The Spine Times Copenhagen Issue 2

ISSUE 2 /// THURSDAY, 3 September 2015 /// EUROSPINE2015.EU

54 PREOPERATIVE COGNITIVE-BEHAVIOUR STANDARD CARE AFTER LUMBAR SPINA ALONGSIDE A RANDOMIZED CONTROLLE Nanna Rolving, Rikke Soegaard, Claus Vint Erik Bünger, Lisa Gregersen Oestergaard Aarhus University Hospital, Aarhus, Denm

10 Must See Places in Copenhagen One of the best ways to discover Copenhagen is on the saddle of a bike. Many say that Copenhagen is the bike friendliest city in the world. Furthermore the city center is quite compact and is therefore ideal since there are no long distances.

Amalienborg Palace was constructed in the 1700’s and is considered one of the greatest works of Danish Rococco. It is situated on Copenhagen’s waterfront and is the winter residence of the Danish monarch.

If you time it right, you can see the guards leaving their barracks at 11:27 and see the changing of the guards taking place at 12:00 noon.

Take a stroll along the streets and docks of Nyhavn. This area is famous for its colourful houses and its great ambience. This area already inspired Christian Andersen to write his famous stories. If you find the time a canal tour is also a possibility.

If you want something more exciting, you may visit the second oldest amusement park in the world, which was taken by Walt Disney as an inspiration to create Disney World. For over 165 years Tivoli Gardens has been situated in the heart of Copenhagen.

The oldest one lies just north of Copenhagen (Bakken).

The little mermaid is one of the most famous sights in Copenhagen. The statue sits on a rock in the sea and it is looking quite young for its soon 100th birthday. The statue was donated by a Danish brewer after he saw a ballet of the little mermaid which apparently fascinated him quite a lot.

The tower of Christiansborg palace with its 106 meters is the highest tower in Copenhagen.

You can visit it free of charge and it has a great view over the city. A restaurant cooking Danish cuisine is also located in the tower. (access to the tower: from 11:00-21:00) Carlsberg is a brand name known around the world. The brewery is located in Valby and Copenhagen in the location of the original brewery. (Opening times: 10:0017:00 Admission Price: 85 DKK (11.3 EUR))

The Botanical Garden is located in the centre of Copenhagen.

The garden covers 10 hectares

and is especially known for its 27 extensive glasshouses from 1874.

The garden contains over 13,000 species. (Opening times: 8.3018.00)

The ARKEN Museum of Modern Art is a monumental building and has one of Scandinavia’s finest collections of contemporary art. There is a permanent exhibition with Læsø by Asger Jorn, nine works by the German artist Anselm Reyle as well as a magnificent masterpiece by Chinese artist Ai Weiwei. There are also temporary exhibitions as for example works

by Bjørn Wiinblad or “Art in Sunshine”. (Opening times: 10:00-17:00 Admission: 95 DKK (12.7 EUR)) If you prefer to go shopping – Strøget is one of the longest shopping streets in Europe. You will find everything from the big brands like Hermès, Prada or Louis Vuitton to more affordable shops like Vera Moda and Zara, towards the city hall square. If you wander on this street you will also see the Helligåndskirken where crown prince Frederik and crown princess Mary were married, the court house or the Storkespringvandet (Stork Fountain) at Amagertorv Square.

From this Square you will also see the Christiansborg palace across the canal.

55 QUALITY OF LIFE AND DISABILITY: CAN T OPERATIVE REHABILITATION AFTER SPINA CONTROLLED TRIAL WITH 12-MONTH FO Marko Neva, Outi Ilves, Joost Dekker, Liis Vihtonen, Kirsi Piitulainen, Salme Jarvenp Department of Orthopaedics and Trau Finland; Department of Healt programme highlightsTampere, Thursday, 3 September Jyvaskyla, Finland; Department of Physica 10:30 Presidential address, medal and awards lectures

Room: Plenary hall Finland Health Care District, Jyvaskyla, Fi and Department of Psychiat

Chair: Michael Ogon,Medicine Vienna, Austria; Everard Amsterdam, The Netherlands; Department

Munting, Biez, Belgium Finland Health Care District, Jyvaskyla, Fi 12:00

EUROSPINE Lunch Symposium 3: Early onset scoliosis.

