The Spine Times Amsterdam Issue 3

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AMSTERDAM /// wednesDAY, 30 May 2012 /// Spineweek2012.com /// ISSUE 3

EuroSpine President Jean Charles LeHuec and the Travel Grant Winners 2012

Interview with Tim Pigott

Introducing our EuroSpine Travel Grant Group Encouraging research in the field of spinal disorders is one of EuroSpine‘s main aim. Therefore the society not only awards prizes but also offers a great possibility for colleagues all over the world to share their studies and to attend the annual meeting.

Local Host of the EuroSpine 2013 in Liverpool Why should some someone become a EuroSpine member? Being a member of the EuroSpine Society is both excellent in terms of continuing professional education, in terms of the ability to network with colleagues, to learn about new developments, learn about scientific research – in particular the EuroSpine Lunch Symposia are very educational and good for interactions. From my perspective it is vital for my practice to be a member of EuroSpine. What makes EuroSpine unique? EuroSpine brings together so many people from different nations – there is a huge international audience and faculty. You get to know a lot about different practices all around the world – it is really interesting to learn from other peoples‘ practice. Why is it important to attend the annual meetings?

If you don‘t go to the meetings, you will not be able to learn or to have the opportunity to network with your colleagues. That is how you can keep ahead of new developments both in the medical field and in the political field in spine. There are lots of changes in the field of spine surgery at the moment, e.g. people are talking about the specialist recognition for spine surgeons, which would be a major step. You need to be at the meetings to understand what is going on. You are the Local Host for the conference in Liverpool next year. What is special about the next meeting? Liverpool is a very compact town, the exhibition center and arena is on the waterfront right within the town center, so everything is very closely located. There is no need for public transport, you can walk everywhere and even all the hotels are within walking distance. The program committee will be putting together a very interesting program. Liverpool has also excellent flight connections and train connections from London.

Out of the many applications, five outstanding studies were elected and will be presented at this year‘s Spineweek. In order to receive the EuroSpine Travel Grant it is not necessary to be an actual member but it is a great opportunity to become one. Satoshi Kato At the Spineweek 2012, Satoshi Kato, of Kanazawa University School of Medicine in Japan, is one of the lucky EuroSpine Travel Grant winners. He will present his study within two quick-fire sessions. The first presentation “How much can Preoperative Embolization Decrease Blood Loss during Palliative Surgery for Spinal Metastasis” already took place on Monday and now Dr. Kato, who specializes on spine tumor research, is eagerly preparing for his second appearance on Thursday, concerning the effects of spinal shortening in reconstruction. His focus on spinal metastasis and enjoyed various sessions about this topic that also included highly stimulating discussions. Lazary Áron Orthopedic resident Lazary Áron from the National Center for Spinal Disorders in Budapest, Hungary, is another proud EuroSpine Travel Grants holder who is fond to present his study at this year’s Spineweek. He presents

two papers this year: The first is about the early prevention of low back pain, where he performed a school-based prevention program over the last 3 years. In the study he worked with 1000 school children aged between 7 and 12. The main aim was to ensure a healthy spine by constantly training children with accurate exercises at school. The second paper is a clinical one – where he compared the results of questionnaires, which were filled out by patients after undergoing lumbar stabilization surgery. An interesting outcome was that the preoperative level of depression was very important in combination with the post-operative outcome. In the bad-outcome-group the pre-operative depression was significantly higher. Tim Hammett Tim Hammett, spine research fellow of the Centre for Spinal Studies and Surgery at the Queens Medical Centre in Nottingham, is presenting his paper on the Survival of Intrathecal Baclofen Pumps in Neuromuscular Scoliosis Surgery. The subject area is rather small and focuses on patients suffering cerebral palsy. While the treatment with Intrathecal Baclofen can improve the patients‘ condition, the risk of developing scoliosis among those patients is very high. So what Dr. Hammett looked at was what exactly happened to the Intrathecal Baclofen pump if he operated on patients who have had one of these pumps implanted. The main message to the surgeons is that if one does operate on one of these patients, the pump is going to

