, this small and cosy dining room appears to have remained largely unchanged since the day it opened in 1867. Owner and chef Brigitte Josserand has faithfully recreated the signature dishes of Lyonnaise cuisine here for 34 years. Expect regional recipes, impeccable service and a quintessential Lyonnaise atmosphere.

9. Le Poivron Bleu 12 rue du Professeur Weill, 69006 Lyon

7. Brasserie Chantecler 151 Boulevard de la Croix-Rousse, 69004 Lyon Nestled in the vibrant CroixRousse neighbourhood, Brasserie Chantecler is one of Lyon’s oldest brasseries dating back over 150 years, and the establishment also doubles up as a pub and microbrewery. Furthermore, patrons can elect to dine on the pavement terrace, under the glass atrium, or in the snug dining room: the restaurant is a must for anyone looking for a stylish or ‘hipster-esque’ culinary experience. 8. Le Sud 11 Place Antonin Poncet, 69002 Lyon The latest brasserie to be established by Paul Bocuse, Le Sud offers diners the chance to experience the gastronomic expertise of the world renowned chef, and all at a relatively reasonable price. If the weather is good, the restaurant’s terrace offers a chance for eating alfresco, the likes of which lends itself

EUROSPINE NECK TIE This exclusive EUROSPINE neck tie is available for members only. The designer tie, tailored in the original EUROSPINE colors and available only in limited numbers, is made of 100% high quality silk. Make sure to get this elegant accessoire at the EUROSPINE booth for only € 20.-

Rated Lyon’s third best eating establishment on Trip Advisor, Le Poivron Bleu (or The Blue Pepper) offers authentic cuisine made from locally sourced ingredients. A ‘two man show’ owned and operated by the head chef and waiter, patrons are treated to a rare experience unlike any other restaurant, arguably making it a must for those who enjoy a touch of ‘je ne sais quoi’.

10. L‘Arsenic 132 Rue Pierre Corneille, 69003 Lyon Known for its creative cuisine, the name of the establishment is intentionally designed to draw attention, and is based on the concept of ‘giving cooking a new meaning’. Australian head chef Ryan Dolan has attempted to infuse his dishes with artistic flair, and with marked success, as L’Arsenic has been ranked by Trip Advisor reviewers as amongst one of the top ten restaurants in Lyon.






1. Amphitheatre of the Three Gauls Rue Lucien Sportisse, 69001 Lyon

5. Grand Roman Theatre of Lyon Rue Cléberg, 69005 Lyon

Believed to have been built around 19CE, the Amphitheatre of the Three Gauls was the amphitheatre of the Roman city of Lugdunum. Although today much of the site is covered by roads, a section of the amphitheatre still remains untouched and can thus be explored.

Still used for outdoor theatrical performances today, the Grand Roman Theatre of Lyon (or Théâtre Romain de Lyon) dates back to the 1st century BCE. It was partially restored in the early 20th century and is still perhaps one of the most impressive of Lyon’s historical landmarks.

2. Basilique Notre-Dame de Fourvière 8 Place de Fourvière, 69005 Lyon

6. Lyon Cathedral Place Saint-Jean, 69005 Lyon

A flamboyant, 19th century church build between 1872 and 1896 using private funds, Basilique Notre-Dame de Fourvière commands a dominant geographical position in the city. Based on Byzantine architecture, it is perhaps one of the most picturesque historic sites in Lyon. 3. Passage Thiaffait 69001 Lyon Built in the early 19th century, Passage Thiaffait is one of many such covered passageways unique to Lyon (and more specifically the Croix-Rousse district) known as traboules. Recently restored to its former glory, the Passage Thiaffait houses a variety of workshops and studios under its roof, and as such is a hub for fashion, design and jewellery making. 4. Bec de Jazz 19 Rue Burdeau, 69001 Lyon One for the night owls, Bec de Jazz is a late night bar-a-la-concert venue run by the enigmatic Chango Dei, who is also a pianist and painter. The walls of the downstairs bar area are decorated with posters of jazz legends such as Louis Armstrong and Ella Fitzgerald, whilst Chango Dei can often be found in the candle lit upstairs room entertaining guests.