Are new techniques 56 better?

INDIVIDUAL COURSES OF LOW BACK PAIN Room: Auditorium 11 WITH 4- AND 8-YEAR FOLLOW-UPS Chair: Hossein Mehdian, Tom Nottingham, Bendix, Lars UK Korsholm, Lise Hestbae

12:00

17:30

EUROSPINE Lunch Symposium 4: Anterior approach is back to stay?

57 ADDRESSING LUMBAR DEGENERATIVE DI Room: Auditorium 12 Chair: Pedro Berjano,FOLLOW-UP Milano, ItalySTUDY WITH AN UNCONSTR

20:00

Official congress 58 evening FINAL RESULTS OF AN INTERNATION Attire: business/formal OBSERVATIONAL TRIAL ON LUMBAR ARTH Location: Opera House Copenhagen DISEASE With previous registration only!

Richard Assaker, Karsten Ritter-Lang, D

Rigshospitalet, Glostrup Hospital, Univers

Joel Delecrin, Jacques Beaurain, Jerome All Jean Huppert, Alexandre Poignard, Marc EUROSPINE`s general assembly Room: Plenary hall CHU Hôtel-Dieu, Service de Chirurgie Ort Nantes, France Members only!

Stephane Fuentes, Michael Putzier, Joerg

Please engage and vote for Nakach, the Best ofCharles Outside Gerard Jean LeHuec Europe Award CHRU de Lille, Lille, France This is possible throughout all conference days within the lectures signed with this label through the app.

59 AN 11-YEAR MINIMUM FOLLOW-UP OF TH MENT FOR THE TREATMENT OF SYMPTO Yong Hai, Shibao Lu, Chao Kong Orthopedic Surgery, Beijing Chaoyang Ho EUROSPINE TEAM 2015 China, Beijing, China App-Rating

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The EUROSPINE office team is happy to help with your enquiries.

Erin Goddard, Director of Education Anna Faber, Marketing Communications Manager Judith Reichert, Director of Administration Conny Schmutzer, Membership Relations Manager We look forward to welcoming you at the EUROSPINE booth located in the Center Hall.

ISSUE 2 /// THURSDAY, 3 September 2015 /// EUROSPINE2015.EU

EUROSPINE Medal Lecture 2015 Love your job, or die trying In the health care industry it’s always been about one thing: healthy and happy patients. For health professionals in a growing part of the world, however, things seem to have taken a wrong turn along the way. For The System, it now seems more urgent to document correct procedure than ensure maximum patient satisfaction, a fact that leaves many employees disheartened.

This speaker argues that this will change.

Jon Kjær Nielsen holds a Master of Science, and has spent a decade traveling and lecturing on the benefits of an increased focus on people and happiness in the workplace. He will show us nuggets from the research into happiness, like the fact that not only do happy doctors become the target of malpractice lawsuits less frequent, they are also 19% faster at making an accurate diagnosis.

As Jon puts it: “With a system set on measuring everything in the name of productivity, the system is bound to realise, that measuring less actually increases productivity”. Coming from

Denmark, again and again labeled the happiest country in the world, Jon will share how loving your job as a health professional is key to both personal flourishing and better results at work, a fact that The System is slowly realising.

We’re not there yet, though, also evident in Denmark’s struggling public health sector, but the signs are here. Meanwhile, it falls on the shoulders of each of us to create the work environment that best suits our personal preferences.

Jon will provide us with clear guideposts for this mission.

For as he puts it: “Besides your personal relationships, work is the single most important factor in determining your personal level of happiness in life, and so there’s really no way around it: Love your job, or die trying”. Jon is 38 years old and currently traveling the world as a speaker and author.

He has published three books in Denmark, all on happiness at work, one of which at the time of this writing is being translated into English and German. Find him at HappyWays.com and Jon. dk.

