6th Hellenic Spine Congress by ARTION Conferences & Events

Πανελλήνιο Συνέδριο

Σπονδυλικής Στήλης

ΠΡΟΓΡΑΜΜΑ ΣΥΝΕΔΡΙΟΥ CONGRESS PROGRAMME

CONGRESS PROGRAMME Thursday, 25th of October, 2012 16:00 - 17:00

Registrations

17:00 - 18:00

Presentation of e-posters A

Coordinators: A. Ploumis – D. Stathakopoulos P01. FACTORS THAT PREDICT RECURRENCE AFTER SURGERY FOR LUMBAR DISK HERNIATION G. Alexiou, G. Fotakopoulos, A. Zigouris, I. Katsiafas, G. Savvanis, E. Michos, D. Pachatouridis, S. Voulgaris Department of Neurosurgery, University Hospital of Ioannina, Greece P02. SPINAL STENOSIS WITH LUMBAR DEFORMITY: SURGICAL FAILURES WITH AN INTERSPINOUS PROCESS SPACER (ISP), LAMINECTOMY ALONE OR LAMINECTOMY AND FUSION P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA P03. PERIOPERATIVE COMPLICATIONS OF PEDICLE SUBTRACTION OSTEOTOMY (PSO) P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA P04. ARE MINIMALLY INVASIVE DECOMPRESSION AND PERCUTANEOUS PEDICLE INSERTION APPROPRIATE IN SEVERE DEGENERATIVE STENOTIC SPONDYLOLISTHESIS? E. Archavlis, P. Ulrich Department of Neurosurgery, Klinikum Offenbach, Akademisches Lehrkrankenhaus der Universität Frankfurt, Germany P05.THE PHENOMENON OF CENTRALIZATION IN PATIENS WITH LOW BACK PAIN C. Georgopoulos “Exelixi” Physiotherapy Clinic, Athens, Greece P06. RESULTS OF INTERSPINOUS IMPLANTS PLACEMENT IN PATIENTS SUFFERING FROM LUMBAR SPINAL STENOSIS E. Kyriazidis, S. Grigoriadis, D. Anestis, I. Anagnostopoulos, C. Tsonidis 2nd University Neurosurgical Clinic, AUTh, Ippokrateion General Hospital of Thessaloniki, Greece P07. LUMBAR DISC HERNIATION RELAPSE AFTER MICRODISCECTOMY P. Kokkalis, P. Zogopoulos, H. Gkolemis, T. Palaiologos, E. Hatzidakis Neurosurgery Department, Neurosurgery Department, “Agios Panteleimon” General Hospital of Nikaia Piraeus, Greece P08. THE USE OF CRPLEVEL FOR THE EARLY DETECTION OF POSTOPERATIVE INFECTIONS OF THE SPINE A. Morakis, A. Kalampokis, I. Pappadas, E. Tsafantakis, A. Bountis, K. Zachariou Scoliosis & Spine Surgery Department, “KAT” General Hospital of Attica, Greece P09. REVISION SURGERY AT LUMBAR SPINAL STENOSIS A. Morakis, A. Kalampokis, G. Pothitakis, M. Tsafantakis, A. Bountis, K. Zachariou Scoliosis & Spine Surgery Department, “KAT” General Hospital of Attica, Greece P10. EXTRAFORAMINAL PERINEURAL LUMBAR CYST IN A PATIENT WITH RADICULITIS: DIFFERENTIAL DIAGNOSIS AND TREATMENT-A CASE REPORT A. Ploumis,1 E. Dimitriades2 (1) Physical Medicine and Rehabilitation Unit, Department of Surgery, University Hospital of Ioannina, Greece (2) Orthopaedics Department, EUROMEDICA KYANOUS STAVROS General Hospital, Thessaloniki, Greece P11. INTERSPINOUS SPACERS-WHICH AND WHY? D. Rados1, L. Boidonikolas1, A Christodoulidis1, Α. Vosos3, I. Topalidis2, A. Paskovitis1 (1) Central Clinic of Athens, Greece (2) Neo Athinaion-MD Hospital, Athens, Greece (3) General Hospital of Caristos, Greece

6th HELLENIC SPINE Congress P12. SPONDYLOPTOSIS. PRESENTATION OF TWO DIFFERENT SURGICAL TECHNIQUES (REDUCTION-IN SITU) IN THREE CASES OF PATIENTS N. Sekouris1, A. Pilihou1, G. Sapkas2, G. Kelalis2, K. Starantzis2, E. Vlachos3, A. Bountis4, I. Spanos5, L. Flouda6 (1) Department of Pediatric Orthopaedics, “Metropolitan” Hospital, N. Faliro, Greece (2) Department of Spine, “Metropolitan” Hospital, N. Faliro, Greece (3) Department of Pediatric Orthopaedics, “KAT” General Hospital of Attica, Greece (4) Department of Spine, “KAT” General Hospital of Attica, Greece (5) Department of Neurosurgery, “Metropolitan” Hospital, N. Faliro, Greece (6) Department of Anesthesiology, “Metropolitan” Hospital, N. Faliro, Greece P13. TREATMENT OF THORACO-LUMBAR SPINE FRACTURES ACCORDING TO THE THORACOLUMBAR INJURY CLASSIFICATION SCALE I. Siasios, E. Tsanaka, A. Tasiou, Ch. Gatos, A. Boukalis, K. Fountas, K. Paterakis Neurosurgery Department, University Hospital of Larissa, Greece P14. POSTOPERATIVE RADICULOPATHY CAUSED BY HEMOSTATIC MATERIAL - CASE REPORT A. Tsitlakidis, E. Spyridopoulos, I. Balogiannis, P. Selviaridis, K. Polyzoidis 1st Department of Neurosurgery, “AHEPA” University General Hospital of Thessaloniki, Greece P15. THE SURGICAL TREATMENT OF RECURRENT LUMBAR DISC HERNIATION A. Tsitlakidis, A. Spiliotopoulos, N. Foroglou, I. Magras, K. Polyzoidis 1st Department of Neurosurgery, “AHEPA” University General Hospital of Thessaloniki, Greece

