Chair: Scott L. Blumenthal, MD
The first part of this course focuses on lumbar total disc replacement (TDR). Faculty review the current status with respect to long-term outcomes, cost-effectiveness studies, reimbursement as well as new implants and approaches. The lumbar portion of the course closes with a presentation on lumbar TDR in Australia where the procedure has been successfully incorporated into practice with respect to surgeon use and reimbursement. Course participants have an opportunity to ask the faculty panel questions about lumbar TDR.
After a break, the second part of the course focuses on cervical TDR. Faculty discuss the biomechanics of device design and function, differentiate adjacent segment degeneration from adjacent segment disease, and address heterotopic ossification and its clinical implications. The use and outcomes of cervical TDR in China is reviewed. Additionally, faculty address a topic of increasing interest, performing cervical TDR in an ambulatory surgery center setting as well as describe the similarities and differences of 2-level TDR compared to single-level procedures. The course closes with faculty taking questions from course participants and addressing the differences in acceptance of cervical TDR compared with lumbar.
Upon completion of this session, participants should gain strategies to:
- Discuss the current status of lumbar TDR;
- List the differences between adjacent segment degeneration and adjacent segment disease;
- Describe the occurrence of heterotopic ossification after cervical TDR, factors possibly related to its occurrence, and its potential clinical impact;
- Discuss the biomechanics of cervical TDR design and clinical function.
The North American Spine Society designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Agenda
Introduction and Brief History of Total Disc Replacement
Scott L. Blumenthal, MD
Lumbar TDR: Where Are We Now?
Richard D. Guyer, MD
Finally! A New TDR Design
Rolando Garcia, MD
Is Lateral TDR Feasible?
Luiz Pimenta, MD
Is Hybrid the Solution for Multi-level Lumbar Degenerative Disc Disease?
Scott L. Blumenthal, MD
Biomechanics of Cervical versus Lumbar TDR
Lisa Ferrara, PhD
Heterotopic Ossification and subsidence
Matthew Gornet, MD
Total Disc Replacement Outside North America: What's Going on in Asia
Yong Hai, MD, PhD
Cervical TDR at Two Levels: Even Better than One?
Michael S. Hisey, MD
Cost Effectiveness of TDR
Sheeraz A. Qureshi, MD
Discussion, Questions and Answers
All Faculty