Jon Kjær Nielsen Speaker & Author

EUROSPINE WAY FORWARD STRATEGY – ON TRACK FOR THE FUTURE NEW INCENTIVES LEAD TO RECORD MEMBERSHIP INCREASE

EUROSPINE achieves record growth with 187 new applications in 2015 Over the last 3 years a number of incentives have been introduced to expand and diversify our membership base as part of our Way Forward strategy, including changes to our fee structures and price incentives, plus the addition of new membership categories.

We are thrilled to announce that – as a result of these measures – we have experienced record membership growth in every category, from Young Members and Institutional Members to abstract submissions for our annual meeting. Within a short period of only three years, EUROSPINE’s membership applications have increased approx. 5-fold.

The EuSSAB meeting in Barcelona brought together representatives from many countries with varying economic and cultural backgrounds, which enables us to learn from and support each other in many different areas. The tone of the meetings has been extremely positive, and members quickly found a common denominator, agreeing that the primary focus for the next meeting should be the alignment of educational standards and the creation of a standardised pan-European spine diploma.

FURTHER MEMBERSHIP BENEFITS Additional membership incentives include: • A new fee structure for meetings, offering members preferential rates for meeting registrations over non-members • Subscription to the European Spine Journal (online and print editions) and e-newsletter • Access to research grants, OOT, Annual Meeting webcasts • General Assembly voting rights • Participation in the European Spine Registry, Spine Tango • And many more…

PATIENT CARE IN THE SPOTLIGHT

“YOUNG MEMBER” CATEGORY PROVES EXTREMELY POPULAR One of our longstanding goals has been to promote our Society to young, active members and to provide support for future leaders. In an initiative to attract the brightest young minds in spinal care, we established a “Young Member” category, whereby professional colleagues under 40 could join EUROSPINE and enjoy the full range of membership benefits for 50% of the regular fee for two years. This has proved immensely popular – a full 47% of applications received in 2015 have been from young members!

EuSSAB ATTRACTING “INSTITUTIONAL MEMBERS” In order to realize our objective of establishing strategic partnerships with national societies, we implemented a second new category for “Institutional Members”, inviting national societies to join EUROSPINE. This common umbrella and communication platform which serves to unite national spine societies from across Europe is referred to as EuSSAB, the European Spine Societies Advisory Board. Once a society becomes a member of EuSSAB as an Institutional Member, all of its members automatically become “Associate Members” at no extra cost.

Today we have a solid representation from almost all European countries, plus a number of countries outside of geographic Europe.

With such a strong membership base, we are now well-positioned to build on our commitment to foster interaction and knowledge sharing amongst spine specialists in an international forum such as our Annual Meeting and the Spring Meeting. With so many talented specialists working together, we can focus on finding innovative solutions for our raison d’être – our patients.

If you are not yet a member of EUROSPINE, we invite you to join our dynamic association!

Within the short period of only 12 months since our inaugural meeting last autumn in Lyon, 17 national societies representing approximately 5600 spine surgeons from across Europe have already joined as Institutional Members.

Christoph Siepe Chairman, Membership Committee 2015 Audience Response System How to participate in interactive votings 1. Download and start the app: All versions are available at http://app. eurospine.org. The app will automatically download the latest data on its first launch.

2. Select ARS from the main

menu:To participate in interactive votings, you need an internet connection (WiFi). If your WiFi is not working, the app will switch to voting via text messages (roaming costs may apply) 3. Select the voting session: Please select the session on which you intend to vote.

4. Vote: When the speaker asks

you to vote, please choose the proper button according to the instructions shown on the screen. The time to vote is limited for each question.

ISSUE 2 /// THURSDAY, 3 September 2015 /// EUROSPINE2015.EU

EUROSPINE EDUCATION: BETTER & SAFER PRACTITIONERS At EUROSPINE it is our goal to foster excellence in spinal care by providing top quality learning opportunities.

We know we are doing our job well when participants leave our courses as better and safer practitioners in caring for spine patients.