18:00 - 19:15

Lectures

Coordinators: S. Voulgaris – K. Soultanis 18:00 - 18:15 “Low back pain: non surgical diseases” Th. Karapanagiotidis, Neurologist, Registrar in Neurology Department, Ippokrateion General Hospital of Thessaloniki 18:15 - 18:30 “The role of microdiscectomy in the treatment of lumbar disc herniation” A. Vakis, Assistant Professor of Neurosurgery, University General Hospital of Heraklion, Crete 18:30 - 18:45 “Complications in lumbar microdiscectomy” A. Karagiannidis, Neurosurgeon, Interbalkan Medical Centre of Thessaloniki 18:45 - 19:00 “Relapse of herniated disc, review of a discectomy” I. Papadopoulos, Lecturer of Orthopaedics, University of Athens 19:00 - 19:15

“Percutaneous biopsy of spine lesions with computed tomography guidance” M. Potsi, Radiologist, Interbalkan Medical Centre of Thessaloniki

Friday, 26th of October, 2012 08:00 - 09:00

Presentation of e-posters B

Coordinators: D. Pachatouridis – Th. Apostolou P16. TREATMENT OF TRAUMATIC ATLANTOAXIAL INSTABILITY WITH OCCIPITOCERVICAL FIXATION A. Athanasiou,T. Brovas, A. Prassas, C. Alexiadou, P. Pourni, G. Alexopoulos, M. Kotinopoulou, K. Tsoleka, I. Kampelis Department of Neurosurgery, General Hospital of Thessaloniki “Papageorgiou”, Greece P17. CERVICAL SPINE TUBERCULOUS ABSCESS IN A YOUNG ADULT C. Anagnostopoulos, C. Chamilos, A. Dafniotidis, G. Bourtzinos, G. Vranos, A. Petsanas, F. Spyridakis, I. Tzikas “Tzanio” General Hospital of Piraeus, Greece P18. CERVICAL ALIGNMENT PARAMETERS AS PART OF GLOBAL SAGITTAL BALANCE P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA

CONGRESS PROGRAMME P19. PERIOPERATIVE COMPLICATIONS OF POSTERIOR VERTEBRAL COLUMN RESECTIONS (pVCRS) OF THE THORACIC SPINE P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA P20. THE EFFECT OF PEDICLE SUBTRACTION OSTEOTOMY (PSO) ON CERVICAL ALIGNMENT P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA P21. THE MEDIAL LOOPOF THE V2 SEGMENT OF THE VERTEBRAL ARTERY AND THE IMPORTANCE OF THIS VARIATION DURING ANTERIOR APPROACHES TO THE CERVICAL SPINE N. Gkekas, S. Sfikas, D. Katsianis, N. Georgakoulias, G. Orfanidis Department of Neurosurgery, “G. Gennimatas” General Hospital of Athens, Greece P22. SPOTLIGHT OF THE CONBINATION OF DISCOPLASTY AND FUSION AS THE GOLD STANDARD IN THE TREATMENT OF MULTI LEVEL CERVICAL DISC PROLAPSE A.M. Zampethanis, N. Neophytou, G. Neophytou Neurosurgical Clinic of Aretaieio Hospital of Nicosia, Cyprus P23. REGIONAL CERVICAL SAGITTAL ALIGNMENT AND POSTOPERATIVE FUNCTIONAL OUTCOME IN MULTILEVEL POSTERIOR CERVICAL FUSIONS N. Paidakakos1, M. Sklavounou2, N. Gkekas1, K. Kouzounias1, D. Bouramas1,2 (1) Department of Neurosurgery, Athens Naval Hospital, Greece (2) Department of Neurosurgery, Athens Bioclinic, Greece P24. SUBLUXATION OF THE CERVICAL SPINE – TREATMENT AND CLINICAL EXPERIENCE St. Brizas, G. Papaeuaggelou, S. Grigoriadis, I. Anagnostopoulos, C. Tsonidis B’ Neurosurgical Department, AUTh, Ippokrateion General Hospital of Thessaloniki, Greece P25. SURGICAL TREATMENT OF THORACO-LUMBAR SPINE FRACTURES F. Papavlasopoulos, P. Lygouriotis Department of Neurosurgery, General Hospital of Corfu, Greece P26. COMPLICATIONS AND INSTRUMENTATION FAILURES IN PATIENTS WITH CERVICOTHORACIC TUMORS Ι. Papanastassiou1,2, F. Vrionis1 (1) Moffitt Cancer Center, Florida, USA (2) General Oncology Hospital of Kifisia “Agioi Anargyroi”, Athens, Greece P27. ROLE OF MOTOR – EVOKED POTENTIAL MONITORING IN CONJUNCTION WITH TEMPORARY CLIPPING OF SPINAL NERVE ROOTS IN POSTERIOR THORACIC SPINE TUMOR SURGERY Ι. Papanastassiou1,2, F. Vrionis1 (1) Moffitt Cancer Center, Florida, USA (2) General Oncology Hospital of Kifisia “Agioi Anargyroi”, Athens, Greece P28. CERVICAL SPONDYLOSIS - SURGICAL THERAPY IN 4 LEVELS D. Rados1, L. Boidonikolas1, A Christodoulidis1, I. Topalidis2, A. Paskovitis1 (1) Central Clinic of Athens, Greece (2) Neo Athinaion-MD Hospital, Athens, Greece P29. IMAGING EVIDENCE OF ROTATOR SUBLUXATION. CASE REPORT AND LITERATURE OVERVIEW N. Sekouris1, N. Paidakakos2, D. Bouramas2, E. Vlachos3 (1) Department of Pediatric Orthopaedics, “Metropolitan” Hospital, N. Faliro, Greece (2) Neurosurgical Department, Athens Naval Hospital, Greece (3) Department of Pediatric Orthopaedics, “KAT” General Hospital of Attica, Greece P30. SURGICAL MANAGEMENT OF HIGH CERVICAL DISC PROLAPSE ASSOCIATED WITH BASILAR INVAGINATION IN A PATIENT WITH SYRINGOMYELIA S. Sfikas1, N. Gkekas1, V. Valadakis1, N. Georgakoulias1, G. Orfanidis1 (1) Department of Neurosurgery, “G. Gennimatas” General Hospital of Athens, Greece P31. COMBINED SURGICAL MANAGMENT OF CERVICAL MYELOPATHY DUE TO PERIODONTOID RHEUMATOID PANNUS S. Sfikas1, A. Vyziotis1, V.Valadakis1, N. Georgakoulias1, G. Orfanidis1 (1) Department of Neurosurgery, “G. Gennimatas” General Hospital of Athens, Greece

