The Spine Times Barcelona Issue 3

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ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

New board elected: EUROSPINE ready for future We would like to congratulate Tim Pigott, President; Everard Munting, Vice President; Jörg Franke, Secretary; Christoph Siepe, Head of the newly created EuSSAB Council; Margareta Nordin, Head of Stakeholder Council, Tamás Fekete, Head of Meeting Council and Rachid Salmi, Head of Research Council.

Interview President Tim Pigott You have been on board for one year now as Vice President – what was your first impression? It is a great honour to follow in the footsteps of my colleagues, Margareta Nordin and Frank Kandziora. My first impression is that it will be a great privilege to represent all the members of EUROSPINE, to work with such a fantastic managerial team and a great group of volunteers because this is really important and I am really looking forward to achieving progress together.

great work that has been done in the past. I am also very pleased again to be working with such a good team in terms of education and research. These are challenging plans. How do you want to achieve these plans?

What is your vision for your presidency?

I think the central core will be the careful management of resources, that means For me one of the highest priorities is to continue management resources, education resources, to offer high-quality, innovative content and topics research resources and encouraging members to of relevance to those with an interest in spinal join the society, to take part in all our activities practice. But we still always need to ensure our and to teach in our courses – and that is all really financial stability, make sure we are correctly using essential. This will only happen with the help of our resources to allow us to continue with the volunteers from the society.

Of course there will also be challenges. What challenges do you expect? There will be challenges. I think one of the biggest challenges for for us is the change in the MedTech environment and this is something we are going to have to adress. We are not going to be readily able to get as much sponsorship perhaps as before so we need to address that and think about how we are going to get other income streams to keep our activities supported. Thank you very much, Tim Pigott, EUROSPINE President 2018–2019 – we are looking forward to a successful term!

Great crowd at ESF Charity Run The first EUROSPINE Foundation (ESF) Charity Run was a great success. In the early morning hours 122 runners and walkers met to support spinal education and research. The first participant

passed the finish line only after 15 minutes – the real winner though is the foundation and its education and research programme as 100% of the registration fees will go towards its goal to advance knowledge of spinal disorders, improving the standard of care and the recovery and wellbeing of patients with back and neck problems. Thanks to SPINEART‘s support, 100% of the registration fees (€2,200) will go to the cause. We sincerely hope that the ESF Charity Run 2018 is only the first of many charity events to come.

A love letter to realism in a time of grief Mark Pollock and Simone George

Last year Mark Pollock held an incredibly inspirational Medal Lecture in Dublin. At 22 Mark found himself completely blind. He rebuilt his life and became the first blind man to reach the South Pole. In 2010, two weeks before his wedding day to Simone, Pollock suffered a tragic accident which left him paralysed from the stomach down. “Sometimes we have the luxury of choosing challenges, but sometimes the challenges choose us.” Mark Pollock, Explorer, Innovator & Collaboration Catalyst talked about how we need to put our egos aside so we can come together for the greater good. He just recorded a TED talk with his fiancee, Simone George. The talk is a beautiful reminder of the themes spoken about last year. You can view the talk at the TED website:

ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

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EUROSPINE Ambassadors EUROSPINE initiated this pilot project to increase active member involvement, create awareness for EUROSPINE’s meetings and events and to attract more people to attend especially the Annual Meeting. The Ambassadors should enhance local recognition of EUROSPINE as one of the world’s leading spine meetings and foster collaboration within the EUROSPINE family. The following four Ambassadors were carefully selected: Ayman Assi, Lebanon & France Member since 2018 Angelo Fragkakis, United Kingdom Member since 2016 Enrico Gallazzi, Italy Member since 2018 Wei Weng Yoon, United Kingdom Member since 2016 As we hope that you will see and hear from our Ambassadors we give you a short introduction to their background and motivation to join this pilot project. You got to know Angelo Fragkakis

in yesterday‘s issue so we now present the remaining three: Wei Weng Yoon Where are you from, what is your background? I am a UK born and trained spinal surgeon but my parents are from Malaysia/ Singapore. I was dual fellowship trained in the UK and in Adelaide Australia before being dual appointed at Queens Medical Centre in Nottingham and the University Hospitals of Leicester. Why did you decide to apply as EUROSPINE Ambassador? I decided to apply as a Eurospine Ambassador as I am passionate about all aspects of spinal care from deformity (paediatric and adult) to degenerative, tumour and trauma and I wish to disseminate this passion to all surgeons, academics and allied health professionals.