EUROSPINE WAY FORWARD STRATEGY – ON TRACK FOR THE FUTURE currently training our faculty on the best ways to deliver the content so learners achieve optimal results. Education Week will take place October 25th29th at the IRCAD training centre in Strasbourg, France and again June 13th-17th, 2016.

EUROSPINE has also been working on programmes to address the training needs of those that are further along in their careers by developing curricula for more advanced delegates.

COLLABORATION WITH NATIONAL SOCIETIES

Jörg Franke Chairman, Education Committee 2015 EDUCATIONAL ACTIVITIES NOW UNDER “ONE ROOF” This year we moved all of EUROSPINE’s educational activities back under the umbrella of the Society. We took this step to support our mission and ambition of providing bestpractice education and lifelong learning in spine health. We are now in a much stronger position to improve our curriculum as we see fit and to collaborate with national societies in our quest to establish an accredited pan-European “European Spine Certification”. Members, course participants, stakeholders and faculty will also benefit from one point of contact for all educationrelated topics.

NEXT GENERATION ESCD PROGRAMME This year, we’ve concentrated on developing a comprehensive, new European Spine Course Diploma (ESCD), our main educational initiative aimed at training young spine specialists. To assist us in this improvement process, we engaged Lisa Hadfield Law, a surgical educationalist from the UK. We’ve created a learner-centric programme – taking a close look at what young spine specialists need to learn and the best ways to pass this knowledge on – so that participants can use the knowledge and skills learned in their daily practice. The ESCD comprises 5 Modules, with Learning Outcomes for each session of each Module. We’re

In collaboration with EANS, we are developing an advanced course, Extended Indications and Advanced Operative Techniques.

The first course will take place September 6th-8th in Innsbruck, Austria.

Further advanced courses will be launched in the 2nd half of 2016.

ADVANCED EDUCATION AND LIFELONG LEARNING EUROSPINE will continue to expand its advanced programmes.

We’re developing our Fellowship offerings in 2015 and will launch this important initiative in 2016 with a 6-month Post Graduate Training Programme as well as funded grants.

DIPLOMA EQUIVALENCE AND EUSSAB EUROSPINE’s making significant headway in its pursuit of a recognised European Spine Certification. This year, we’re launching important partnerships with the German Spine Society (DWG) and the Turkish Spine Society (TSS) for Diploma Equivalence. This project will align Learning Outcomes within our organisations and allow for reciprocity of curricula, allowing GSS and TSS diploma holders to obtain the EUROSPINE European Spine Course Diploma and vice versa.

We are also working closely with 17 national societies who have joined EuSSAB as EUROSPINE Institutional Members. These partnerships will further assist us in our goal to align with other national programmes in the near future. EuSSAB brings together Stakeholders from societies across Europe to discuss the most important issues in Spine. We are committed to this open and equal collaboration and recognise the synergies and common threads of all of our organisations.

Education remains a key focal point of this collaboration as we all share the philosophy that education is vital to the betterment of patient care.

PROFESSIONALISING STAKEHOLDER RELATIONS

Strengthening stakeholder relationships is vital to the future direction of EUROSPINE. Not only do stakeholders provide expertise and education on treatments for spinal disorders, but many are also a valuable source of funding through sponsorships and trade show floor space.

ensure that the needs of the spine profession are met. These tasks also fall to the President and Vice President, whose main responsibility is representing our Society.

NEXT STEPS

In order to address individual needs in a targeted manner, we divided our stakeholder groups into eight categories:

DEDICATED STAKEHOLDER COUNCIL • Last year as part of our Way Forward strategy, we instituted a Stakeholder Council to manage stakeholder issues at a senior management level and organise a regular, in-depth dialogue to address stakeholder requirements and implement mutuallybeneficial improvements.

The Stakeholder Council is mainly made up of ExCom members, who are at the same time chairing a Council or acting in a treasury or presidential capacity. As a result, its priorities are also influenced by the needs of the Education, Research, and Meeting Councils – particularly when it comes to funding these activities.