6th HELLENIC SPINE Congress P74. POSTOPERATIVE COMPLICATIONS AFTER SURGICAL APPROACH TO THE CERVICAL SPINE E. Spiridopoulos, A. Spiliotopoulos, I. Balogiannis, I. Patsalas, P. Selviaridis 1st Department of Neurosurgery, “AHEPA” University General Hospital of Thessaloniki, Greece

09:00 - 09:45

Debate: “Lumbar spondylosis”

Coordinators: A. Samelis – E. Tsafantakis Speakers: “Flavectomy - Fenestration” A. Chatzisotiriou, Lecturer of AUTh, St. Luke's Hospital, Thessaloniki “Laminectomy” A. Ploumis, Orthopaedic Surgeon, Assistant Professor of Physical and Rehabilitation Medicine, Department of Surgery, University of Ioannina “Laminectomy and vertebral fusion” Th. Apostolou, Orthopaedic Surgeon, Interbalkan Medical Centre of Thessaloniki 09:45 - 10:00

Lecture “Prognostic factors for the disease of adjacent segment” K. Paterakis, Assistant Professor of Neurosurgery, University of Thessaly

10:00 - 10:30

Coffee break

10:30 - 11:00

Debate of residents – young specialists: “Cervical Myelopathy”

Coordinators: A. Mpountis – K. Paterakis Speakers: “Anterior approach” A. Mprotis, Neurosurgeon, University Hospital of Larissa “ Posterior approach” G. Triantafyllopoulos, Resident in Orthopaedics Department, University of Athens 11:00 - 11:45

Lectures

Coordinators: Th. Patsiaouras – G. Koutsoumbelis 11:00 - 11:15 “Post-operative cervical kyphosis” D. Mpouramas, Neurosurgeon, Director of Neurosurgery Department, Athens Naval Hospital 11.15 - 11.30

“The use of artificial disc in cervical microdiscectomy – Newer data” K. Kouzelis, Neurosurgeon, Director of Neurosurgery Department, “Thriasion” General Hospital of Eleusis

11.30 - 11.45 “Complications in cervical microdiscectomy” S. Grigoriadis, Assistant Professor of Neurosurgery, AUTh, Ippokrateion General Hospital of Thessaloniki 11:45 – 12.15

Debate: “Thoracic herniated disc”

Coordinators: P. Chatzidis – P. Antonarakos Speakers: “Posterolateral approach: key points – concerns” A. Spiliotopoulos, NHS Director, 1st Neurosurgery Department, “AHEPA” University General Hospital of Thessaloniki “ Anterolateral approach: key points – concerns” E. Samoladas, Orthopaedic Surgeon, Interbalkan Medical Centre of Thessaloniki

CONGRESS PROGRAMME 12:15 - 12:45

Debate: Fractures of the Thoracolumbar area of the Spine

Coordinators: P. Sakelariou – I. Panagiotopoulos Speakers:

“Anterior approach: Key points – concerns” K. Soultanis, Assistant Professor of Orthopaedics, University of Athens “ Posterior approach: Key points – concerns” P. Toulios, Chief Medical Officer, Neurosurgeon, 424 General Medical Training Hospital, Thessaloniki

