Clinical Management of Adult Spinal Disorders: Current Concepts and What the Future Holds

Registration and Coffee - 8:00-8:25 AM             

Introduction/Welcome - 8:30-8:35 AM             

Morning Session

• 8:35AM - The Natural History of Intervertebral Disc Herniation and Radiculopathy. Can we predict non-operative treatment success? When is surgery indicated? - Eric Leung, MD                               
• 8:50AM - The Natural History of Spinal Stenosis and Neurogenic Claudication. What factors determine clinical outcomes in spinal stenosis patients? - Justin Neira, MD
• 9:05AM - Best Evidence Lumbar Spine Physical Examination and Differential Diagnosis. Do we have sensitive and specific clinical techniques to assess the lumbar spine? - Evan Johnson, DPT, MS, OCS, MTC
• 9:20AM - Ordering and Interpreting Spinal Imaging. What is the most effective use of spinal imaging? What factors determine the appropriate image to order? - Loni Weinman, NP
• 9:35AM - Screening for Psychosocial Factors that Impact Patient Outcomes. How can we best identify the psychosocial needs of spine patients? - Nomita Sonty, PhD
• 9:55AM - Spinal Masqueraders: Conditions that Mimic Spinal Pathology. When is it NOT the spine? What findings may reveal the real cause of symptoms? - Clark Smith, MD
• 10:10AM - Speaker Panel. Question and Comment Period - Evan Johnson, DPT, MS, OCS, MTC

Morning Coffee Break - 10:25-10:40 AM 

10:25-10:40 AM           

10:40 - 10:55 AM          Triage and Management of Spinal Patients by a Nurse Practitioner. How best to evaluate Feinberg                      risk and determine who should see the patient?

10:55 - 11:10 AM          Interventional Procedures for the Lumbar Spine. What does the evidence indicate are best Christolias                  practice choices for the use of epidural steroid injections, medial branch blocks and                                                                                    radiofrequency ablation techniques?

11:10 - 11:25 AM          Surgical Procedures for Intervertebral Disc Herniation and Radiculopathy. How do clinical      Dean Chou              experience inform surgical decisions on open versus minimally invasive surgery?                  

11:25 - 11:40 AM          Surgical Procedures for Spinal Stenosis and Neurogenic Claudication. When is it necessary                         Chan                              to fuse the spine?

11:40 – 12:00 PM          Speaker Panel. Question and Comment Period

Lehman

12:00 - 12:05 PM          Morning wrap up

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12:05 - 1:10 PM            LUNCH and Networking Break

1:10 - 1:15 PM              Introduction to Revolutionizing Spine Treatment through Innovation.

1:15 – 1:35 PM             Innovations in Interventional Spine Procedures. What’s on the horizon for spinal treatment  Erosa                                  through regenerative medicine, biologics and percutaneous techniques?                         

1:35- 1:55 PM               Innovations in Spinal Surgery. How do evolving robotic and patient specific technologies advance Sardar                          surgical care for spinal pathologies?             

1:55 - 2:15 PM              Current and Future Uses of Artificial Intelligence to Guide Patient Treatment. What is the role for Lombardi                     artificial intelligence in treating spinal disorders?            

2:15 - 2:30 PM              Speaker Panel. Question and Comment Period.

Lehman

2:30 - 2:35 PM              Closing Remarks for Open Session

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2:45 - 4:00 PM              Physical Therapy Breakout Session. Case-Based

2:45 - 3:05 PM              Moving Beyond Specific Spinal Stabilization Exercises. How can we incorporate treatment for Said                                   regional interactions and global muscle imbalances?

3:05 - 3:25 PM              Mechanical Diagnosis and Therapy: Directional Preference. Evidence and execution in a clinical Pending (Cornell PT)        setting. How do we move beyond just spinal extension?

3:25 - 3:45 PM              Manual Therapy for the Lumbar Spine and Pelvic Girdle. What is actually happening when we  Johnson               happening when we manipulate the spine and when does it work best?

3:45 - 3:55 PM              Breakout Session Speaker Panel. Question and Comment Period.

3:55 - 4:00 PM              Closing Remarks Breakout Session

The Columbia University Vagelos College of Physicians and Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Columbia University Program in Physical Therapy is approved by the New York State Department of Education Office of the Professions as a sponsor of continuing education for physical therapists and physical therapist assistants.

AMA CREDIT DESIGNATION STATEMENT

The Columbia University Vagelos College of Physicians and Surgeons designates this live activity for a maximum of 5.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Upon completion of this session, participants should gain strategies to:

• Identify the advantages and disadvantages of current and evolving diagnostic and treatment techniques for individuals who present with pain and disability arising from spinal pathology.
• Integrate knowledge of current and evolving operative and non-operative techniques with clinical findings to facilitate optimal care and triage of patients with pain and disability arising from spinal pathology in a manner consistent with best practice.
• Enhance the use of best practice differential examination and treatment techniques for individuals with pain and disability arising from conditions that mimic spinal pathology.