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EUROSPINE
IBERIAN COURSE DIPLOMA 2021
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CURSO BÁSICO COLUMNA 2019
CURSO ACTUALIZACIÓN PATOLOGÍA COLUMNA VERTEBRAL
II CURSO ACTUALIZACIÓN PATOLOGÍA COLUMNA VERTEBRAL
¿Cómo trabajamos?IBERIAN COURSE DIPLOMA 2021
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CURSO BÁSICO COLUMNA 2019
CURSO ACTUALIZACIÓN PATOLOGÍA COLUMNA VERTEBRAL
II CURSO ACTUALIZACIÓN PATOLOGÍA COLUMNA VERTEBRAL
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Iberian Course Diploma 2021


Iberian Course Diploma 2021
Madrid, Spain
9 - 13 November 2021
Module 5: Tumours & Inflammatory Disease of the Spine
Chairman:
Dr. Máximo Alberto Díez Ulloa. Spain
Chairman:
Dr. Jorge Alves. Portugal

Module 5 Learning Outcomes
Session 1: VERTEBRAL OSTEOMYLETIS
ETIOLOGY, PATHOGENESIS, ROUTES OF SPREAD
- Explain the aetiology of vertebral osteomyelitis including: bacterial, tuberculous, and fungal
- Describe the pathogenesis including venous route, arterial inoculation and iatrogenic direct extension
- Anticipate the routes of spread: vertebral body & intervertebral disc
SYMPTOMS & DIAGNOSIS
- Recognise the signs and symptoms of vertebral osteolyelitis
- Identify the risk factors (immunodeficiency etc)
- Select appropriate investigations
- Distinguish on MRl and x-ray the key features that define and contrast both pyogenic and tuberculous spinal lesions
CONSERVATIVE MANAGEMENT & INDICATIONS FOR SURGICAL TREATMENT
- Evaluate options for conservative treatment
- Compare absolute and relative indications for conservative treatment
CASE DISCUSSION
Session 2: METABOLIC BONE DISEASES
BONE DISORDERS
- Paget's disease
- Rickets
- Diffuse idiophatic skeletal hyperostosis (DISH) (Forestier's disease)
- Metabolic bone disease
OSTEOPOROSIS
- Outline the etiology of osteoporosis
- Diagnose osteoporosis using appropriate investigations
SURGICAL CONSIDERATIONS IN DISORDERS OF THE BONE
- Evaluate treatment options.
- Compare minimally invasive techniques including
- vertebroplasty
- kyphoplasty
- vertebral body stenting
CASE DISCUSSION
Session 3: CADAVER LABS
POSTERIOR CERVICAL
- Approach the posterior cervical spine
- Identify anatomical landmarks of the occipito-cervical region
- Anticipate risks and pitfalls
- Perform lateral mass screw fixation
- Perform lamina hook fixation
- Perform C1-C2 screw osteosynthesis (Harms or Magerl)
- Insert an occipital plate
VBR: VERTEBRAL BODY REPLACEMENT (THORACIC SPINE & THORACO-LUMBAR JUNCTION)
- Approach to the anterior thoracic and thoraco-lumbar spine
- Describe the relationship between large vessels and spine
- Elevate diaphragm
- Prepare rib for strut graft
- Perform discectomy
- Perform corpectomy
- Place rib strut graft
- Place corpectomy cage
Session 4: RHEUMATOID ARTHRITIS AND ANKYLOSING SPONDYLITIS
ETIOLOGY, PATHOGENESIS, SYMPTOMS, DIAGNOSIS
- Explain the aetiology of rheumatoid disease
- Describe the pathogenesis relating rheumatoid disease and joint changes
- Recognise the signs and symptoms
- Select and interpret appropriate investigations and imaging
- Recognise signs of
- the rheumatoid spine
- ankylosing spondylitis
STABILIZING & CORRECTIVE SURGERY OF THE SPINE
- Describe indications for corrective surgery for ankylosing spondylitis
- Diagnose occipito-atlantoaxial complex and subaxial cervical spine
- Differentiate between horizontal and vertical atlantoaxial instability
DIAGNOSIS & TREATMENT OF THE OCCIPITO-ATLANTOAXIAL COMPLEX
- Identify the commonly used radiographic lines and measurements for the C0 to C2 complex.
- Plan appropriate treatment for C0 to C2 and sub-axial rheumatic neck problems.
- Appraise current evidence regarding outcome and prognosis
CASE DISCUSSION
Session 5: TUMOURS OF THE AXIAL SKELETON
PRIMARY BENIGN TUMOURS AND TUMOUR LIKE LESIONS; DIAGNOSIS AND MANAGEMENT
- Explain the aetiology of tumours and tumour like lesions
- Describe the pathogenesis relating to tumours and tumour like lesions
- Differentiate between primary benign tumours and tumour like lesions
- Select appropriate investigations, interpret results and stage tumour
- Evaluate treatment options
- Anticipate outcomes
- Formulate a plan for long term monitoring
SECONDARY MALIGNANT TUMOURS; DIAGNOSIS AND MANAGEMENT
- Justify the relative importance of combined tumour therapy including surgery, radiotherapy and chemotherapy.
- Evaluate surgical options and results
- Formulate a multidisciplinary management plan
- Justify the risks, benefits and impact of radiotherapy and chemotherapy.
- Evaluate surgical options
- Anticipate complications
CASE DISCUSSION
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