12:45 - 13:45

Lectures

Coordinators: P. Efstathiou – G. Makrigiannakis 12:45 - 13:05 “Evidence for non fusion techniques in spinal surgery” V. Arzoglou, Neurosurgeon, University Hospital Llandough, Cardiff and Vale University Health Board, Wales 13:05 - 13:25 “Treatment of infections of the spine” S. Metallidis, Lecturer of Internal Medicine – Infectious Diseases, 1st Dept. of Internal Medicine, “AHEPA” University General Hospital of Thessaloniki 13:25 - 13:45 “The treatment of infections following lumbar vertebral fusion” I. Gelalis, Assistant Professor of Orthopaedics, University of Ioannina 13:45 - 14:30

Lunch

14:30 - 15:30 Speakers:

Learn by mistake Hall A: Ch. Antoniadis – G. Sapkas Hall B: D. Mpouramas – D. Patsiaouras Hall C: D. Stathakopoulos – S. Voulgaris

15:30 - 16:30

Presentation of e-posters C

Coordinators: E. Samoladas – A. Spiliotopoulos P32. PARAPARESIS CAUSED BY POSTOPERATIVE SYRINGOMYELIA AFTER SPONTANEOUS HEMATOMYELIA AND SUBDURAL HEMATOMA OF THORACIC SPINAL CORD A. Athanasiou, P. Pourni, A. Prassas, G. Alexopoulos, T. Brovas, C. Alexiadou, K. Tsoleka, M. Kotinopoulou, I. Kampelis Department of Neurosurgery, “Papageorgiou” General Hospital, Thessaloniki, Greece P33. THE USE OF O-ARM IN SPINAL SURGERY. THE GREEK EXPERIENCE G. Athanasiou1, V. Vougioukas1, I. Kyratzoulis2, I. Ioannidis2, T. Flaskas1 (1) Department of Neurosurgery, Mediterraneo Hospital, Athens, Greece (2) Department of Orthopaedic Surgery, Mediterraneo Hospital, Athens, Greece P34. EXTRADURAL MENINGIOMA OF THE THORACIC SPINE C. Anagnostopoulos, A. Petsanas, C. Chamilos, A. Dafniotidis, G. Bourtzinos, G. Vranos, F. Spyridakis, G. Alexopoulos “Tzanio” General Hospital of Piraeus, Greece P35. TANDEM LUMBAR AND CERVICAL SPINAL STENOSIS. CASE REPORT P. Annis, B. Lawrence, D. Brodke Department of Orthopaedics, University of Utah, USA P36. CYSTIC LESION OF DORSAL SPINE WITH TERRITORIAL BEHAVIOR AND DEMYELINATIC PLATES IN ITS WALLS A.M. Zampethanis, N. Neophytou, G. Neophytou Neurosurgical Clinic of Aretaieio Hospital of Nicosia, Cyprus P37. HEAVY STRICTURES THORACIC - LUMBAR SPINAL CORD. METHOD AND SURGICAL TREATMENT A. Karakouti, B. Moraitis, D. Koutentakis, D. Arvanitakis Neurosurgery Department, “Venizeleio-Pananeio” General Hospital, Heraklion Crete, Greece 18

6th HELLENIC SPINE Congress

P38. PROSPECTIVE RANDOMISED COMPARATIVE STUDY OF THE EFFICASY AND SAFETY OF BALLOON KYPHOPLASTY VERSUS KIVA VERTEBRAL AUGMENTATION TECHNIQUE FOR THE TREATMENT OF FRESH OSTEOPOROTIC VERTEBRAL FRACTURES P. Korovessis, T. Repantis, K. Vardakastanis Orthopaedic Department, “Agios Andreas” General Hospital, Patras, Greece P39. COMPARATIVE STUDY OF HYBRID MINIMALLY INVASIVELY SHORT PEDICLE SCREW FIXATION WITH TWO DIFFERENT VERTEBRAL BODY AUGMENTATION SYSTEMS FOR REDUCTION AND STABILIZATION OF FRESH LUMBAR FRACTURES P. Korovessis, T. Repantis, K. Vardakastanis Orthopaedic Department, “Agios Andreas” General Hospital, Patras, Greece P40. SPINAL THORACIC FRACTURES. POSTERIOR OR POSTEROLATERAL DECOMPRESSION AND FUSION A. Kalampokis, A. Morakis, I. Pappadas, A. Bountis, E. Tsafantakis, K. Zachariou Scoliosis & Spine Surgery Department, “KAT” General Hospital of Attica, Greece P41. MENINGOCELE - MYELOMENINGOCELE - SPINAL DYSRAPHISM. OUR RECENT EXPERIENCE G. Papaeuaggelou, S. Brizas, S. Grigoriadis, I. Anagnostopoulos, C. Tsonidis 2nd Neurosurgical Department, AUTh, Ippokrateion General Hospital of Thessaloniki, Greece P42. ADJACENT INTERVERTEBRAL SPACE DEGENERATION ON A SUBSTRATE OF KYPHOTIC SPINAL DEFORMATION – CASE REPORT S. Brizas, D. Anestis, E. Kyriazidis, S. Grigoriadis, I. Anagnostopoulos, C. Tsonidis 2nd Neurosurgical Department, AUTh, Ippokrateion General Hospital of Thessaloniki, Greece P43. MIXED PEDIATRIC INTRAMEDULLARY TUMORS. RARE CASE REPORTS N. Paidakakos, A. Bairaktaris, G. Sfakianos, N. Prodromou Department of Neurosurgery, “Agia Sofia” Pediatric Hospital, Athens, Greece P44. MYELOMENINGOCELE. THE USE OF ULTRASOUND IN THE DIAGNOSTIC APPROACH AND SURGICAL TREATMENT. PRESENTATION OF TWO CASES N. Sekouris1, M. Koutsoglou2, E. Vlachos3 (1) Department of Pediatric Orthopaedics, “Metropolitan” Hospital, N. Faliro, Greece (2) Neurosurgical Department of Pediatric Hospital ‘P& A Kyriakou’, Athens, Greece (3) Department of Pediatric Orthopaedics, “KAT” General Hospital of Attica, Greece P45. SURGICAL TREATMENT OF INTRAMEDULLARY - EXTRAMEDULLARY SPINAL CORD TUMORS K. Paterakis, I. Siasios, K. Iakovaki, I. Georgiadis, V. Anagnostopoulos, A. Tasiou, K. Fountas Neurosurgery Department, University Hospital of Larissa, Greece P46. SEPTIC SPONDYLITIS WITH INCOMPLETE PARAPLEGIA IN IVDU PATIENT WITH A RECENT HISTORY OF INTRAMEDULLARY FEMORAL FRACTURE NAILING K. Soultanis, K.A. Starantzis, N. Stavropoulos, P.J. Papagelopoulos 1st Department of Orthopaedics, “ATTIKON” University General Hospital, Greece P47. COMBINED SURGICAL MANAGEMENT OF CERVICAL MYELOPATHY DUE TO CERVICAL METASTATIC DISEASE (C1, C2) S. Sfikas, N. Gkekas, N. Georgakoulias, E. Antoniou, G. Orfanidis Department of Neurosurgery, “G. Gennimatas” General Hospital of Athens, Greece

