The Johns Hopkins Department of Neurosurgery presents Spinal Disorders: Updates in Diagnosis and Management for the Primary Care Physician April 17, 2010 Description With the aging population comes new challenges in the management of spinal conditions. It?s essential to keep our community of physicians and health care providers abreast of the new technologies and/or methods used to treat spinal disorders. In this activity, we will cover degenerative disorders (spinal disk herniations, spinal stenosis, degenerative spinal column malalignment) and oncological disorders (primary spinal tumors and metastatic spinal tumors). We will examine new treatment protocols dealing with management of spinal disorders in the osteoporotic patient. We will explore non-surgical management (vertebroplasty, kyphoplasty, nerve root blocks, and epidural steroid injections), as well as surgical, both using minimally invasive techniques and standard conventional surgical techniques. Spinal technology is an ever-evolving field. We will use evidence-based medicine to refute or confirm the validity of such new interventions and their impact on functional outcomes. Who Should Attend This activity is intended for primary care physicians, internists, family practitioners, pain management physicians, geriatricians, neurologists, rheumatologists, spinal surgeons and others who provide care to patients with spinal disorders. Objectives After attending this activity, the participant will demonstrate the ability to: * Describe the current treatment options for patients with metastatic spinal column disease * Describe the current treatment options for patients with lumbar stenosis and neurogenic claudication * Define the cervical spine pathologies related to rheumatoid arthritis and its surgical management * Recognize the non-surgical management options for patients with chronic low back and neck pain * Recognize the selection criteria for patients with low back pain who may benefit from lumbar fusion * Outline evidence-based literature for management of patients with lumbar disk herniation Accreditation Statement The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation Statement The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 6.75 AMA PRA Category 1 Credits?. Physicians should only claim credit commensurate with the extent of their participation in the activity. Policy on Speaker and Provider Disclosure It is the policy of The Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. Registration Saturday, April 17, 2010 7:30?8:00 a.m. Location Thomas B. Turner Building The Johns Hopkins University School of Medicine 720 Rutland Avenue Baltimore, MD 21205 The Turner Building is located on Rutland Avenue at Monument Street. Directions and campus parking information are available on our website under the contact and travel section at www.HopkinsCME.edu. Handicapped parking is available in the nearby Rutland Garage. Johns Hopkins is smoke-free. Complimentary parking is available in the Washington Street Garage. Fees Registration Cut-Off Date: April 12, 2010 Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfast, refreshment breaks and lunch. Registration Fee: $150 You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by April 12, 2010, call (410) 502-9634 to confirm that you are registered. Certificates of attendance will be mailed by June 1, 2010. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible. Late Fee and Refund Policy A $50 late fee applies to registrations received after 5:00 p.m. EST on April 12, 2010. A handling fee of $50 will be deducted for cancellation. Refund requests must be received by fax or mail by April 12, 2010. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible. Hotel and Travel Information Guests requiring overnight accommodations can find a listing of hotels in the Baltimore area that may offer a special Johns Hopkins rates and/or transportation. Please inquire directly with the facility. The listing can be found under the Contact and Travel section of our website at www.HopkinsCME.edu. Call United Airlines at (800) 521-4041 for discounted rates and refer to Meeting ID Number 549TJ. Mileage Plus? miles are available. Activity Evaluation An activity evaluation form will be available to attendees to evaluate each session and each speaker?s presentation, as well as to identify future educational needs. Outcomes Survey An outcomes survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee?s practice. Emergency Calls On the day of this activity only, April 17, 2010, direct emergency calls to the Hopkins registration desk at (410) 955-3673. Messages will be posted for participants. Americans With Disabilities Act The Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. To Register or For Further Information Register Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . www.HopkinsCME.edu Register by Phone (credit card only) . . . . . . . . . . . . . . . . . . . . . . 410-502-9634 Register by Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-510-7088 Confirmation/Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410-502-9634 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410-955-2959 E-mail the Office of CME . . . . . . . . . . . . . . . . . . . . . . . . . . . cmenet@jhmi.edu Sponsoring Department Website: . . http://www.hopkinsmedicine.org/neuro For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80023494 Acknowledgement Applications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus. Program This schedule is subject to change. Saturday, April 17, 2010 Morning Session 7:30 Continental Breakfast and Registration 8:00 Conference Goals and Welcoming Remarks - Ali Bydon, MD 8:10 Cervical Radiculopathy and Neck Pain: Surgical Management - Timothy Witham, MD, FACS 8:35 Overview of Nerve Blocks, Implantations, and Non-Operative Management of Neck and Low Back Pain - Paul Christo, MD 9:00 Spondylotic Cervical Myelopathy - Ali Bydon, MD 9:30 Cervical Radiculopathy vs. Peripheral Nerve Lesions - Allan Belzberg, MD 9:55 Cervical Spine Manifestation of Rheumatoid Disease: Evaluation and Treatment - Jean-Paul Wolinsky, MD 10:20 Refreshment Break 10:40 Spinal Surgery in the Aging Population: The Challenges of Treating the Osteoporotic Patient - Timothy Witham, MD, FACS 11:10 Vertebroplasty/kyphoplasty for Osteoporotic Compression Fractures - Daniel Sciubba, MD 11:35 Metastatic Spinal Tumors: Evaluation and Management - Jean-Paul Wolinsky, MD 12:00 Primary Spinal Bony Tumors: Evaluation and Management - Ziya Gokaslan, MD, FACS 12:30 Lunch Provided Afternoon Session 1:15 Lumbar Disk Herniation: Open vs. Minimally Invasive -Ali Bydon, MD 1:45 Lumbar Degenerative Sponsylolisthesis: Diagnosis and Management - Daniel Sciubba, MD 2:10 Low Back Pain: Diagnosis and Surgical Management - Timothy Witham, MD, FACS 2:30 Advances and Updates on the Non-Operative Management of Back Pain - Sherif Meleka, MD 2:55 Advances and Updates on the Non-Operative Management of Neck Pain - Dorianne Feldman, MD, MSPT 3:30 Concluding Remarks - Ali Bydon, MD 3:45 Adjourn Please complete and return the Evaluation and Credit Report Forms. The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity. Johns Hopkins Speakers * Ali Bydon, MD, Assistant Professor of Neurosurgery - Activity Director * Allan Belzberg, MD, Associate Professor of Neurosurgery * Paul Christo, MD, MBA, Assistant Professor of Anesthesiology and Critical Care Medicine, Division of Pain Medicine * Dorianne Feldman, MD, MSPT, Instructor in Physical Medicine and Rehabilitation * Ziya Gokaslan, MD, FACS, Professor of Neurosurgery, Orthopedic, Surgery and Oncology; Donlin M. Long Professor of Neurosurgery; Director of the Spine Center * Sherif Meleka, MD, Assistant Professor of Neurosurgery * Daniel Sciubba, MD, Assistant Professor of Neurosurgery * Timothy Witham, MD, FACS, Assistant Professor of Neurosurgery * Jean-Paul Wolinsky, MD, Assistant Professor of Neurosurgery