break – therefore it is crucial to make rearrangements for how the pump is going to be replaced. Wang Miao Wang Miao is presenting his PhD project from Aarhus University Hospital in Denmark, called “Survival Analysis of the Breast Cancer Subtypes in Spinal Metastases”. This very interesting topic is rather new, since nobody focused on the subgroups of breast cancer before. Research in this area is crucial and can also change the surgical strategy in the future. He came here to present his latest study about breast cancer subtypes in Spinal Metastases, which is very interesting and can change the surgical strategy in the future. Besides his presentation his main focus at the Spineweek was to discuss his paper with colleagues and surgeons in order to learn from each other and to share the knowledge. So Kato Dr. Kato is a spine surgeon at the Tokyo Metropolitan Komagome Hospital in Japan, which specializes on cancer patients only, and presents his interesting study of „Conservative Treatment for Paralytic Spinal Cord Compression by Metastatic Prostate Cancer“. Briefly the take-home message of his paper is that there are no big indications of surgery for newly diagnosed prostate cancer, because newly diagnosed prostate cancer are often hormone dependent and hormonal therapies are highly effective in these cases. Therefore he does not usually perform surgery on these patients.


AMSTERDAM /// wednesDAY, 30 May 2012 /// Spineweek2012.com /// ISSUE 3

EuroSpine Lunch Symposia 2012

Discover the treasures and stereotypes

Wednesday, May 30 Hall G104-105 Paediatric Craniocervical Conditions Chair: Claes Olerud, Uppsala, Sweden 12:45 - 13:00 Introduction, embryology and anatomy Claes Olerud, Uppsala, Sweden 13:00 - 13:15 Os Odontoideum Heiko Koller, Bad Wildungen, Germany 13:15 - 13:30 Rotary Subluxation C1-C2 Adrian TH Casey, London, UK 13:30 - 13:45 Klippel-Feil / Assimilation of C1 and other Congenital Abnormalities in Kids Philippe Bancel, Paris, France 13:45 - 14:00 Kyphotic deformity in Neurofibromatosis Heiko Koller, Bad Wildungen, Germany Thursday, May 31 Hall G104-105 Is Sagittal Balance an Indicator for the Treatment in Back Pain? Chair: Pierre Roussouly, Lyon, France 12:45 - 13:00 Biomechanical aspects of sagittal balance Pierre Roussouly, Lyon, France 13:00 - 13:15 Is sagittal balance assessment mandatory in rehabilitation? Gregoire Leblay, Lyon, France 13:15 - 13:30 At what time is sagittal unbalance sufficient to operate degenerative low back pain? Jörg Franke, Dortmund, Germany 13:30 - 13:45 Limits of indications in deformities Daniel Chopin, Mercurey, France EuroSpine Meeting Website

The Netherlands are best known for tulips, cheese, beers and clogs. Of course there is much more to it than that – but beyond some clichés lie unique sights. For instance, you will find the most famous place to buy tulips at the Bloemenmarkt. This fascinating collage of colour is the world‘s only floating flower market, with 15 florists and garden shops (many also sell souvenirs such as clogs) permanently ensconced on barges along the southern side of Singel. The plants and flowers usually last well and are good value.

into Dutch life, selling everything from smoked eel to Surinamese sherbets. Also worth a visit is Waterlooplein, Amsterdam‘s top tourist market.

The Dutch love their markets, no matter what they are selling – one of the most famous is the Albert Cuypmarkt, a large general market that snakes through the heart of Pijp. It offers a great insight

Bloemenmarkt

A cheese institution for rare or extraordinary cheese with over 150 different varieties is Wegewijs. There are eight windmills remaining in the city – the De Gooyer windmill is home to the famous and award winning Brouwerij ‚t IJ beer.