16:30 - 17:00

Coffee break

17:00 - 17:45

Round table: “Osteoporotic fractures”

Coordinators: D. Mpouramas – I. Gelalis Speakers: “Kyphoplasty” V. Lykomitros, Orthopaedic Surgeon, Interbalkan Medical Centre of Thessaloniki “Vertebroplasty” I. Polythodorakis, Neurosurgeon, “HYGEIA” Hospital and Mediterraneo Hospital, Athens “Conservative treatment” K. Ganatsios, Orthopaedic Surgeon, Interbalkan Medical Centre of Thessaloniki

CONGRESS PROGRAMME 17:45 - 18:30

Round table: “Spine tumours”

Coordinators: K. Kouzelis – S. Pnevmatikos Speakers: “Intramedullary tumours of the spinal cord” I. Patsalas, Associate Professor of Neurosurgery, “AHEPA” University General Hospital of Thessaloniki “Intradural – Extramedullary tumours of the spinal cord” G. Orfanidis, NHS Director, Neurosurgeon, Neurosurgery Department, “G. Gennimatas” General Hospital of Athens “Tumours with bone origin” P. Papagelopoulos, Associate Professor of Orthopaedics, “ATTIKON” University General Hospital 20:30

Official opening ceremony – Cocktail reception “Ioannina. From the byzantine castle city to the ottoman big city” Main Speaker: Varvara Papadopoulou, Director of the 8th Ephorate of Byzantine Antiquities

Saturday, 27th of October, 2012 Joint session of the Hellenic and French Spine Society 08:00 - 10:30

Round table: “Principles of sagittal balance clinical impact and related complications”

Coordinators: P. Soukakos – R. Assaker Speakers:

1. “ The sagittal balance of the pelvis-spine complex” J. C. Le Huec, Professor and President of Eurospine - the Spine Society of Europe (SSE) • Biomechanics of spinal balance • Sagittal spine curvature value in asymptomatic population • Imbalance and compensatory mechanism

2. “ Balance analysis” R. Assaker, Professor and President of the French Spine Society (SFCE) • Imaging protocol • Classical way of analysis of sagittal plan

3. “Clinical relevance related to lumbar balance” • “Sagittal balance analysis and planning lumbar decompression for stenosis” R. Assaker, Professor and President of the French Spine Society (SFCE) • “Strategy of lumbosacral arthrodesis: pelvic parameters value” J. C. Le Huec, Professor and President of Eurospine - the Spine Society of Europe (SSE) • “Failed back surgery” C. Court, CHU de Bicêtre, Hôpitaux Universitaires Paris-Sud 4. “Surgical treatment for sagittal imbalance” J. C. Le Huec, Professor and President of Eurospine - the Spine Society of Europe (SSE) • Smith Peterson osteotomies • Pedicle substraction osteotomies techniques

5. “ Clinical case discussion” H. F. Parent, Clinique St. Léonard, Village

6. “ Take home messages” J. C. Le Huec, Professor and President of Eurospine - the Spine Society of Europe (SSE) • Algorithm of evaluation and treatment planning

6th HELLENIC SPINE Congress 10:30 - 11:00

Coffee break

11:00 - 12:00

Round table: “Coronal Balance in Spine”

Coordinators: G. Sapkas – J.C. Le Huec Speakers: “How to approach coronal imbalance of the spine” P. Antonarakos, Orthopaedic Surgeon, “G. Papanikolaou” General Hospital of Thessaloniki “ Is it better to do it from the front?” P. Korovesis, Head of Orthopaedic Clinic, “Agios Andreas” General Hospital of Patras “Posterior approaches and maneuvers of correction” Α. Christodoulou, Head of Orthopaedic Clinic, “G. Papanikolaou” General Hospital of Thessaloniki 12:00 - 13:30

