C O N F E R E N C E R E G I S T R A T I O N

Degenerative Disease of the Spine: Diagnosis and Management, Course # 3509th Annual Review and Update • January 23, 2009

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NYU Langone Medical CenterFarkas, Alumni Hall550 First AvenueNew York, NY 10016

NYU School of Medicine is located in apredominately residential area on the eastside of Manhattan.

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Onl ine Reg i s t ra t i onApplications will be accepted in order of their receipt. Visit oursecure website www.med.nyu.edu/courses/cme/spine to submitonline registration.

Accred i ta t i on StatementThe NYU Post-Graduate Medical School isaccredited by the Accreditation Council forContinuing Medical Education (ACCME)to provide continuing medical educationfor physicians.

Cred i t Des ignat ion StatementThe NYU Post-Graduate Medical School designates this educationalactivity for a maximum of 6.25 AMA PRA Category 1 CreditsTM.Physicians should only claim credit commensurate with the extent

of their participation in the activity.

To obtain CME credit, you must: (1) have your ID badge electronically scannedfor attendance once each day, and (2) complete and return the attestation form.

Disc losure StatementThe NYU Post-Graduate Medical School adheres to the ACCMEEssential Areas and Policies, including the Standards for CommercialSupport, regarding industry support of continuing medical education.In order to resolve any identified Conflicts of Interest, disclosureinformation is provided during the planning process to ensureresolution of any identified conflicts. Disclosure of faculty andcommercial relationships as well as the discussion of unlabeled orunapproved use of any drug, device or procedure by the faculty willbe fully noted at the meeting.

In format ionRegistration Office,NYU Post-Graduate Medical SchoolP. O. Box 1855, Murray Hill Station, New York, NY 10016Phone: 212-263-5295 Fax: 212-263-5293

Please Note: We cannot accept telephone registration.Visit our website: www.med.nyu.edu/courses/cme/spine

Hote l Accommodat ionsRooms are in very heavy demand in New York City; we urge you tomake your reservations early. You may obtain a list of hotels locatednear NYU School of Medicine by visiting our website.

Park ingParking is available on 29th and 30th Streets between First andSecond Avenues, as well as at the Schwartz Health Care Centergarage on First Avenue and 30th Street.

Scoliosis: Adult & Pediatric Moderator: Dr. Lonner

11:15-11:30 Isthmic Spondylolisthesis. Dr. Errico

11:30-11:45 Pediatric Scoliosis: Evaluation, Non-Op, and OperativeDr. Lonner

11:45-12:00 Adult Scoliosis: Evaluation, Non-Op, and Operative Dr. Schwab

12:00-12:10 Discussion

12:10-12:50 Lunch

Degenerative Disease Of The Cervical SpineModerator: Dr. Goldstein

12:50-1:05 Neck Pain, Clinical Presentation of CervicalSpondylotic Myelopathy and Radiculopathy Signs,Symptoms, Natural HistoryHow to differentiate neck pathology from shoulder pathology. Dr. Klein

1:05-1:20 Differential Diagnosis of Cervical Myelopathy andRadiculopathy and the Role of Electromyography MotorNeuron Disease, Multiple Sclerosis, Intrinsic Spinal CordLesions, and Other Traps for the Unwary Clinician.Dr. Kiprovski

1:20-1:35 Non-Operative Management of CervicalMyelopathy/RadiculopathyIs there any role for non-operative treatment? Dr. Lefkowitz

1:35-1:50 Operative Treatment of Cervical Spondylosis,OPLL and Disc Disease Anterior vs. Posterior Approach forRadiculopathy and Myelopathy; Fusion or No Fusion;Vertebrectomy vs. Discectomy; the Role of Internal Fixation;Results of Surgical TreatmentDr. Bendo

1:50-2:05 Minimally Invasive Techniques and Disc ReplacementDr. Goldstein

2:05-2:15 Discussion

2:15-2:25 Coffee Break

Osteoporosis Moderator: Dr. Bendo

2:25-2:40 Osteoporosis Diagnosis and Medical Management Dr. Honig

2:40-2:55 Surgical Intervention for OsteoporosisDr. Zair Fishkin

2:55-3:10 Discussion

3:10-3:20 Course Evaluation & Adjourn

7:15-8:00 am Registration and Continental Breakfast

8:00-8:05 Welcome and Introduction Dr. Lonner & Dr. Goldstein

Lumbar Spine Examination, Evaluation & DiagnosisModerator: Dr. Errico

8:05-8:20 Examination & Evaluation of the Patient with Low Back PainHow to evaluate the patient and determine what’s important. Dr. Varlotta