Also known as St Jean Cathedral (or Cathédrale St-Jean), the building is a mostly Gothic structure which took over 300 years to build, beginning in the 12th century. It is Lyon’s main Roman Catholic church and the seat of the city’s archbishop who, since the eleventh century, has also been known as the Primate of All the Gauls: a status granted by the Pope at that time which endows the office with authority over all of France’s archbishops. 7. La Cave Valmy 27 Place de Valmy, 69009 Lyon Lyonnais wine merchants are often well stocked; unsurprisingly so considering the proximity of both the Beaujolais and the Côte du Rhône vineyards. Hence, La Cave Valmy will be a favourite for any wine connoisseur, and the owners are renowned for their expertise in the field. 8. Parc de la Tete d’Or 69006 Lyon Spread over 117 hectares (290 acres), Parc de la Tete d’Or is located in the 6th arrondissement and features a large boating lake. At the northern end of the park, there is a small zoo which is home to giraffes, elephants, tigers and other animals. There are also other recreational facilities including a velodrome, boules

court, mini-golf, horse riding, and even a miniature train. 9. Lyon Gallo-Roman Museum 17 Rue Cléberg, 69005 Lyon Documenting five centuries of Lyon’s history under Rome, the Gallo-Roman Museum displays artefacts ranging from statues and sculptures to mosaics and inscriptions. Perhaps one of the most notable of these is the Circus Mosaic which depicts a circus during a chariot race, making it one of the few ancient representations of such a spectacle.

10. Institut & Musée Lumière 25 Rue du 1er Film, 69008 Lyon Housed in what was once the Lumière family villa, the Lumière Institute and Museum not only documents the history of cinema, but also the Lumière family, the cinématographe projector, and even some of the first ever colour photographs. An absolute must for any film or camera enthusiast interested in early cinematography and/or photography.

Born on 11th February 1926 and often reverentially known as ‘Monsieur Paul’, Paul Bocuse is a French chef based in Lyon who is renowned for the high quality of his restaurants as well as his often unique and innovative approach to food and cookery. Notably associated with nouvelle cuisine, Bocuse has made numerous contributions to French gastronomy both directly and indirectly, and many of his students have gone on to become famous chefs themselves. Perhaps one of the best known of these is Eckart Witzigmann, the first German speaking chef in the world to be awarded three Michelin stars, for his Munich based restaurant Aubergine, which opened in 1977. Since 1986, the Bocuse d’Or - a biennial world championship named after Bocuse - has been considered one of the worlds most prestigious culinary awards, particularly from the perspective of French food, and is often seen as a kind of ‘world cup’ for chefs. Much like its sport and athletics based contemporaries, the Bocuse d’Or can be a highly raucous, spectator orientated affair, particularly since the 1997 event where supporters of the Mexican candidate included a mariachi band, foghorns, cowbells, as well as cheering and yelling from the stands. To date, France (the so called ‘home team’) has won gold on six occasions, while Belgium, Norway and Sweden have consistently finished in one of the top three positions. However, and when not overseeing the Bocuse d’Or or personally mentoring new students,

‘Monsieur Paul’ also runs his own illustrious establishment. Located just outside of Lyon itself, the celebrated L‘Auberge du Pont de Collonges is Bocuse’s primary, luxury restaurant, although he also operates a chain of brasseries in Lyon, named Le Nord, l‘Est, Le Sud and l‘Ouest, each of which specialise in a different aspect of French cuisine. Indeed, his entrepreneurial spirit perhaps even rivals his ability to cook, and Bocuse is as much a household name in France (particularly in Lyon) as Donlad Trump in the US and Richard Branson in the UK. In essence, he is a brand in his own right, and is often regarded as the first chef to truly ‘step out of the kitchen’ and prove that culinary expertise might also bring one financial gains if successfully commercialised. Furthermore, Bocuse heads the The Institute Paul Bocuse Worldwide Alliance which brings together a select few candidates from twelve universities from across the globe, wherein each successful candidate follows a four-month intensive training programme comprised of specialist culinary subjects including French regional cuisine, wine selection, cheeses, French cooking terminology, and pastry techniques. Meanwhile, the Institute itself houses The Center for Food and Hospitality Research, which utilises the knowledge and know-how of researchers and professionals in an attempt to better understand the often complex relationships between people and food in real life service situations.


PRESIDENTIAL PRIZE The “Presidents Prize” of EUR 500 was announced in 2014 by Philip Sell, president of EUROSPINE. The goal was to increase the visibility of EUROSPINE amongst young trainee doctors, researchers or other spine specialists and give them a chance to enhance their CV. The participants had to submit a paper of no more than 350 words with the title “How can the spinal trainees of today become the best spine specialists of tomorrow?”