Round table: “Vertebral augmentation”

Coordinators: A. Christodoulou – K. Polyzoidis Speakers: Introduction R. Assaker, Professor and President of the French Spine Society (SFCE) “Review of technology and instrumentations” H. Parent, Clinique St. Léonard, Village “The optimal cement: mechanical and biochemical characteristics” C. Court, CHU de Bicêtre, Hôpitaux Universitaires Paris-Sud “Osteoporosis and Vertebral augmentation: review of the literature” C. Court, CHU de Bicêtre, Hôpitaux Universitaires Paris-Sud “Traumatology and national series” J. Tonetti, CHU de Grenoble “Spinal oncology and vertebral augmentation” R. Assaker, Professor and President of the French Spine Society (SFCE) “Complications” J. Tonetti, CHU de Grenoble “Conclusions” C. Court, CHU de Bicêtre, Hôpitaux Universitaires Paris-Sud 13:30 - 14:30

Lunch

14:30 - 15:30

Solve the case

Speakers:

Hall A: G. Makrigiannakis – K. Zachariou Hall B: K. Polyzoidis – E. Tsafantakis – G. Sapkas Hall C: P. Korovesis – P. Zoumpoulis

15:30 - 16:30

Presentation of e-posters D

Coordinators: P. Zoumpoulis – D. Giannetopoulos P48. ACUTE PARAPLEGIA CAUSED BY DELAYED POSTOPERATIVE HEMATOMA FOLLOWING T10 DECOMPRESSION FOR OSTEBLASTIC MASS A. Athanasiou, P. Pourni, A. Prassas, G. Alexopoulos, T. Brovas, C. Alexiadou, K. Tsoleka, M. Kotinopoulou, I. Kampelis Department of Neurosurgery, “Papageorgiou” General Hospital, Thessaloniki, Greece

CONGRESS PROGRAMME P49. PROXIMAL JUNCTIONAL FRACTURES (PJFs) AFTER ADULT DEFORMITY SURGERY REVISION RATES - TIMING OF REVISION P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA P50. THE EFFECT OF LOW DOSE BONE MORPHOGENETIC PROTEIN (RhBMP-2) ON POSTEROLATERAL FUSION IN ADULT SPINAL DEFORMITY SURGERY P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA P51. THE CONTRIBUTION OF INTRAOPERATIVE PATIENT POSITIONING TO OVERALL CORRECTION OF CORONAL AND SAGITTAL DEFORMITY IN ADULTS P. Annis1, M. Daubs2, B. Lawrence1, D. Brodke1 (1) Department of Orthopaedics, University of Utah, USA (2) Department of Orthopaedics, UCLA, USA R52. LUMBAR - SPINE - INJURY INDUCED SUBARACHNOID BLEEDING IN THE ABSENCE OF HEAD TRAUMA. CASE STUDY E. Chronakis, N. Chochlidakis, A. Vakis Neurosurgery Department, University General Hospital of Heraklion, Crete P53. EVALUATION PROTOCOL IN PATIENTS WITH BLUNT VERTEBRAL ARTERY INJURY AS A COMPLICATION OF CERVICAL SPINE TRAUMA F. Giannikopoulou, C. Faropoulos, C. Picolas, S. Raftopoulos, D. Konstantinou Neurosurgical Department, University General Hospital of Patras, Greece P54. TREATMENT OF A YOUNG ATHLETE WITH DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) OF THE THORACIC SPINE C. Gkolemis, P. Kokkalis, P. Zogopoulos, M. Fratzoglou, E. Chatzidakis Neurosurgery Department, “Agios Panteleimon” General Hospital of Nikaia Piraeus, Greece P55. SURGICAL TREATMENT OF IDIOPATHIC SCOLIOSIS WITH TRANSPEDICULAR SCREWS IN STRATEGIC VERTABRAE A. Kalampokis, A. Morakis, G. Pothitakis, A. Bountis, E. Tsafantakis, K. Zachariou Scoliosis & Spine Surgery Department, “KAT” General Hospital of Attica, Greece P56. IS THE SURFACE TOPOGRAPHY A HELPFUL TOOL FOR THE MANAGEMENT OF SCOLIOSIS? D. Papadopoulos Spine Diseases Research Department, SPONDYLOS Laser Spine Lab, Athens, Greece P57. PREDICTIVE VALUES AND LEGAL COVERAGE OF INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING IN GREECE. OUR EXPERIENCE K. Soultanis1, K.A. Starantzis1, G. Kelalis2, G. Sapkas1,2, P.J. Papagelopoulos1 (1) 1st Department of Orthopaedics, “ATTIKON” University General Hospital, Greece (2) “Metropolitan” Hospital, N. Faliro, Greece P58. A STUDY OF THE RIB - VERTEBRA ANGLE IN PATIENTS WITH IDIOPATHIC SCOLIOSIS UNDERGOING SURGICAL CORRECTION WITH SEGMENTAL PEDICLE SCREW SYSTEMS K.C. Soultanis1, K.A. Starantzis1, N. Stavropoulos1, T. Grivas2, P.J. Papagelopoulos1 (1) 1st Department of Orthopaedics, “ATTIKON” University General Hospital, Greece (2) Department of Οrthopaedics, “Tzanio” General Hospital of Piraeus, Greece P59. BLOOD MANAGEMENT IN SCOLIOSIS SURGERY: COMPARISON OF PREOPERATIVE AUTOLOGOUS BLOOD DONATION WITH INTRA-OPERATIVE BLOOD SALVAGE (BLOOD SAVER) SYSTEMS L. Katranitsa1, P. Antonarakos1, P. Givissis1, M. Kosti2, P. Simeonidis3, A. Christodoulou1 (1) 1st Orthopaedic Department, “G. Papanikolaou” General Hospital of Thessaloniki, Greece (2) Department of Computer Science, AUTh, Greece (3) “G. Gennimatas” General Hospital of Athens, Greece P60. EFFECTIVENESS OF ALL-PEDICLE SCREW CONSTRUCTS IN SCOLISIS SURGERY Α. Christodoulou, L. Katranitsa, E. Christodoulou, P. Antonarakos, P. Givissis, N. Papadakis, T. Apostolou 1st Orthopaedic Department, “G. Papanikolaou” General Hospital of Thessaloniki, Greece P61. INTRODUCING A NEW TECHNIQUE USING TRIPLE-RODS FOR THE SURGICAL TREATMENT OF SEVERE SCOLIOSIS A. Christodoulou, L. Katranitsa, P. Givissis, P. Antonarakos, E. Christodoulou, N. Papadakis 1st Orthopaedic Department, AUTh, “G. Papanikolaou” General Hospital of Thessaloniki, Greece 22

