Comprehensive Spine Care for the Primary Care Physician (2012)

Spine Care Institute

This activity has been approved for AMA PRA Category 1 Credits™ LOCATION Hospital for Special Surgery New York City SPONSORED BY the HSS Spine Care Institute and the Office of Continuing Medical Education

CME Comprehensive Spine Care for the Primary Care Physician Friday, October 19, 2012 www.hss.edu/e-University Earn CME credit through our on-demand webinars

NEW! HSS e-University www.hss.edu/cme

Programs Promoting Musculoskeletal Health

HSS Education & Academic Affairs

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Comprehensive Spine Care for the Primary Care Physician Friday, October 19, 2012 Sponsored by the HSS Spine Care Institute and the Office of Continuing Medical Education LOCATION Hospital for Special Surgery Richard L. Menschel Education Center nd 2 Floor, 535 East 70th Street, New York City STATEMENT OF NEED Back pain is one of the most common conditions for which patients go to see their primary care physicians.

Because many symptoms are chronic and change in severity over time, ideal management of spinal disorders takes a multidisciplinary approach and partners the PCP with physiatrists, rheumatologists, orthopaedists and orthopaedic surgeons.

¾¾ Diagnose common adolescent spine conditions such as adolescent idiopathic scoliosis (AIS), spondylolysis and isthmic spondylolisthesis; common adult spine conditions such as low back pain, disc herniations, radiculopathy, degenerative spondylolisthesis, spinal stenosis, and inflammatory disease of the lumbar spine; and common geriatric spine conditions such as osteoporotic spine fractures and adult spinal deformity.

ACCREDITATION Hospital for Special Surgery is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Although many PCPs appropriately refer patients to specialists for spine management, advances in specialized care–including imaging modalities, noninvasive strategies, medical interventions and surgical approaches–require continued in-depth conversation to assure that PCPs update their knowledge to maintain competency in this therapeutic area.

CREDIT DESIGNATION Hospital for Special Surgery designates this live activity for a maximum of 7.75 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

TARGET AUDIENCE This activity is targeted to primary care physicians, fellows, residents and medical students.

SPECIAL NEEDS Hospital for Special Surgery is accessible for individuals with disabilities or special needs Participants with special needs are requested to contact the Office of Continuing Medical Education at 212.606.1812.

OBJECTIVES HSS activities are inteded to improve the quality of patient care and safety. At the conclusion of this course, the participant should be able to:

¾¾ Identify the most appropriate specialists (physiatrists, physical therapists, chiropractors, surgeons) to refer spine patients to.

FACULTY DISCLOSURE In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control.

¾¾ Collaborate with a multidisciplinary team for optimal management of adolescent, adult and geriatric spinal conditions.

It is the policy of Hospital for Special Surgery to disclose all financial relationships that planners, teachers and authors have with commercial interests.

¾¾ Correctly identify the anatomy of the spine and be able to perform a proper physical examination. ¾¾ Describe the role of spinal imaging studies in the primary care setting, pain generators of the lumbar spine and medical causes of low back pain.

¾¾ Acquire greater insight into conservative modalities including the role for chiropractic care and physiatry care in addition to surgical approaches.

FOR MORE Go to www.hss.edu/cme for a complete calendar of scheduled live CME activities and online CME offerings.

New! HSS e-University | Earn CME credit through our on-demand webinars. Go to www.hss.edu/e-University to register.

PRELIMINARY AGENDA AM 8:45

Registration & Breakfast

9:00

Welcome C. Ronald MacKenzie, MD

9:05

Introduction to the Spine Care Institute Frank P. Cammisa, Jr., MD

session

1

9:10

Anatomy & Physical Examination of the Spine Moderator: Jennifer L. Solomon, MD Musculoskeletal History and Physical Examination of the Lumbar Spine Peter J. Moley, MD

All talks will be given by HSS faculty, including members of the HSS Spine Care Institute

11:15

Natural History of AIS and Indications for Bracing vs. Surgery Andrew A. Sama, MD

11:30

Surgical Treatment Options of AIS Matthew E. Cunningham, MD, PhD

11:45

Spondylolysis / Isthmic Spondylolisthesis Harvinder S. Sandhu, MD

2:30

The Role of Epidural & Facet Injections in Treating Low Back Pain Seth A. Waldman, MD