UK spinal surgeons at some stage in their career in Nottingham and one of my goals as an Ambassador is to encourage as many new members to join Eurospine and to take the diploma course. I am looking forward to connecting with surgeons from different countries and forge links with institutions across the globe.

What are you looking forward to as a EUROSPINE Ambassador? Eurospine is an excellent forum for all levels of spinal surgeons, academics and allied health professionals and as a community we have strength in unity. We train around 70% of the

What is your goal as EUROSPINE Ambassador? My main goal as an Ambassador would be to increase the membership of young spinal surgeons and encourage members to become involved in Eurospine and contribute to increase our knowledge within the spine community.

Each repeat surgery has success rates much lower than the previous1

LEVEL 1 RCT DEMONSTRATES BARRICAID SUPERIOR TO DISCECTOMY ALONE Barricaid Anular Closure reducing reherniation and reoperation rates in patients with large anular defects The Spine Journal, May 2018

1 Post-lumbar discectomy reoperations that are associated with poor clinical and socioeconomic outcomes can be reduced through use of a novel annular closure device: results from a 2-year randomized controlled trial. PD Klassen et al. ClinicoEconomics and Outcomes Research 2018: 10 349-357

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ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

Ayman Assi Where are you from, what is your background? I am from Beirut, Lebanon. I am a biomedical engineer and have a PhD in Biomechanics from Arts et Métiers ParisTech. I am currently an associate professor at the Faculty of Medicine at the University of Saint-Joseph in Beirut and director of the Laboratory of Biomechanics and Medical Imaging. Why did you decide to apply as EUROSPINE Ambassador? It would be a honor for me to be an active member of the EUROSPINE society, and to serve as an Ambassador in the Middle East and North Africa (MENA) region. What are you looking forward to as a EUROSPINE Ambassador? I would like to spread awareness and try to start a „buzz“ about the EUROSPINE society and its importance on both the scientific and social levels for spine surgeons and researchers in Lebanon, the francophone countries and the MENA region. What is your goal as EUROSPINE Ambassador? To mobilize more spine professionals from my region to adhere to the EUROSPINE society and to attend its annual meetings.

Enrico Gallazzi Where are you from, what is your background? I am from Milano, Italy. I started my experience as a spine surgeon in 2016 in IRCCS Galeazzi Orthopedic Institute in Milano, in the Spine Reconstruction and Oncological Surgery Department. I then decided to continue my experience in Spine Surgery in the Spine Surgery and Scoliosis Department, directed by Prof. M. Brayda-Bruno, where I am currently working. Why did you decide to apply as EUROSPINE Ambassador? I was very interested in giving my active contribution to the EUROSPINE activities and as a young surgeon the Ambassador role fits perfectly to me.

On 5 May 2019 the Wings for Life World run will take place around the globe. You can run in your hometown – all runners will start at the same time – be it day or night – rain or sun (11:00 UTC) and run as long as they can (or until a pace vehicle passes them). For the third time #TeamEUROSPINE will participate in the race to support the Wings for Life cause: spinal cord injury must become curable. You can run in your home city and be part of the #TeamEUROSPINE by selecting it during registration. Registration will be possible at

What are you looking forward to as a EUROSPINE Ambassador? I am looking forward to participate actively at a big event such as the EUROSPINE 2019 in Helsinki! What is your goal as EUROSPINE Ambassador? As a young surgeon myself, my main goal is to promote the society and its activities especially to resident and young specialists interested in spine surgery, and to promote the collaboration with FORTE, the European Federation of Orthopedics and Traumatology Residents of which I am part of.