8:20-8:35 Basic Science of the Degenerative Lumbar Spine& Differential DxWhy and how degenerative processes occur. Dr. Murray

8:35-8:50 Signs & Symptoms of Lumbar Disc Herniationand Lumbar StenosisDr. Petrizzo

8:50-9:05 Discussion

Lumbar Spine Diagnostic Testing, Treatmentof the Lumbar Spine: Non-Operative Moderator: TBD

9:05-9:25 Imaging Evaluation of the Patient withLumbar Degenerative Disc DiseaseWhich studies to order and why; how to interpret the radiologist’s report;what’s a good study and what’s not. Dr. David Panasci

9:25-9:45 Role of Active Physical Therapy for Low Back DisordersWhat works and for whom; when to start and when to stop. The role ofphysical therapy in the postoperative lumbar spine patient. Is physical therapyefficacious or does it make the patient worse? TBD

9:45-10:00 Chiropractic Management of Low Back DisordersDr. DeMann

10:00-10:15 Therapeutic Injections and Pharmacologic Management:Facet Blocks, Nerve Root Blocks, and Chronic Drug TherapyDr. Gharibo

10:15-10:30 Discussion

10:30-10:40 Coffee Break

Treatment Of The Lumbar Spine: Operative Moderator: Dr. Spivak

10:40-10:55 Conventional and Microendoscopic Surgical Treatmentof Lumbar Disc Herniations.What are the indications for surgery and what are the results?Dr. Frempong-Boadu

10:55-11:05 Lumbar Stenosis and Degenerative SpondylolisthesisWho needs decompression? Who needs fusion or both? Dr. Spivak

11:05-11:15 Discussion

Register online at www.med.nyu.edu/courses/cme/spine

MEETING CONFIRMATION: Please supply your e-mail address to receive a confirmation letter.Written confirmation will not be mailed. Make sure your e-mail address is clearly written.

If there is a specific topicor question relating tothis course that would

help fulfill your educationalneeds, please submit it on

the registration panel. Full Fee Physicians: $95 Reduced Fee: $75Reduced fee applies to physicians in training with letter from the Chief of Service; NYU School of Medicinealumni, former residents and fellows; M.D.’s employed by the Department of Veterans Affairs Medical Center;full-time active military personnel; nurses and all other non-M.D. healthcare professionals.Eligibility for reduced fee must be indicated below:

METHODS OF PAYMENT(cash and telephone registration are not accepted)If faxing, do not mail or refax – this will only resultin a duplicate charge to your account

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Send to: Registration Office, NYU Post-Graduate Medical School,P.O. Box 1855, Murray Hill Station, New York, NY 10016

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Signature __________________________________________________________________Refund Policy: An administrative charge of $50 will be assessed for cancellations prior toJanuary 9, 2009. Cancellations must be in writing and postmarked no later than the above date,(faxes are not accepted). Cancellations will not be accepted after the above date.Course Cancellation Policy: In the unusual circumstance that this course is cancelled, two weeksnotice will be given and tuition will be refunded in full. The NYU Post-Graduate Medical School is notresponsible for any airfare, hotel or other costs incurred.

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G E N E R A L I N F O R M A T I O N

CourseConf i rmat ionPlease supply youre-mail address toreceive a confirmationletter. Writtenconfirmation will notbe mailed.

Friday, January 23, 2009

After January 20, 2009Only On-site

Registration Available

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C O U R S E D E S C R I P T I O NThis course will emphasize the most common degenerative diseases

and deformity or scoliosis of the spine: low back pain, neck pain,herniated lumbar and cervical discs with radiculopathy and mylelopathyand spondylosis. The clinical presentation, natural history andmanagement will be discussed in detail along with the rationalsequencing of imaging studies from the plain films to MRI. Theinterpretation of imaging studies will be discussed as well as howto distinguish the trivial from the important in reading the report.Modalities of medical and non-operative treatment for degenerativediseases will be discussed in detail, with particular attention to themanagement of neck and low back pain and lumbar disc disease bynon-surgical specialists and the primary physician. Surgical therapy willbe discussed with an emphasis on indications for surgical management,available treatment modalities, and expected results from surgery.

