| 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 | |