2:45

Interventional Procedures in the Lumbar Spine Christopher Lutz, MD

3:00

Surgical Approaches Darren R. Lebl, MD

PM 12:00

Panel Discussion

3:15

Panel Discussion

12:15

Lunch

3:30

Break

session

3

Adult Spine Conditions Moderator: Alexander P. Hughes, MD

session

4

Treatment Considerations of the Geriatric Spine Moderator: C. Ronald MacKenzie, MD

9:25

Radiographic Anatomy of the Spine (X-rays, CT, MRI) Richard J. Herzog, MD

1:00

Low Back Pain (LBP), Disc Herniations & Radiculopathy Gregory E. Lutz, MD

9:45

Pain Generators of the Lumbar Spine Jennifer L. Solomon, MD

1:15

Degenerative Spondylolisthesis & Spinal Stenosis Paul M. Cooke, MD

10:00

What is the Role of EMG in the Lumbar Spine?

Joseph H. Feinberg, MD

1:30

Inflammatory Disease of the Lumbar Spine C. Ronald MacKenzie, MD

10:15

Medical Causes of Low Back Pain C. Ronald MacKenzie, MD

1:45

The Role of Physical Therapy in the Lumbar Spine James F. Wyss, MD, PT

session

2:00

The Role of Chiropractics in Treatment of the Lumbar Spine Christopher J. Anselmi, Jr., DC

4:45

Multidisciplinary Case: Putting It All Together Alexander P. Hughes, MD

The Role of Medication in Treating Low Back Pain Vladimir N. Kramskiy, MD

5:30

Discussion & Closing Remarks

2:15

6:00

Adjourn

10:30

Panel Discussion

10:45

Break

session

2

11:00

Adolescent Spine Conditions Moderator: Darren R. Lebl, MD Screening, Diagnosis & Classification of Adolescent Idiopathic Scoliosis (AIS) John S. Blanco, MD

3:45

The Aging Spine Russel C. Huang, MD

4:00

Diagnosis and Treatment of Osteoporotic Spine Fractures Joseph M. Lane, MD

4:15

Adult Spinal Deformity Federico P. Girardi, MD

4:30

Panel Discussion

5

Case Presentations Moderator: Frank P. Cammisa, Jr., MD

ABOUT THE SPINE CARE INSTITUTE The Spine Care Institute at Hospital for Special Surgery brings together a highly renowned team of spine care specialists covering a range of professional disciplines.

Through research, education and clinical excellence, the Spine Care Institute provides the highest standard of comprehensive patient care and continues to open new frontiers in the diagnosis and treatment of operative and non-operative spinal disorders.

FACULTY ACTIVITY CO-DIRECTORS Darren R. Lebl, MD Assistant Attending Orthopaedic Surgeon Spinal Surgical Service Hospital for Special Surgery Assistant Professor of Clinical Surgery Weill Cornell Medical College C. Ronald MacKenzie, MD Non-Operative Director, Spine Care Institute Associate Attending Physician Hospital for Special Surgery Associate Professor of Clinical Surgery Weill Cornell Medical College Jennifer L. Solomon, MD Assistant Attending Physiatrist Hospital for Special Surgery Assistant Professor of Rehabilitation Medicine Weill Cornell Medical College HSS FACULTY Christopher J. Anselmi, Jr., DC Chiropractor, Integrative Care Center John S. Blanco, MD Associate Attending Orthopaedic Surgeon Associate Professor of Orthopaedic Surgery Weill Cornell Medical College Frank P. Cammisa, Jr., MD Chief, Spine Service Associate Attending Orthopaedic Surgeon Associate Scientist, Research Division Associate Professor of Orthopaedic Surgery Weill Cornell Medical College Paul M. Cooke, MD Assistant Attending Physiatrist Assistant Professor of Clinical Rehabilitation Medicine Weill Cornell Medical College Matthew E. Cunningham, MD, PhD Assistant Attending Orthopaedic Surgeon Assistant Scientist on the Clinical Scientist Track, Research Division Assistant Professor in Orthopaedic Surgery Weill Cornell Medical College Joseph H. Feinberg, MD Physiatrist-in-Chief Associate Professor of Rehabilitation Medicine Weill Cornell Medical College Federico P. Girardi, MD Associate Attending Orthopaedic Surgeon Spinal Surgical Service Associate Professor of Orthopaedics Surgery Weill Cornell Medical College Richard J. Herzog, MD Director, Spinal Imaging Chief, Division of Teleradiology Attending Radiologist Professor of Radiology Weill Cornell Medical College Russel C. Huang, MD Assistant Attending Orthopaedic Surgeon Spinal Surgical Service Assistant Professor of Clinical Surgery Weill Cornell Medical College