A

Singel, between Muntplein and Koningsplein, Southern Canal Belt Open 9am-6pm Mon-Sat; 11am5.30pm Sun

Albert Cuypmarkt

B

Albert Cuypstraat Open 9.30am-5pm Mon-Sat

Waterlooplein

C

Waterlooplein Open 9am-5.30pm Mon-Fri; 8.30am-5.30pm Sat

Wegewijs

D

Rozengracht 32 Open 8.30am-6pm Mon-Fri; 9am-5pm Sat

Brouwerij ‚t IJ beer.

E

Funenkade 7 Open 3-8pm Wed-Sun

EuroSpine Dinner on Wednesday, 30 May 2012

from the scientific program and venue information to the latest news and multimedia content.

Discover EuroSpine’s new website www.eurospinemeeting. com, especially designed for the The ePosters are also available annual EuroSpine congresses. It online at epostersamsterdam. features all relevant information eurospine.org. FACTS ABOUT AMSTERDAM •

Did you know that a Dutch specialty are Stroopwafels (syrup waffles) which are made in Gouda, the same city of the famous Gouda cheese and that those waffles are the best selling item at the Schiphol Airport. Did you know that colloquially Amsterdam is called Mokum (shortened from Mokum aleph) which is Yiddish for “town”, derived from the Hebrew “makom”, which means “place” and “safe haven”.

Did you know that Schiphol Airport is 4.5 meters below sea level. Did you know that the Artis Zoo is home to 6100 animals.

Did you know that Amsterdam is built on piles driven into the marshy soil, wooden ones for old houses and concrete for modern buildings. Did you know that most Amsterdammers own two bikes. Of the 600,000 bikes in Amsterdam 80,000 are stolen each year and a lot of them are to be found in the canals by the city administration, who annually take up to 10,000 bikes out of the water. Did you know that the Dutch favorite sweet is a salty licorice called “drop” and that they have the highest per capita consumption of licorice in the world. Did you know that annually about 4 million visitors come here on business and on leisure trips.

“Het Scheepvartmuseum” in a metal frame. Let’s hope for a The Location Het Scheepvaartmuseum Kattenburgerplein 1 1018 KK Amsterdam Het Scheepvaartmuseum, the National Maritime Museum, shows how the Dutch culture is closely related with the sea. Stimulating, interactive exhibitions allow visitors to explore 500 years of maritime history. Het Scheepvaartmuseum has been completely renovated, but still exudes history and is a beautifully imposing and impressive building in the heart of Amsterdam. An architectural highlight is the glass roofing of the inner courtyard. Its self-supporting construction is made up of thousands of pieces of glass

clear night that allows us looking at the stars while enjoying some traditional Dutch dishes. How to get there Het Scheepvaartmuseum is approximately a 15 minute walk from Amsterdam Central Station. To reach the museum you can cross the Prins Hendrikkade or take the route passed the Amsterdam Public Library. The museum is also easy to reach by public transport. Bus 22 (Indische buurt) and bus 48 (Borneo Eiland) depart from the Nicolaaskerk, the church at your left when leaving the main hall/main exit of Amsterdam Central Station. Both buses stop close to the museum at Kadijksplein.

If you are travelling by car, take the A10 ring highway North and take the exit S116 (IJ tunnel). In the vicinity of Het Scheepvaartmuseum, you‘ll find 3 parkings: Markenhoven, Oosterdok and Oostenburgereiland. The Program 20:00h: Entry of guests and Cocktail Reception 20:00h – 21:00h: Guided tours of 30 min 21:00h: Walking Dinner 23:00h: End


AMSTERDAM /// wednesDAY, 30 May 2012 /// Spineweek2012.com /// ISSUE 3

City MAp of amsterdam

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MAYUR

ANTOINE

VIS AAN DE SCHELDE

WISSENKERKE

RESTAURANT VANDEMARKT

one of Amsterdam‘s finest addresses for Indian Cuisine

enjoyment and relaxation

seafoodilicous

a moment of no work

a well kept secret

Delicious Tandoori Dishes, traditional curries, various appetizers and great Naan variations offer a unique explosion of flavors.

