NASS 2015 Annual Meeting

Section Specialty Track: Section on Spine Motion Technology: Debate Motion vs. Fusion (Room W471)

Moderator:     Scott L. Blumenthal, MD

The symposium is divided into three sections. For each section, the moderator presents a case for which treatment with either motion preservation or fusion is indicated. For each case, speakers will present literature-based evidence supporting why their proposed intervention is preferable to the alternative. After each side presents, there will be time for questions from the audience, discussion, and a vote will be taken to determine the winner.

Upon completion of this session, participants should gain strategies to:

  • Discuss the advantages and disadvantages of motion preservation technology compared with spinal fusion surgery;
  • Describe the potential impact of adjacent segment degeneration in deciding to use motion preservation vs. fusion in patients with disc-related pain at two levels.


Agenda

Introduction
Scott L. Blumenthal, MD

Case #1: 2-Level Lumbar Degenerative Disc Disease
Scott L. Blumenthal, MD

Lumbar Fusion
Louis G. Jenis, MD

Hybrid (Total Disc Replacement at One Level, Fusion at the other)
Jack E. Zigler, MD    

Questions/Discussion/Audience Votes
Debaters/Moderators

Case #2: Grade I Lumbar Degenerative Spondylolisthesis with Stenosis
Scott L. Blumenthal, MD

Transforaminal Lumbar Interbody Fusion with Posterior Lumbar Fusion (TLIF/PLF)
Ali Araghi, DO

Decompression with Interlaminar Device
Scott Leary, MD

Questions/Discussion/Audience Votes
Debaters/Moderator

Case #3: 2-Level Cervical Herniated Nucleus Pulposus
Scott L. Blumenthal, MD

Anterior Cervical Discectomy and Fusion
Jean-Jacques Abitbol, MD

Total Disc Replacement
Pierce D. Nunley, MD    

Questions/Discussion/Audience Votes
Debaters/Moderator