6th HELLENIC SPINE Congress Ρ62. RELIABILITY AND VALIDITY OF THE ADAPTED GREEK VERSION OF SCOLIOSIS RESEARCH SOCIETY – 22 (SRS-22) QUESTIONNAIRE P. Antonarakos1, L. Katranitsa1, E. Angelis2, E. Koen1, E. Christodoulou, A. Christodoulou1 (1) 1st Orthopaedic Department, AUTh, “G. Papanikolaou” General Hospital of Thessaloniki, Greece (2) Department of Computer Science, AUTh, Greece

16:30 - 17:00

Coffee break

17:00 - 18:00

Lectures

Coordinators: G. Kapetanos – P. Selviaridis 17:00 - 17:30 “How to handle failures in reconstructive degenerative deformity surgeries” M. Aebi, Professor and Chair of the Institute for Evaluation Research in Orthopaedic Surgery, University of Bern, Switzerland, Editor in Chief of the European Spine Journal (ESJ) 17:30 - 18:00 “MAST and radiation exposure: risk and technique to avoid exposure” R. Assaker, Professor and President of the French Spine Society (SFCE) 18:00 - 18:30

Lectures

Coordinators: P. Korovesis – D. Zevgaridis 18:00 – 18:15

“Problems in the treatment of arteriovenous malformations in the spinal cord” A. Andreou, Neurosurgeon 18:15 – 18:30 “Adjacent segment pathology” Th. Grivas, Ret. Director of Orthopaedics and Traumatology, “Tzaneio” General Hospital of Piraeus 18:30 - 20:00

General assembly of members

21:00

Gala dinner

Sunday, 28th of October, 2012 09:00 - 10:00

Presentation of e-posters E

Coordinators: V. Lykomitros – A. Vakis p63. the relationshipbetween sex, age and body mass index with IMAGING FINDINGS AND OUTCOME IN PATIENTS WITH LUMBAR DISK HERNAITION G. Alexiou, A. Zigouris, G. Fotakopoulos, I. Katsiafas, C. Tsitsipanis, J. Zika, G. Savvanis, E. Michos, D. Pachatouridis, S. Voulgaris Department of Neurosurgery, University Hospital of Ioannina, Greece P64. THE ANALGESIC EFFECT OF ACUPUNCTURE IN CASES OF CERVICOHUMERAL SYNDROME, LOW BACK PAIN AND SCIATICA – A SERIES OF 58 PATIENTS P. Zogopoulos, P. Kokkalis, G. Tsanis, N. Papageorgiou Neurosurgery Department, “Agios Panteleimon” General Hospital of Nikaia Piraeus, Greece P65. COMPARISON OF THORACO – LUMBAR BRACES Μ. Papadakis1, Α. Lianou2, G. Sapkas3 (1) 2nd Department of Orthopaedics, University of Athens, Greece (2) Department of Radiology, Konstantopouleio General Hospital of N. Ionia, Greece (3) 1st Department of Orthopaedics, University of Athens, Greece P66. RELATION BETWEEN THE CHARACTERISTICS OF ADOLESCENT IDIOPATHIC SCLIOSIS AND VITAL CAPACITY IN JOUNG AND ADULTS D. Papadopoulos, E. Kapetanakis Spine Diseases Research Department, SPONDYLOS Laser Spine Lab, Athens, Greece 23

