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Module 3: Spinal Deformities


Dr. Daniel Chopin

Lead Reviewer

Prof. Jorge A. Draper Mineiro

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Module 3 Learning Outcomes

The delegates should be able to assess the patient history and physical examination findings in relation to decision making; analyze the use of appropriate diagnostic tools; discuss the importance of using a broad base of evidence in decision making; describe and then select the most appropriate modalities in conservative and surgical care of a spinal deformity. Finally, they should be able to discuss prevention, identification and management of complications, familiarizing themselves with the outcome assessment tools and critical analysis of treatment results.

Session 1

The delegates should understand the etiopathogenetic principles of spinal deformities, like idiopathic and secondary scoliosis, understand the risks of progression and determine the prognostic factors.Understand the clinical, etiological, complications risks differences between regular and angular Kyphosis and management orientations. They must apply specific clinical assessment for deformities, should understand the biomechanics of the deformed spine and be able to choose specific imaging modalities.

Session 2

The delegates should understand the specific clinical assessments and treatments of congenital spinal deformities and congenital spinal cord anomalies; paralytic scoliosis, as well as primary adult and degenerative scoliosis

Session 3

The delegates should be able to discuss the role of conservative treatment (cast, brace, rehabilitation) in spinal deformities in light of best available evidence, as well as the specific respiratory rehabilitation in complex cases, focusing the alternatives of non-surgical treatment and applicability to the given situation.

Session 4

The delegates should understand the criterias to define the limits of fusion, discuss the specific features and strategies to address an adult coronal and sagittal umbalanced deformities.The delegates should be able to discuss the technical and strategic aspects of posterior and anterior surgical approaches for deformity correction, and understand the rational of both approaches.

Session 5

The delegates must understand the pre-operative assessment of severe deformities, and how to diminish risks. They must be aware of peri-operative aspects such as : positioning of the patient, blood saving, intra-operative monitoring. The delegates should learn how to improve pedicle screw insertion safety , different types of guidance systems, and learn different sacro pelvic fixation options.

Session 6

The delegates should learn about different types of spinal osteotomies, techniques and their rational.
These learning objectives are addressed through lectures, round table case discussions with faculty and delegates, and cad Labs workshops.

Session 7

Cad labs

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