Alexander P. Hughes, MD Assistant Attending Orthopaedic Surgeon Spinal Surgical Service Assistant Professor of Orthopaedic Surgery Weill Cornell Medical College Vladimir N. Kramskiy, MD Director, Ambulatory Recuperative Pain Medicine Program Assistant Attending Neurologist Clinical Instructor of Anesthesiology Weill Cornell Medical College Joseph M. Lane, MD Chief, Metabolic Bone Disease Service Attending Orthopaedic Surgeon Professor of Clinical Surgery Weill Cornell Medical College Christopher Lutz, MD Assistant Attending Physiatrist Assistant Professor of Rehabilitation Medicine Weill Cornell Medical College Gregory E. Lutz, MD Physiatrist-in-Chief Emeritus Associate Attending Physiatrist Associate Professor of Clinical Rehabilitation Medicine Weill Cornell Medical College Peter J. Moley, MD Assistant Attending Physiatrist Assistant Professor of Clinical Rehabilitation Medicine Weill Cornell Medical College Andrew A. Sama, MD Associate Attending Orthopaedic Surgeon Spinal Surgical Service Associate Professor of Orthopaedic Surgery Weill Cornell Medical College Harvinder S. Sandhu, MD Associate Attending Orthopaedic Surgeon Spinal Surgical Service Associate Professor of Orthopaedic Surgery Weill Cornell Medical College Seth A. Waldman, MD Director, Division of Pain Management Assistant Attending Anesthesiologist Clinical Assistant Professor of Anesthesiology Weill Cornell Medical College James F. Wyss, MD, PT Assistant Attending Physiatrist Assistant Professor of Rehabilitation Medicine Weill Cornell Medical College HSS PROGRAM COORDINATOR Jennifer Johnson

Coordinator, Spine Care Institute Spinal Surgical Service Casey Reisner Professional Education Events Coordinator Education & Academic Affairs

Comprehensive Spine Care for the Primary Care Physician Friday, October 19, 2012

REGISTRATION two easy ways to register !

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Register and pay online at www.hss.edu/cme.

Register by mail using the registration form.

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Make check payable to: Hospital for Special Surgery Mail registration form to: Hospital for Special Surgery Professional Education Department Education & Academic Affairs 535 East 70th Street New York, NY 10021

confirmations All registered participants will receive a confirmation via e-mail.

refund policy A handling fee of $25 is deducted for cancellation. Refund requests must be received by mail one week prior to the course. No refund will be made thereafter.

for more information Please contact Casey Reisner Professional Education Events Coordinator Education & Academic Affairs Hospital for Special Surgery tel: 212.606.1057 email: reisnerc@hss.edu

accommodations Space is limited and early reservations are recommended. For local accommodations, please go to www.hss.edu and click on For Patients, Patient Information, Neighborhood Directory, Accommodations.

transportation

Airport: LaGuardia (LGA) is 8 miles northeast of the city. Kennedy International (JFK) is 15 miles southeast of the city. Newark International (EWR) is 16 miles southwest of the city.

Bus: M72, M31 stop at East 69th Street and York Avenue

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registration fees Registration fees include breakfast, lunch, lecture handouts and CME credits. All registered participants will receive a confirmation via e-mail. register early, space is limited!

Physicians

$225

Non-Physicians

$175

Residents, Fellows & Medical Students

$75

Please note: Online registration will close two days prior to the course. After that time, only on-site registration will be available if space permits (add $25 to the appropriate category above).

Subway: Nearest line is the 6 train stop at East 68th Street and Lexington Avenue

Registration will not be processed unless accompanied by payment.

Car (FDR Drive): Driving south, exit at 71st Street. Driving north, exit at 63rd Street.

Continue on York Avenue.

This program may be recorded, filmed or photographed. By attending this program, you give permission to Hospital for Special Surgery to use your voice and likeness for an purpose (promotional, educational, or other), in any medium, and without remuneration of any kind to you.

Parking: Parking garages are located in the area.

Hospital for Special Surgery is an affiliate of NewYork-Presbyterian Healthcare System and Weill Cornell Medical College.

All rights reserved. © 2012 Hospital for Special Surgery Design: Paggie Yu Education Publications & Communications

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