In addition, we are working to strengthen our relationship to political institutions and our cooperation with other European and international societies to

Finn Christensen Local Host & Head of Stakeholder Council This is a tremendous workload, which constantly raises the question whether an organisation like ours – whose board members are volunteers and with few fulltime staff members – has the capacity to accomplish these goals. At this point we are still in the process of determining the optimal work set up and defining our top priorities.

In 2015 we embarked on a targeted course of action, establishing clear short- and long-term objectives to tailor our future organisation to our needs.

Our main achievements so far include: • Instituted a task force to develop and discuss a new sponsoring concept with our core partners from the MedTech industry – building a long-term, win-win relationship • Developed a plan to further strengthen a well-organised relationship approach and to ensure an ongoing dialogue with our core stakeholder groups • Motivated 17 European Spine societies thus far to join as “Institutional Members” and participate in European Spine Societies Advisory Board

Eurospine App Have the most relevant and upto-date conference information at hand!

Free WIFI is available within the entire congress venue.

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

• Established a ‘one brand approach’ ensuring one point of contact for all our members, stakeholders and participants at our meetings and courses • Established a ‘one brand approach’ ensuring one point of contact for all our members, stakeholders and participants at our meetings and courses

EUROSPINE’S STAKEHOLDERS

1. MedTechs 2. Sponsors beyond MedTechs and the device market 3. Government and political institutions (EACME, UEMS, AMSE) 4. Other spine societies (European & International) 5. Universities and medical schools 6. Health insurance companies 7. Patient organisations 8. Press & media

(EuSSAB) – our platform for Institutional Members to discuss joint strategies for issues of common interest

interactive votings, bookmark your favorite sessions and access the exclusive e-version of “The Spine Times”.

Download the EUROSPINE app for all smartphones and tablets from http://app.eurospine.org.

Although we have made great progress to date, there is still much work to be done in realising our objective of being leading spine society in Europe and ensuring that we provide the best services to our members and all spine professionals.

This goal can only be achieved by creating a mutually-beneficial relationship with our stakeholders from the Medtech industry. We must position EUROSPINE as unbiased while still allowing MedTechs to benefit from all our dynamic Society has to offer.

Issues to be addressed include education, funding transparency and improving network and brand awareness.

At the same time we want to strengthen our contact with organisations such as EACME, UEMS, and AMSE to improve our offerings in a targeted manner while putting patient care in the spotlight.

In spite of the challenges ahead, we will work to ensure that patients, members and all of our different stakeholder groups can benefit from our cutting-edge science activities and excellent marketing opportunities. Due to limited resources (financial and human resources) we must, however, set clear priorities with reasonable and attainable timelines.

Although it may take some time, we look forward to continuing to build partnerships with all our stakeholder groups!

ISSUE 2 /// THURSDAY, 3 September 2015 /// EUROSPINE2015.EU

3rd Eurospine Spring Speciality meeting

Danish Phrases to know be discussed to make it working life relevant to the health care economy and community of Europe. The will be a ‘safe care of the cord injured patient’ symposium following the patient pathway from the devastating roadside injury through hospital treatment and rehabilitation to para-olympic competition.

Spring meetings were started to increase the scope and visibility of the Society in 2014. They are an established professional activity available to members and non – members. Members, of course, have a large tariff advantage with regard to registration fees.

The concept of the Spring meeting is to have a short spine sub-speciality meeting focused on a specific topic. It is an additional life-long learning resource for spine specialists combining relevant professional educational updates, research abstracts and practical take home messages.

Trauma and emergency spine surgery is a major part of clinical practice. It involves the whole spine and is multi-disciplinary.

There will be a mixture of key

note instructional lectures, interactive case discussion, scientific abstract sessions, Spine Tango trauma data, best evidence summaries and top tips for take home development.

‘Past present and Future’ will enable lessons from history to be considered in the context of current practice. The future is looking to the innovative developments that may, or may not, alter the way we work.

