Agenda

November 7 - 8, 2025
Course# MOR26004
Vdara Hotel
Las Vegas, NV
Friday, November 7, 2025 | Vdara Hotel, Las Vegas, NV  
7:30am Continental Breakfast  
8:00 Welcome and Introductions Course Chairs
  Section 1: Sagittal Alignment/Lumbar Flatback  
  Moderator Christopher P. Ames, MD  
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  
  Section 1 Cases: Panel Discussion   
  Faculty Panel: M. Kelly, L. Tan, M. Gupta, K. Than, S. Lewis, J. Osorio  
  Moderator: Alekos Theologis, MD  
10:10 Case 1: De Novo/Degenerative Sagittal Malalignment/Flatback –>   
  Primary Case Addressed with Posterior-Only Surgery  
10:40 Case 2: De Novo/Degenerative Sagittal Malalignment/Flatback –>   
  Primary Case Addressed with Anterior-Posterior Surgery  
11:00 Case 3: Flatback After Short-Segment Fusion  
11:30 Case 4: Persistent Flatback After Prior PSO  
12:00 Lunch  
  Section 2: PJK/Thoracic Hyperkyphosis  
  Moderator: Vedat Deviren, MD  
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  
  Section 2 Cases: Panel Discussion   
  Faculty Panel: L. Metz, J. Scheer, S. Burch, M. Safaee, H. Kim, A. Theologis  
  Moderator: Aaron Clark, MD, PhD  
3:00 Case 1: Primary Hyperkyphosis of Thoracic Spine (Scheuermann’s)  
3:30 Case 2: Recurrent PJK (First Thoracolumbar, then Upper Thoracic)  
4:00 Case 3: PJK + Lumbar Flatback  
4:45 Course Adjourns  
5:00 Attendee/Exhibitor reception immediately following (5:00pm – 6:00pm)  
Saturday, November 8, 2025 | Vdara Hotel, Las Vegas, NV  
8:00am Continental Breakfast  
9:00 Welcome and Introductions Course Chairs
  Section 3: Pre-Operative Optimization for Thoracolumbar Spine Surgery  
  Moderator: Aaron Clark, MD, PhD  
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  
  Section 3 Cases: Panel Discussion   
  Faculty Panel: C. Walker, R. Long, M. Xia, D. Thiara, R. Sethi  
  Moderator: Aaron Clark, MD, PhD  
11:00 Case 1: Thoracolumbar Deformity with Severe Osteoporosis  
11:30 Case 2: Thoracolumbar Deformity in the severely Underweight Patient (BMI <18)  
12:00pm Case 3: Thoracolumbar Deformity in the Severely Overweight Patient (BMI >40)  
12:30 Lunch  
  Section 4: Complex Lumbosacral Pathology   
  Moderator: Alekos Theologis, MD  
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  
  Section 4: Case Presentations  
  Faculty Panel: S. Berven, N. Alan, M. Gupta, Jade Hiramoto, S. Lewis Moderator: Alekos Theologis, MD  
3:00 Sacral Fracture Below Prior Instrumentation Requiring S1 PSO   
3:30 Nonunion at L5-S1 Prior TLIF with Complex Abdominal History  
4:00 Pelvic Fixation Failure with Flatback Deformity  
5:00pm Course Adjourns