2nd prize: Tim Heiland, Ulm, Germany Every generation has to write its own story. Looking at the history of spinal surgery young trainees are standing on the shoulders of true giants. In many countries over all continents excellent specialist have developed and shaped the treatment of spinal disorders. Many of them through great individual experience. To connect their teacher`s experience with their daily work through understanding and modern learning techniques will enable young trainees to open new horizons. Young trainees have to break boundaries. There are substantial differences in the process of treating patients with spinal disorders in distinct parts of the world. The common goal to help our patients is equal. That is why trainees have to connect various countries to learn from the differences.

PROGRAMME HIGHLIGHTS OCTOBER 2 The treatment of spinal disorders is an interdisciplinary task. Only if a young trainee can connect the different approaches to the matter one can develop as a specialist. Leading examples are the synthesis of biomechanics and surgery or the intersection of neurosurgery and orthopeadic surgery. To connect basic research to the daily treatment of our patients holds great achievements. Through study, exchange and individual research trainees will develop to specialists in state of the art treatment and research. clinical knowledge is steadily increasing to an overwhelming volume. To liberate the true informations and transform them to the best treatment concepts for our patients is the challenging work of many. Connecting each other through collective platforms empowers young trainees to be part of and succeed in this ongoing challenge.

BURNING QUESTIONS This issue of The Spine Times includes two burning questions for the readers that feature an interactive voting process. To participate, please use the EUROSPINE smartphone app (available at The results will be shown in tomorrow’s issue. Question 1: Are you implementing sagittal balance considerations in your daily practice?

13:55 Concluding Remarks Norbert Boos, Jeremy Fairbank

12:15 Introduction Norbert Boos

EUROSPINE Lunch Symposium 4 Pyogenic Spinal Infections Auditorium Pasteur Chair: Viola Bullmann

12:20 Methodological Approaches for Economic Studies in Spinal Medicine Emma McIntosh

The Spine Times® is a free congress newspaper published by the EUROSPINE Society. Publishing House: EUROSPINE, The Spine Society of Europe

Judith Reichert Schild Seefeldstrasse 16 8610 Uster-Zürich Switzerland Tel. +41 44 - 994 14 04 Fax +41 44 - 994 14 03 Contact:

13:30 Surgical treatment of pyogenic spinal infections Viola Bullmann

15:50 Debate: I always stop at L5 Rune Hedlund: I never fuse to the sacrum Pierre Roussouly: I always fuse to the sacrum

12:30 Iatrogenic infections – How to treat? Ferran Pellisé

A Course of EUROSPINE, the Spine Society of Europe



March 23-27, 2015 Barcelona, Spain

Maximum Attendees: Schedule:

30 participants (priority will be given to EUROSPINE members) Course must be attended from Monday through Friday

Registration Fee:

EUR 400,- for EUROSPINE members EUR 600,- for non-members

CME Credits: Language:

Applied (27 CME) English




Margareta Nordin Dr. Med. Sci. 1

Federico Balagué MD

- Conceptual Overview

Christine Cedraschi PhD Pierre Côté PhD

Marco Campello PhD Björn Rydevik MD PhD

of Clinical Research - Randomized Controlled Trials

L. Rachid Salmi MD PhD Ferran Pellisé MD PhD 2

Marek Szpalski MD

- Cohort Studies

1 2

- Systematic Reviews - Qualitative Studies

Course Director Local Host

More Information and Registration at until February 27, 2015

Question 2: Do you think EUROSPINE should offer more educational events?


13:00 Patient´s outcomes after surgical site infections Susana Núñez Pereira

Debate Session Plenary Hall Moderator: Josef Grohs

12:00 Spondylitis- Diagnostic Tools, Jörg Franke

12:45 Economic Studies in Spinal Medicine? What Did We Learn So Far? Jeremy Fairbank

Eventually, the strongest connection has to be to our patients an their families. That is why young trainees have to become communication specialists. The so-called soft skills will enable every young trainee to actually apply the best treatment possible in a patientcentered setting. Every generation has to write ist own story. Dedicated young trainees of today will make theirs a success story as truly connected spine specialist.

13:25 Value-Based Spinal Health Care - What We Can Do to Change Spinal Medicine Norbert Boos

EUROSPINE Lunch Symposium 3 Economic Evaluations in Spinal Medicine Auditorium Lumière Chair: Norbert Boos

Publishers: Philip Sell (EUROSPINE President), Everard Munting (EUROSPINE Secretary)

Contributors: Haluk Berk, Erin Goddard, Christoph Siepe, Jonathan Weatherill-Hunt

On-Site Editors: Emre Acaroglu, Thomas Blattert, Dominique A. Rothenfluh

Photographs: Alain Elorza, Martin Steiger, Shutterstock, Wikipedia

Editor in Chief: Christian Lendl Feedback: Powered by

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