The scope of the meeting will be cervical, thoracic, lumbar and sacral trauma. The challenges of trauma at extremes of age will be considered. Complete and incomplete cord injury, with and without structural stability will be covered. Differences in practice between European countries will

IMPRINT

Contact: info@eurospine.org Tel. +41 44 - 994 14 04 Fax +41 44 - 994 14 03

Publishing House: EuroSpine, The Spine Society of Europe Seefeldstrasse 16 8610 Uster-Zürich Switzerland

Publishers: Haluk Berk (President of EUROSPINE) Michael Ogon (EUROSPINE Vice President) Everard Munting (EUROSPINE Secretary)

The Spine Times® is a free congress newspaper published by EUROSPINE.

The third Eurospine Spring meeting will be held in Krakow May 2016. This will build on the lumbar speciality meeting in Prague March 2014 and the combined Eurospine Scoliosis Research Society conference in Barcelona April 2015. A specialty less invasive effective treatments for the lumbar spine meeting is being considered for Spring 2017.

These smaller spring meetings compliment the larger annual Eurospine meeting. They occur in the attractive cities of Europe that have more intimate conference facilities encouraging networking and communication.

They are different in ‘feel’ to the large Annual meetings, with the emphasis on easy dialogue and varied learning experiences with interaction between participants.

Editors in Chief: Thomas Blattert, Dominique Rothenfluh

God morgen – Good morning God aften – Good evening Farvel (favel) - Goodbye Skal – Cheers (toast used when drinking) Velbekomme – Have a good meal Hav en god dag – Have a nice day Tak (Tahg) – Thank You Hvordan går det? (Vor-dan gore d) - How are you?

Godt, tak (Got, tag) - Fine, thank you.

Det var rart at møde dig (D‘ vahr rarht add murdhe dah-ee). Nice to meet you.

Jeg har brug for en læge (Ya‘ee har bro‘ for en lay‘eh). - I need a doctor.

awards Congratulations to the winner of the EUROSPINE 2015 Best Full Paper Award

AGE AND PRO-INFLAMMATORY GENE POLYMORPHISMS INFLUENCE ADJACENT SEGMENT DISC DEGENERATION MORE THAN FUSION DOES IN PATIENTS TREATED FOR CHRONIC LOW BACK PAIN Ahmad Omair 1, Anne F Mannion 2, Marit Holden 3, Gunnar Leivseth 4, Jeremy Fairbank 5, Olle Hägg 6, Peter Fritzell 7, Jens I Brox 8 1. Department of Orthopaedics, Oslo University HospitalRikshospitalet, Oslo, Norway 2. Department of Research and Development, Spine Center Division, Schulthess Klinik, Zürich, Switzerland 3. Norwegian Computing Centre, Blindern, Oslo, Norway 4. Institute of Clinical Medicine, Neuromuscular Disorders Research Group, UiT the Arctic University of Norway, Tromsø, Norway 5. Nuffield Orthopaedic Centre, University of Oxford, Oxford, United Kingdom 6. Spine Center Göteborg, Gothenburg, Sweden 7. Neuro-ortopedic center, Länssjukhuset Ryhov, Jönköping, Sweden 8. Department of Physical Medicine and Rehabilitation, Oslo University Hospital, University of Oslo, Oslo, Norway

Administrative Director: Judith Reichert Schild

Contributors: Arno Amfort, Anna Faber, Felix Degeler, Frank Jensen, Andrea di Leporano, Judith Reichert Schild, Conny Schmutzer

Managing Editor: Stefan Knoflach Art Direction: Michael Wieland Photo Director: Martin Steiger Special Contributor: Beat Leimbacher

Photographs: Copenhagen Media Center, apace.tv, Mario Habenbacher, Alexander Hinteregger, Stefan Knoflach, Christian Lendl

Feedback: editor@spinetimes.com www.spinetimes.com … is a worldwide operating business consultancy focusing on comprehensive communication strategies and sustainable investments. www.apace.com

ISSUE 2 /// THURSDAY, 3 September 2015 /// EUROSPINE2015.EU

ISSUE 2 /// THURSDAY, 3 September 2015 /// EUROSPINE2015.EU