Agenda

Friday, November 7, 2025 | Vdara Hotel, Las Vegas, NV
7:30amContinental Breakfast 
8:00Welcome and IntroductionsCourse Chairs
 Section 1: Sagittal Alignment/Lumbar Flatback 
 Moderator Christopher P. Ames, MD 
8:10Thoracolumbar Sagittal Alignment 101: What are the Ideal Targets?Michael Kelly, MD
8:25De Novo Degenerative Flatback: Posterior-Only Approach Benefits and PitfallsLee Tan, MD
8:40Honored Speaker IntroductionCourse Chair
8:45De Novo Degenerative Flatback: Why Anterior/Anterolateral Approaches are BestMunish C. Gupta, MD, MBA
9:00De Novo Degenerative Flatback: Which Patients are Most Suitable for MIS ApproachesKhoi D. Than, MD
9:15Honored Speaker IntroductionCourse Chair
9:20Iatrogenic Flatback: Lumbar PSOs vs. Interbody ReconstructionStephen Lewis, MD
9:35Enabling Technology: Patient-Specific Approach to Achieving Optimal Sagittal Alignment (i.e. custom rods / preop planning platforms)Joseph Osorio, MD, PhD
9:50Coffee Break 
 Section 1 Cases: Panel Discussion  
 Faculty Panel: M. Kelly, L. Tan, M. Gupta, K. Than, S. Lewis, J. Osorio 
 Moderator: Alekos Theologis, MD 
10:10Case 1: De Novo/Degenerative Sagittal Malalignment/Flatback –>  
 Primary Case Addressed with Posterior-Only Surgery 
10:40Case 2: De Novo/Degenerative Sagittal Malalignment/Flatback –>  
 Primary Case Addressed with Anterior-Posterior Surgery 
11:00Case 3: Flatback After Short-Segment Fusion 
11:30Case 4: Persistent Flatback After Prior PSO 
12:00Lunch 
 Section 2: PJK/Thoracic Hyperkyphosis 
 Moderator: Vedat Deviren, MD 
1:10Scheuermann’s Disease in the Adult: Tips and Tricks for Achieving Optimal OutcomesLionel Metz, MD
1:25Thoracic Shape/Kyphosis: Defining Normal and Abnormal Before and After Thoracolumbar Deformity SurgeryJustin K. Scheer, MD
1:40Thoracic Shape/Kyphosis: Dynamic Assessment with Motion AnalysisShane Burch, MD
1:55PJK: Incidence, Risk Factors, and Prevention Techniques (Hooks, Cement, Bands, MIS, UIV Selection, etc.)Michael Safaee, MD
2:10PJK + Lumbar Flatback: Do Both Need to be Corrected?Fred Nicholls, MD
2:253CO vs. PCOs for Thoracic Kyphotic DeformitiesAlekos Theologis, MD
2:40Coffee Break 
 Section 2 Cases: Panel Discussion  
 Faculty Panel: L. Metz, J. Scheer, S. Burch, M. Safaee, F. Nicholls, A. Theologis 
 Moderator: Aaron Clark, MD, PhD 
3:00Case 1: Primary Hyperkyphosis of Thoracic Spine (Scheuermann’s) 
3:30Case 2: Recurrent PJK (First Thoracolumbar, then Upper Thoracic) 
4:00Case 3: PJK + Lumbar Flatback 
4:45Course Adjourns 
5:00Attendee/Exhibitor reception immediately following (5:00pm – 6:00pm) 
Saturday, November 8, 2025 | Vdara Hotel, Las Vegas, NV
8:00amContinental Breakfast 
8:30Resident/Fellow Abstract SessionModerator: Alekos Theologis, MD, Aaron Clark, MD
9:00Welcome and IntroductionsCourse Chairs
 Section 3: Pre-Operative Optimization for Thoracolumbar Spine Surgery 
 Moderator: Aaron Clark, MD, PhD 
9:10Challenges of the Aging Spine: Frailty, Osteoporosis, Sarcopenia  Corey T. Walker, MD
9:25Pharmacological Approach to OsteoporosisRoger Long, MD
9:40Optimization of the Underweight PatientDeep Singal, RD
9:55Optimization of the Overweight Patient: Lifestyle Interventions, Anti-Obesity Medications, and Bariatric SurgeryDiana Thiara, MD
10:10Utility of Physical Prehabilitation Before Adult Spinal Deformity SurgeryRajiv Sethi, MD
10:25Tailoring Thoracolumbar Deformity Surgical Strategies to the FrailAaron Clark, MD, PhD
10:40Coffee Break 
 Section 3 Cases: Panel Discussion  
 Faculty Panel: C. Walker, R. Long, M. Xia, D. Thiara, R. Sethi 
 Moderator: Aaron Clark, MD, PhD 
11:00Case 1: Thoracolumbar Deformity with Severe Osteoporosis 
11:30Case 2: Thoracolumbar Deformity in the severely Underweight Patient (BMI <18) 
12:00pmCase 3: Thoracolumbar Deformity in the Severely Overweight Patient (BMI >40) 
12:30Lunch 
 Section 4: Complex Lumbosacral Pathology  
 Moderator: Alekos Theologis, MD 
1:30Problems with Stopping at S1 in Long Thoracolumbar Constructs – Lumbosacral Nonunions and Sacral FracturesSigurd Berven, MD
1:45Posterior Open and MIS Lumbopelvic Fixation Options: Past and PresentMartin Pham, MD
2:00Options to Repair L5-S1 Nonunions: Anterior vs. Posterior vs. Both?Munish C. Gupta, MD, MBA
2:15Approach to Complex Anterior Approaches to the Lumbosacral JunctionChuck Eichler, MD
2:30Failed Pelvic Fixation – Etiology and Options for SalvageStephen Lewis, MD
2:45Coffee Break 
 Section 4: Case Presentations 
 Faculty Panel: S. Berven, M. Pham, M. Gupta, C. Eichler, S. Lewis Moderator: Alekos Theologis, MD 
3:00Sacral Fracture Below Prior Instrumentation Requiring S1 PSO  
3:30Nonunion at L5-S1 Prior TLIF with Complex Abdominal History 
4:00Pelvic Fixation Failure with Flatback Deformity 
5:00pmCourse Adjourns