T A R G E T A U D I E N C EThis one-day course is designed for practicing neurologists,

rheumatologists, neurosurgeons, physiatrists, internists, primarycare physicians, and orthopaedic surgeons who wish to expand theirknowledge of the non-operative management of spinal disorders.Physical therapists that treat patients with spinal disorders willalso benefit from this course.

S T A T E M E N T O F N E E DManaging patients with degenerative diseases and deformity or

scoliosis of the spine, particularly, degenerative disc disease (DDD)of the spine requires a strong understanding of clinical presentation,history and differential diagnosis. For instance, patients with DDDof the spine require diagnostic tests that necessitate evaluation,interpretation and intervention. Given the new data available affectingthe internal and external evidence used in the diagnosis and treatmentof degenerative diseases of the spine, many physicians and physicaltherapists caring for patients with these back and neck disorders needto be updated in this area of treatment in order to incorporate thisinformation into their practice.

E D U C A T I O N A L O B J E C T I V E S• Describe the most effective diagnostic tests for degenerativedisc disease (DDD) of the spine as well as the techniques used toevaluate and interpret the results to select the most appropriateintervention

• Differentiate between neck pathology from shoulder pathology,and discuss the causes and treatment options for both.

• Identify as part of the treatment protocol when it is appropriateto refer a patient to a physical therapist or medical subspecialty

• Evaluate new non operative and operative treatment strategiesfor lumbar DDD.

• Describe the impact of new diagnostic and treatment techniquesavailable in the area of pediatric scoliosis care.

• Explain the evidence-based goals of non-operative and surgicaltreatment in the treatment of adult scoliosis.

• Describe the new surgical approaches to treating cervical DDD.

• Assess when to order diagnostic tests for patients withosteoporosis and evaluate when – and if – to treat withmedication and/or surgery given new advances in the field.

Guest FacultyDrew M. DeMann, DC

Director of ServicesManhattan Spine and Sports TherapyNew York, NY

David Panasci, MDZwanger-Pesiri RadiologySmithtown, NY

NON-PROFITORG.

U.S.POSTAGE

PAID

NEWYORK,NY

PERMIT#8048

Course DirectorsJeffrey Goldstein, MD

Clinical Associate Professorof Orthopaedic SurgeryNYU School of MedicineNew York, NY

Baron Lonner, MDClinical Associate Professorof Orthopaedic SurgeryNYU School of MedicineNew York, NY

A Comprehensive One-Day Course

for Neurologists, Physiatrists,

Rheumatologists, Internists,

and Primary Care Physicians

The Post-Graduate Medical School of the New York UniversitySchool of Medicine is committed to improving patient carethrough continuing medical education.

John A. Bendo, MDClinical Assistant ProfessorNYU Hospital for Joint DiseasesDepartment of Orthopaedic Surgery

Thomas Errico, MDAssociate Professorof Orthopaedic Surgeryand Neurosurgery

Zair Fishkin, MDSpine FellowOrthopaedic Surgery

Anthony Frempong-Boadu, MDAssistant Professor of Neurosurgery

Christopher Gharibo, MDAssistant Professorof Anesthesiology

Jeffrey Goldstein, MDClinical Associate Professorof Orthopaedic Surgery

Stephen Honig, MDClinical Assistant Professorof MedicineNYU Hospital for Joint Diseases

Kiril Kiprovski MDAssistant Professor of NeurologyNYU Hospital for Joint Diseases

Jeffrey D. Klein, MDClinical InstructorOrthopaedic Surgery

Todd Lefkowitz, DOSpine Sports and OccupationalRehabilitation AssociatesNew York, NY

Baron Lonner, MDClinical Associate Professorof Orthopaedic Surgery

Michael T. Murray, MDAssistant Professorof Orthopaedic SurgeryNYU Hospital for Joint Diseases

Anthony Petrizzo, DOClinical Assistant Professorof Orthopaedic Surgery.

Frank J. Schwab, MDClinical Associate ProfessorOrthopaedic Surgery

Jeffrey Spivak, MDAssistant Professorof Orthopaedic Surgery

Gerard Varlotta, DOAssociate Professorof Rehabilitation Medicine

9th Annua l Rev iew and Update

Friday, January 23, 2009

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NYU School of Medicine &Hospital of Joint Diseases Faculty

Sponsored by the NYU Post-Graduate Medical School