EUROSPINE Future Events TFR Course 2019 13–17 March Bordeaux, France Spring Specialty Meeting 2019 2–3 May Frankfurt, Germany

Wings for Life World Run 2019 – Team EUROSPINE

Voting Results Burning Questions Day 2 1. A European Spine Diploma Exam would strengthen spine surgery as a subspecialty? YES: 112 NO: 31 78%

Education Week 2019 & Literature Review Course 1–5 July Geneva, Switzerland


2. I would consider taking the exam (if I was still in training)? YES: 96 NO: 25 79%

EUROSPINE 2019 16–18 October Helsinki, Finland

EUROSPINE 2020 7–9 October Vienna, Austria


Special Thanks to this Year‘s Contributors

EUROSPINE 2021 13–15 October Gothenburg, Sweden

EUROSPINE 2023 4–6 October Frankfurt, Germany

EUROSPINE 2022 19–21 October Milan, Italy

Subscribe to our events calendar if you wish to get all our event details automatically fed to your calendar! (

by spineart

ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

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New Chair of the Programme Committee – Tamás Fekete What made you apply for this position? I have been working as a reviewer and member of the Programme Committee for the past 3 years and have enjoyed the work with my colleagues and with Stavros, the current head of the committee. As my 3-year term was coming to an end this year I was ideally placed to continue as head of the committee. When I was asked whether I would be interested in this position I didn’t hesitate to say yes. It was also very nice to feel the support of my application within EUROSPINE. Name: Tamás Fekete Joining year: 2012

What can we expect? What are your plans? EUROSPINE is now looking back on a 20-year How do you feel about your new role as Chair of history and two of the founders of the society – the Programme Committee? Jiri Dvorak and Dieter Grob – were working at the I feel honoured to have been nominated and very same clinic as the one in which I now work, elected for this very important and prestigious the Schulthess Clinic. I would like to carry on with position. The annual meeting is the most importhe tradition of the meeting and its scientific tant meeting of our society and the Programme structure. However, at the same time, I would like Committee has a crucial role in making sure it is a to adapt the programme to the ever-changing success. We have a very active team that supports needs, as spine care continues to make the committee’s work, and there is a great team of improvements in many fields. I would like to reviewers and co-reviewers who also contribute to reassess the balance of the programme across the scientific success of the meeting. I am proud the various specialties, i.e. surgery, non-operative to have been elected to take on the lead and I am and basic science. looking forward to the challenges to come. I am a spinal surgeon with a neurosurgical

The Global Spine Congress heads to North America

Global Spine Congress Toronto, Canada | May 15–18, 2019

background. I would like to make our annual meeting even more attractive to spine neurosurgeons. We also have to keep in mind that such meetings help spine professionals to get access to the most up-to-date results of research. I would like to consider having more high-quality invited talks, ensuring one such talk for each day or one for each session in the plenary hall. A further measure to increase the quality of the scientific programme could be the introduction of compulsory submission of an extended text of the podium presentation - just like a manuscript for a journal submission - ahead of the meeting. This would ensure that the presenters prepare well in advance and also that the moderators and session chairs can prepare for the discussion. This measure could also encourage the authors to publish their work soon after the annual meeting. I plan to have a brain-storming session with the members of the Program Committee at the annual Programme Committee meeting next spring, to discuss how to enhance the success of the meeting, and how to facilitate the exchange of information among spine specialists.

ABSTRACT SUBMISSIONS EXTENDED! Last chance to submit your abstract: September 30, 2018

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ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

EUROSPINE 2018 in review This year in Barcelona EUROSPINE was welcoming multidisciplinary spine specialists from all over the world to celebrate our 20th Anniversary together! Barcelona proved to be another high-quality EUROSPINE Annual Meeting, featuring top-notch, cutting-edge science and a rich scientific programme with the latest advances in research and treatments and lively debates. EUROSPINE ANNUAL MEETING IS THE SOCIETY’S FLAGSHIP EVENT

year and continued to enhance and spice up our programme “menu” in Barcelona successfully. Our Programme Committee conducted an exhaustive selection process from the papers submitted to present a rich and well-rounded scientific programme. Following a meticulous selection process, 78 were chosen as oral presentations, 90 qualified for oral ‘QuickFires’ and 150 have been presented as e-posters.