CONGRESS PROGRAMME P67. LATE REHABILITATION IN PATIENTS WITH TRAUMATIC SPINAL CORD INJURY IN A REHABILITATION CENTER S. Papakosta1, A. Papachristos2, A. Syros3, D. Galliopoulos4, H. Konstantinidis5 (1) “Arogi Thessalia” Rehabilitation Center, Larissa, Greece (2) “Arogi Thessalia” Rehabilitation Center, Karditsa, Greece (3) “Apokatastasi” Rehabilitation Center, Larissa, Greece (4) Urologist, Private Practitioner, Greece (5) National Rehabilitation Center, Athens, Greece P68. FREQUENCY AND DISTRIBUTION OF MYOFASCIAL TRIGGER POINTS IN PATIENTS WITH CERVICAL PAIN K. Galanoulis1, A Tasiou1, T. Dodos1, S. Papakosta2, A. Syros3, E Papagianni1, S. Kostopoulou1, G. Katsikogianni1, A. Rokka1, K. Kourkouta1, A. Mproupi1, A. Papachristos1 (1) “Arogi Thessalia” Rehabilitation Center, Karditsa, Greece (2) “Arogi Thessalia” Rehabilitation Center, Larissa, Greece (3) “Apokatastasi” Rehabilitation Center, Larissa, Greece P69. CORRELATION OF THE USE OF INTERMITTENT CATHETERISATION FOR NEUROGENIC BLADDER AND THE NEUROLOGIC IMRPOVEMENT OF PATIENTS WITH SPINAL COLUMN/SPINAL CORD INJURY A. Ploumis, D. Varvaroussis, V. Stavrou, G. Matsagas, J. Zika, A. Beris Department of Surgery, Physical Medicine and Rehabilitation Unit, University Hospital of Ioannina, Greece P70. DETERIORATION OF CLINICAL SYMPTOMS DUE TO POSTTRAUMATIC SYRINGOMYELIA (PTS) IN PATIENTS WITH SPINAL CORD INJURIES (SCI) A. Kaplas, S. Sivetidou, A. Kotroni, K. Zoniou, P. Karagounis, X. Xatziathanasiou, E. Bakas Department of Physical Medicine and Rehabilitation, “KAT” General Hospital of Attica, Greece P71. Paraplegia in patients with CHIRO - LUMBAR DYSOSTOSIS syndrome REhabιlitation PLANNιng I. Saramantos, S. Sivetidou, A. Kotroni, M. Segredou, T. Loizidis, D. Tsiamosphirou, E. Bakas Department of Physical Medicine and Rehabilitation, “KAT” General Hospital of Attica, Greece P72. HETEROTOPIC OSSIFICATION REHABILITATION AND EARLY SURGICAL INTERVENTION IN PATIENT WITH SPINAL CORD INJURY K. Michut, A. Kotroni, S. Sivetidou, E. Papadaki, S. Pagkalis, S. Ferfeli, E. Bakas Department of Physical Medicine and Rehabilitation, “KAT” General Hospital of Attica, Greece P73. IMPLEMENTATION OF WHO’ S PROGRAM “SAFE SURGERY SAVES LIVES”. OUR EXPERIENCE IN spinal surgery A. Faitatzidou1, T. Martinopoulou1, I. Magras2 (1) Operating Room, “AHEPA” University General Hospital of Thessaloniki, Greece (2) 1st Department of Neurosurgery, “AHEPA” University General Hospital of Thessaloniki, Greece

Thematic Unit: Physical and Rehabilitation Medicine 10:00 - 11:00

Round table: “Concerns in the management of spinal cord injury”

Coordinators: K. Zachariou – I. Anagnostopoulos Speakers: “Decisions regarding the treatment of patients with SCI – Conservative Treatment – Guidelines” K. Vlachos, Neurosurgeon, Senior Registrar, “KAT” General Hospital of Attica “Surgical treatment of SCI patient – Immediate postoperative course – problems that might arise” A. Mpountis, Director, Department of Scoliosis and Spine, “KAT” General Hospital of Attica “Basic principles in the rehabilitation of the SCI patient” Th. Loizidis, Specialist in Physical Medicine, Scientific Director, “Arogi Euromedica” Rehabilitation and Recovery Centre, Thessaloniki

6th HELLENIC SPINE Congress “Is there hope? Thoughts on cell transplantation and other approaches” E. Mpakas, Ret. Director, Physical & Rehabilitation Medicine, “KAT” General Hospital of Attica 11:00 - 11:30

Coffee break

11:30 - 12:30

Lectures

Coordinators: E. Mpakas – I. Polythodorakis 11:30 - 11:45

“Treatment of chronic low back pain” P. Maidatsi, Anesthesiologist, NHS Director, Pain Clinic, “AHEPA” University General Hospital of Thessaloniki

11:45 - 12:00 “Management of spasticity in patients with spinal cord diseases” M. Kandylakis, Specialist in Physical Medicine, “Evexia” Rehabilitation Centre, Thessaloniki 12:00 - 12:15

“ASIA Classification regarding the operational evolvement of patients with spinal cord injury” E. Mouza, Specialist in Physical Medicine, Scientific Director, “Anagennisi” Recovery – Rehabilitation Centre of Thessaloniki

12:15 - 12:30

“Gait analysis in patients with spasticity” D. Metaxiotis, Orthopaedic Surgeon, Registrar in Orthopaedics Department, “Papageorgiou” General Hospital, Thessaloniki

12:30 - 13:00

Lectures

Coordinators: Th. Loizidis – I. Mpampani 12:30-12.45 “Physiotherapeutic rehabilitation following lumbar discectomy” A. Karagiannidis, Physical Therapist, “AHEPA” University General Hospital of Thessaloniki 12:45 - 13:00 “Post-operative rehabilitation in thoracic spine injuries” D. Sdravou, Physical Therapist, “AHEPA” University General Hospital of Thessaloniki