Friday, November 7, 2025 | Vdara Hotel, Las Vegas, NV |
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7:30am |
Continental Breakfast |
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8:00 |
Welcome and Introductions |
Course Chairs |
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Section 1: Sagittal Alignment/Lumbar Flatback |
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Moderator Christopher P. Ames, MD |
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8:10 |
Thoracolumbar Sagittal Alignment 101: What are the Ideal Targets? |
Michael Kelly, MD |
8:25 |
De Novo Degenerative Flatback: Posterior-Only Approach Benefits and Pitfalls |
Lee Tan, MD |
8:40 |
Honored Speaker Introduction |
Course Chair |
8:45 |
De Novo Degenerative Flatback: Why Anterior/Anterolateral Approaches are Best |
Munish C. Gupta, MD, MBA |
9:00 |
De Novo Degenerative Flatback: Which Patients are Most Suitable for MIS Approaches |
Khoi D. Than, MD |
9:15 |
Honored Speaker Introduction |
Course Chair |
9:20 |
Iatrogenic Flatback: Lumbar PSOs vs. Interbody Reconstruction |
Stephen Lewis, MD |
9:35 |
Enabling Technology: Patient-Specific Approach to Achieving Optimal Sagittal Alignment (i.e. custom rods / preop planning platforms) |
Joseph Osorio, MD, PhD |
9:50 |
Coffee Break |
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Section 1 Cases: Panel Discussion |
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Faculty Panel: M. Kelly, L. Tan, M. Gupta, K. Than, S. Lewis, J. Osorio |
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Moderator: Alekos Theologis, MD |
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10:10 |
Case 1: De Novo/Degenerative Sagittal Malalignment/Flatback –> |
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Primary Case Addressed with Posterior-Only Surgery |
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10:40 |
Case 2: De Novo/Degenerative Sagittal Malalignment/Flatback –> |
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Primary Case Addressed with Anterior-Posterior Surgery |
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11:00 |
Case 3: Flatback After Short-Segment Fusion |
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11:30 |
Case 4: Persistent Flatback After Prior PSO |
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12:00 |
Lunch |
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Section 2: PJK/Thoracic Hyperkyphosis |
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Moderator: Vedat Deviren, MD |
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1:10 |
Scheuermann’s Disease in the Adult: Tips and Tricks for Achieving Optimal Outcomes |
Lionel Metz, MD |
1:25 |
Thoracic Shape/Kyphosis: Defining Normal and Abnormal Before and After Thoracolumbar Deformity Surgery |
Justin K. Scheer, MD |
1:40 |
Thoracic Shape/Kyphosis: Dynamic Assessment with Motion Analysis |
Shane Burch, MD |
1:55 |
PJK: Incidence, Risk Factors, and Prevention Techniques (Hooks, Cement, Bands, MIS, UIV Selection, etc.) |
Michael Safaee, MD |
2:10 |
PJK + Lumbar Flatback: Do Both Need to be Corrected? |
Han Jo Kim, MD |
2:25 |
3CO vs. PCOs for Thoracic Kyphotic Deformities |
Alekos Theologis, MD |
2:40 |
Coffee Break |
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Section 2 Cases: Panel Discussion |
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Faculty Panel: L. Metz, J. Scheer, S. Burch, M. Safaee, H. Kim, A. Theologis |
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Moderator: Aaron Clark, MD, PhD |
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3:00 |
Case 1: Primary Hyperkyphosis of Thoracic Spine (Scheuermann’s) |
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3:30 |
Case 2: Recurrent PJK (First Thoracolumbar, then Upper Thoracic) |
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4:00 |
Case 3: PJK + Lumbar Flatback |
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4:45 |
Course Adjourns |
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5:00 |
Attendee/Exhibitor reception immediately following (5:00pm – 6:00pm) |
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Saturday, November 8, 2025 | Vdara Hotel, Las Vegas, NV |
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8:00am |
Continental Breakfast |
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9:00 |
Welcome and Introductions |
Course Chairs |
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Section 3: Pre-Operative Optimization for Thoracolumbar Spine Surgery |
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Moderator: Aaron Clark, MD, PhD |
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9:10 |
Challenges of the Aging Spine: Frailty, Osteoporosis, Sarcopenia |
Corey T. Walker, MD |
9:25 |
Pharmacological Approach to Osteoporosis |
Roger Long, MD |
9:40 |
Optimization of the Underweight Patient |
Melissa Xia, RD |
9:55 |
Optimization of the Overweight Patient: Lifestyle Interventions, Anti-Obesity Medications, and Bariatric Surgery |
Diana Thiara, MD |
10:10 |
Utility of Physical Prehabilitation Before Adult Spinal Deformity Surgery |
Rajiv Sethi, MD |
10:25 |
Tailoring Thoracolumbar Deformity Surgical Strategies to the Frail |
Aaron Clark, MD, PhD |
10:40 |
Coffee Break |
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Section 3 Cases: Panel Discussion |
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Faculty Panel: C. Walker, R. Long, M. Xia, D. Thiara, R. Sethi |
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Moderator: Aaron Clark, MD, PhD |
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11:00 |
Case 1: Thoracolumbar Deformity with Severe Osteoporosis |
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11:30 |
Case 2: Thoracolumbar Deformity in the severely Underweight Patient (BMI <18) |
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12:00pm |
Case 3: Thoracolumbar Deformity in the Severely Overweight Patient (BMI >40) |
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12:30 |
Lunch |
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Section 4: Complex Lumbosacral Pathology |
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Moderator: Alekos Theologis, MD |
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1:30 |
Problems with Stopping at S1 in Long Thoracolumbar Constructs – Lumbosacral Nonunions and Sacral Fractures |
Sigurd Berven, MD |
1:45 |
Posterior Open and MIS Lumbopelvic Fixation Options: Past and Present |
Nima Alan, MD |
2:00 |
Options to Repair L5-S1 Nonunions: Anterior vs. Posterior vs. Both? |
Munish C. Gupta, MD, MBA |
2:15 |
Approach to Complex Anterior Approaches to the Lumbosacral Junction |
Jade Hiramoto, MD |
2:30 |
Failed Pelvic Fixation – Etiology and Options for Salvage |
Stephen Lewis, MD |
2:45 |
Coffee Break |
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Section 4: Case Presentations |
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Faculty Panel: S. Berven, N. Alan, M. Gupta, Jade Hiramoto, S. Lewis Moderator: Alekos Theologis, MD |
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3:00 |
Sacral Fracture Below Prior Instrumentation Requiring S1 PSO |
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3:30 |
Nonunion at L5-S1 Prior TLIF with Complex Abdominal History |
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4:00 |
Pelvic Fixation Failure with Flatback Deformity |
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5:00pm |
Course Adjourns |
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