The hard-working Lunch Symposia and Pre-day Once again, we were delighted to receive close to Meeting Committee organised the perfect kick-off 1,000 abstracts from 56 countries. Spine to a great event with three well-structured specialists were taking advantage of the Pre-day Courses, providing valuable information opportunity to share innovation and the latest for Spine Tango users, an expansive update to the research in the treatment of spinal disorders with current concepts of anterior approaches to the their colleagues. With such rich scientific content thoracic and lumbar spine as well as exploring to select from we could deliver you a high-quality the new advances in the field of emerging diverse programme covering the entire spectrum technologies in spine surgery. The always of spine issues including surgical, non-surgical and popular EUROSPINE Lunch Symposia has covered research. hot topics in 7 sessions, such as cervical and thoracolumbar osteotomies (surgical video Keeping in mind that spine care covers a wide session!), surgical management of spinal spectrum that extends far beyond surgery, we disorders in patients with Parkinson’s disease, had created new submission categories adolescent spinal deformities and treatment op(non-operative treatments, epidemiology, tions, refining your osteotomy technique, medical economics) that made their debut last aging spine and how to achieve optimal results,

spondylolysis/ spondylolisthesis and the role of spine registries today. We sincerely hope that our work paid off and you will be able to head home with a fresh mind full of new ideas, learning outcomes and new contacts. Of course as always we look forward to your feedback and therefore we hope that you will fill out our survey which all participants will receive shortly after the Annual Meeting.

German Spine Conference 13th Annual Meeting of the German Spine Society

6–8 December

RheinMain CongressCenter Wiesbaden

© - clearlens

ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

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Programme Highlights: 21 September 2018 Trauma, Diagnostics and Imaging 8:30-10:00 Plenary Hall ON-Foundation for Orthoregeneration Award 11:55-12:00 Plenary Hall

The “Best of show” and Award papers 10:30-12:00 Plenary Hall

Announcement of the Best Podium Award 11:50-11:55 Plenary Hall

Winner of 2018 Grammer/European Spine Journal Award 11:30-11:40 Plenary Hall

Max Aebi Award for Clinical Sciences 2017/2018 11:40-11:50 Plenary Hall

EUROSPINE Lunch Symposium 7

The Role of Spine Registries Today (Spine Tango)

12:00-14:00 Room 111

EUROSPINE Lunch Symposium 6 Spondylolysis / Spondylolisthesis

EUROSPINE Lunch Symposium 5

12:00-14:00 Room 112

Aging Spine – How to Achieve Optimal Results?

12:00-14:00 Plenary Hall

Concurrent Sessions – QuickFires – Short Communications

Concurrent Sessions – QuickFires – Short Communications

Concurrent Sessions – QuickFires – Short Communications

14:00-15:20 Room 112

14:00-15:20 Plenary Hall

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A trusted provider of latest news, reviews of cutting-edge research, congress coverage and opinion from thought leaders

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After pain y. lumba predic male joint t on joint pain. following fusion surger 30-year-old ted it offers This fusion each patien ts who n sacroiliac ed vel hernia difference lumbosacral 66 patien results. could explai has has report with a two-le insignificant this determining low back pain however, literature and C5–6, Given the of ped to lower procedure, A body of presence disc at C4–5 enced h the had develo er of loads ated with between the ely throug been associ on the transf straightening who had experi ing pain incidence postoperativ of medical records, the includ nt n a significant levels from symptoms nts in adjace al, investigatio segment and the neck of adjacent admits. s used physic of fused segme e. In the case of in both arms the author and imaging results he years. The pathology, segment diseas pain, loads might for over five ed radicuts neurological debate, joint fused which patien To win the sacroiliac patient display failed disc erred from to identify a result total as , had transf joint. this be liac ped he argues also lopathy, and treatment. The would had develo onto the sacroithe study joint pain. replacement segments non-operative d no something s note that of sacroiliac sacroiliac block d The author retrospective have to offer ed on page 2 Imaging reveale ity. gold-standar patients by its Continu deform istered in is limited l significant ularly with was admin liac joint first, Abitbo ted sacroi design, partic identification Speaking in with suspec the osis was made regards to pain. Diagn to the who had latent on page 2 ts according of patients Continued mended 28 patien criteria recom p diagnostic et al (J Ortho ami by Murak 2:274–80). Sci. 2007;1 s to lumbar and With regard