Restaurant Antoine is located near the atmospheric Amsterdam Rembrandtplein and surrounded by several theaters. A dining experience that will tickle your senses - excellent kitchen, great wine and an enjoyable atmosphere.

Located a bit off the beaten track and therefore not one of the runto-tourist-spots, Vis aan de Schelde is one of the best addresses in town for fresh fish and seafood.

Restaurant Wissenkerke offers fresh delicious food.

At Vandemarkt near the Amstel Station you can enjoy authentic and great French cuisine with a hint of Oriental on a high level. Depending on the season the menu changes and offers regional and daily fresh ingredients. Vandemarkt is one of the view restaurants that offers a wide variety on vegetarian food.

Indian tradition on the next level in combination with European modernity. This is the place where pleasure meets desire and warm delights are served with champagnes, wines and cocktails. Besides great meat dishes they offer a good variety of vegetarian alternatives.

The menu is quite small and the ingredients for the beautiful French-Mediterranean dishes by Chef Vincent Splinter are fresh and of the highest quality. The interior design is light and inviting. For more privacy or business diners the restaurant offers a private dining area for up to 10 guests.

Korte Leidsedwarsstraat 203 Tel.: +31 (0) 20 623 21 42 www.mayur.nl Price: €€ - €€€

Kerkstraat 377 Tel.: +31 (0) 20 422 27 66 www.restaurantantoine.nl Price: €€ - €€€

An institution with great reputation. Seafood lovers find fresh oysters, lobster, crayfish, turbot and monkfish on the menu.

Whether you want a good place to meet someone for coffee, take a business client for lunch or meet colleagues after a long day at the convention for a drink or delicious dinner, here you will find a nice, calm and relaxed scenery.

Along with the amazing fish variety comes an extensive wine list. Definitely worth going the extra mile.

Scheldeplein 4 Tel.: +31 (0)20 675 15 83 www.visaandeschelde.nl Price: €€€ - €€€€€

The interior is clean and simple with pine floors and brightly colored walls.

Radarweg 236 Tel.: +31 (0)20 486 99 68 www.wissenwerke-sloterdijk.nl Price: €

Schollenbrugstraat 8 Tel.: +31 (0)20 4686958 http://www.vandemarkt.nl/ www.vandemarkt.nl Price: €€€


AMSTERDAM /// wednesDAY, 30 May 2012 /// Spineweek2012.com /// ISSUE 3

Make a Difference - World Spine Care

Portrait of Organising Societies

Make a Difference- World Spine Care Disability caused by spinal disorders is a serious issue worldwide, consuming vast amounts of health care resources and dragging down economic growth. Especially in the developing world, with so many people reliant on manual labor, changes of the healthcare system are inevitable. World Spine Care is focusing on supporting those areas in need by offering not only medical expertise but also effective and practical solutions in spinal care.

EUROSPINE, the Spine Society of Europe

At this time World Spine Care is developing clinical protocols and are in the process of establishing pilot programs in Shoshong, Botswana and Ranthambhore, India. In order to help changing the lives of some of the world’s most disadvantaged, the organization is depending on the support of specialists, volunteers, sponsors and associates and has established the following volunteer and educational programs: Volunteer programs: Primary Spine Clinician – Management of a WSC center: for

qualified chiropractors, medical doctors, osteopathic physicians, or physiotherapists who are licensed to diagnose with at least 5 years of clinical experience Volunteer medical or surgical consultant specialist: for orthopedic spine surgeons, neurosurgeons, rheumatologists, physiatrists, neurologists, or psychiatrists Educational programs: Student intern: Chiropractic, physical therapy, medical, or osteopathic students who are enrolled in a recognized institution and have completed at least 2 years of professional training Associate: Qualified and licensed chiropractors, medical doctors, physiotherapists, and osteopathic physicians who wish to gain further experience Students and volunteers alike are more than welcome to enroll in the program and to submit their names and contact information. For further information contact the clinical director, Dr. Geoff Outerbridge geoff.outerbridge@worldspinecare.org

Voting results Thank you for your active participation in the first and second interactive votings. The following charts visualize the results of the voting processes.