Infection, Complication, Epidemiology 15:50-17:00 Plenary Hall

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16 38


14:00-15:20 Room 111

Degenerative Cervical Spine, Tumor, Patient Safety

New Techniques and Minimally Invasive Spine Surgery


Trauma, Diagnostics and Imaging, Epidemiology


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ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

ISSUE 3 | Friday, 21 September 2018 | EUROSPINE2018.EU

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Welcome to Helsinki! Tervetuloa Helsinkiin! The EUROSPINE Annual Meeting in Helsinki will no doubt be the scientific highlight for 2019 for all professionals interested in the treatment and research of spine conditions. In addition to an exciting scientific programme, the meeting will provide us with ample opportunities to meet colleagues from around the world to share knowledge and experiences. EUROSPINE 2019 will take place at Messukeskus Helsinki, the Expo and Convention Centre. Imprint The Spine Times® is a free congress newspaper published by EUROSPINE. Publishing House: EUROSPINE, The Spine Society of Europe Seefeldstrasse 16 8610 Uster-Zürich Switzerland Contact: E: T: +41 44 994 14 04 Feedback: E: W: Publishers: Frank Kandziora (EUROSPINE President) Tim Pigott (EUROSPINE Vice President) Thomas R. Blattert (EUROSPINE Secretary) Editors in Chief: Thomas Blattert, Dominique Rothenfluh Administrative Director: Judith Reichert Schild Onsite Editor in Chief: Felix Degeler Contributors: Arno di Leporano, Frank Jensen, Judith Reichert Schild, Anna Faber, Claudia Ortner, Julie-Lyn Noël Photographs: Martin Steiger, Mario Habenbacher, Alexander Hinteregger, Daniel Kleinfercher Photos ©: APACE P.L.C., Shutterstock Inc., Barcelona Tourisme Convention Bureau Powered by: … is a worldwide operating business consultancy focusing on comprehensive communication strategies and sustainable investments.

Messukeskus will guarantee us a successful meeting experience with its modern, spacious facilities and up-to-date technology. Our venue is conveniently situated with just 5 minutes from the city centre by train, and the city´s hotels are within easy reach by the excellent public transportation system.

We hope that during your stay in Helsinki you will have an opportunity to explore our distinctive nature, culture, and architecture, and enjoy our local culinary specialties.

Teija Lund and Dietrich Schlenzka Local Hosts 2019

Helsinki is the capital of Finland with a population of 600 000; it is a human-sized city where most of the attractions are within walking distance.

Go north and participate! Dear members, colleagues, guests and friends, I am delighted to invite you all to the EUROSPINE Annual Meeting 2019 in the city of Helsinki. Helsinki has excellent access from Asia and South America and represents our most northerly meeting. At this meeting we will be 21 years old! As always we will have an excellent scientific meeting with participants from all over the globe to exchange ideas, research and new skills. I am

already looking forward to this exciting event and venue. Our local hosts, Teija Lund and Dietrich Schlenzka have already organised an excellent networking programme in this most exciting of cities. We all look forward to welcoming you and please put the date in your diaries: 16–18 October 2019. Tim Pigott EUROSPINE President 2018–2019

Survival Finnish in a nutshell

Finnish (Suomi) has regular pronunciation without many exceptions. Usually, Finnish words are pronounced just like they are spelled, and that makes communicating a bit easier than in other languages. Using the language of the locals just naturally makes them more likely to help you if needed and leaves a positive impression. Here are a few of the most commonly needed words for social interaction: Hello: Hei Goodbye: Näkemiin

Yes: Kylla No: Ei Thank you: Kiitos You are welcome: Ei kesta Excuse me: Anteeksi My name is ...: Nimeni on ... Nice to meet you: Hauska tavata Good morning: Hyvää huomenta Good evening: Hyvää iltaa Good night: Hyvää yötä Hotel: Hotelli Room: Huone Cheers: Kippis

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