Question 2: Would you vote for a hormonized, pan-European curriculum and certification protocol?

Question 1: Would you want Spine Surgery to become an independent, board certified specialty, rather than a subspecialty of these mother disciplines?

develop; and favour research, outreach of causes, treatments and prevention of spine disorders through the exchange of experiences in a common language: Spanish and Portuguese.

Jean Charles LeHuec, MD, PhD EuroSpine President The aims of EuroSpine are to stimulate the exchange of knowledge and ideas in the field of research, prevention and treatment of spine diseases and related problems and to coordinate efforts undertaken in European countries for further development in this field.

NASS, North Spine Society

American

Burning Questions Is disc arthroplasty of the lumbar spine dead in this decade?

NO:

The ISSLS, founded in 1974 has in the last 37 years achieved successfully its aim to bring together individuals throughout the world who have richly contributed or who have a high interest in the study of the lumbar spine in both health and disease.

SRS, Scoliosis Research Society

Michael Heggeness, MD, PhD President 2012 NASS is a multidisciplinary medical organization dedicated to fostering the highest quality, ethical, value-based and evidence-based spine care through education, research and advocacy. NASS is comprised of more than 7,000 members worldwide from several disciplines including orthopedic surgery, neurosurgery, physiatry, neurology, radiology, anesthesiology, research, physical therapy and other spine care professionals.

n = 84

n = 117

S. Rajasekaran President-ISSLS

SILACO was able to increase its presence in the world in recent years and has become the realm of discussion of this specialty in our language. Therefore, it is our goal to pursue excellence, incorporating the new scientific and technological challenges, while maintaining the ties of friendship that inspired our founders.

CSRS-ES, European Section of the Cervical Spine Research Society

SBC, Sociedade Brasileira de Coluna

To participate you just have to scan one of the QR-codes (according to your designated answer) with your smartphone (some smartphones may need a special app to scan QR-codes). The results will be published in the next

ISSLS, The International The Iberoamerican Society of Society for the Study of Spine was founded in 1991, with the main objectives to promote, the Lumbar Spine

Dr. Luis Eduardo Munhoz da Rocha Presidente da SBC 2011/2012 The Brazilian Spine Society (BSS) represents more than 800 spine surgeons from twenty-four states of Brazil (orthopedic and neurosurgeons) with same interests, spine pathology and surgery. The main proposal is continuous education.

Imprint The Spine Times is a free congress newspaper published by EuroSpine. 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

B. Stephens Richards III, MD President- SRS

Philippe Bancel, M.D. President of CSRS-ES The Cervical Spine Research Society - European Section is an organization of individuals interested in clinical and research problems of the cervical spine. Its purpose is the exchange and development of ideas and philosophy regarding the diagnosis and treatment of cervical spine injury and disease.

The purpose of the Scoliosis Research Society (SRS) is to foster the optimal care of all patients with spinal deformities. Founded in 1966 with 35 members, the SRS has grown to include over 1100 of the world’s leading spine surgeons in 49 countries, as well as some researchers, physician assistants and orthotists who are involved in research and treatment of spinal deformities

SILACO, Sociedad Iberolatinoamericana de Columna Vertebral

Horacio Luis Sarramea SILACO 2012 President Contact: info@eurospine.org

Contributors: Andrea Berner, Jean Charles Le Huec, Phil J. Sell, S. Rajasekaran

Publisher: Jean Charles Le Huec (EuroSpine President) Haluk Berk (EuroSpine Secretary)

Photographs: EuroSpine Society, Martin Steiger, Shutterstock.

On-Site Editors: Emre Acaroglu, Thomas Blattert

Feedback: editor@thespinetimes.com

Editor-in-Chief: Christian Lendl

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