The SMISS '09 Highlights Series: Posterior MIS - Pre-sacral Approach

 The safety, learning curve and outcomes for the minimally invasive pre-sacral approach and trans-sacral fixation and fusion.

Release Date: March 01, 2010
Expiration Date: February 28, 2011

Faculty

  • W. Daniel Bradley, MD About

     Orthopaedic Spine Surgeon
    Texas Back Institute
    Denton, TX USA

     

  • Michael MacMillan, MD About

    Clinical Associate Professor
    Department of Orthopaedics and Rehabilitation
    University of Florida
    Gainesville, FL USA

     

  • William Blake Rodgers, MD About

    Orthopaedic Spine Surgeon
    Spine Midwest, Inc.
    Jefferson City, MO USA

     

  • William D. Tobler, MD About

    Mayfield Clinic and Spine Surgery Center
    Cincinnati, OH USA

     

Target Audience

This online continuing medical program has been designed to meet the educational needs of orthopaedic and neurological surgeons, residents, and fellows and other specialties involved in the care of patients with spinal disorders.

Agenda

All content was recorded during the 2009 Annual Meeting of the Society for Minimally Invasive Spine Surgery (SMISS) held in Las Vegas, NV, October 9-12, 2009.

Experience with the Pre-sacral Approach to the Spine
William D. Tobler, MD
0 mins – 12 mins

Clinical Outcome of a Minimally Invasive Trans-sacral Approach to L5-S1 Interbody Fusion
W. Daniel Bradley, MD
12 mins – 19 mins

Safety and Early Results of Trans-sacral Fusion at Ls-S1: Complications in the First 160 Surgeries of a Single Surgeon Series
William Blake Rogers, MD
19 mins – 24 mins

Biomechanical Analysis of a Novel Technique for Dural Repair
Michael MacMillan, MD
24 mins – 28 mins

Media

Internet

Educational Objectives

 At the conclusion of this program, participants will be able to:

  • Discuss the results of recent research and outcomes data regarding the safety and learning curve associated with adoption of pre-sacral approach and trans-sacral fixation and fusion.
  • Describe clinical outcomes and complications reported in various studies of the pre-sacral approach and trans-sacral fixation and fusion.
  • Discuss the rationale behind a recent technique for dural repairs in minimally invasive spine surgery.

Statement of educational need

The statement of educational need for the online modules produced from the SMISS 2009 Annual Meeting is:  Update spine surgeons regarding recent research and clinical outcomes regarding minimally invasive spine surgery procedures utilized to treat spinal deformity, degenerative, trauma and tumor disorders, at all levels of the spine.

Course Completion Time

Based upon trials, the estimated time to complete this program is 0.5 hour.

Sponsorship

This activity is jointly sponsored by Medical Education Resources, Inc., and BroadWater, LLC.
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Educational Grant

This activity is supported by an educational grant from the Society of Minimally Invasive Spine Surgery (SMISS).

SMISS is a non-profit, charitable organization devoted to improving the health of patients with spinal disorders by advancing the highest quality minimally invasive spinal care for patients. (www.smiss.org)

Physician Accreditation

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Medical Education Resources, Inc. (MER) and BroadWater, LLC. Medical Education Resources is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation

Medical Education Resources designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Policy

Medical Education Resources ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in health care and not the business interest of a commercial interest.

Faculty Disclosure

In accordance with U.S. Food and Drug Administration (FDA) and ACCME guidelines, the financial and significant relationships to this program are listed below.

W. Daniel Bradley, MD has indicated the following relevant financial relationships:  Grants/Research Support, Consultant: NuVasive®, TranS1®, Zimmer Spine; Stock/Shareholder: TranS1®; Other Financial Support: NuVasive®, TranS1®, Zimmer Spine

Michael MacMillan, MD has indicated no relevant financial relationships to disclose.

William Blake Rodgers, MD has indicated the following relevant financial relationships: Grants/Research Support: Facet Solutions, NuVasive®, TranS1®, US Spine; Consultant: Exactech, NuVasive®, TranS1®; Stock/Shareholder: Alphatec Spine™, NuVasive®, TranS1®; Speaker's Bureau: Exactech, NuVasive®, TranS1®; Other Financial Support: NuVasive®

William D. Tobler, MD has indicated the following relevant financial relationships: Grants/Research Support, Consultant, Stock/Shareholder: TranS1®; Consultant: TranS1®, Zimmer Spine

Staff Disclosure

The staff/content advisors reported the following financial relationships with commercial interests whose products and/or services may be mentioned in, or relevant to, this CME activity:

Jason M. Highsmith, MD:
Speakers Bureau: Boston Scientific, Globus Medical

Jeremy Longhurst
Nothing to disclose.

Susan Spinisanta
Nothing to disclose.

Craig Mattingly:
Nothing to disclose.

Method of Participation

There are no fees for participating in and receiving CME credit for this activity. During the period March 1, 2010 through February 28, 2011,  participants must:

  1. read the learning objectives and faculty disclosures, 
  2. study the educational activity, 
  3. complete the posttest 
  4. complete the evaluation form, and 
  5. submit the completed post test and evaluation form via www.SpineCME.org

Participants will be able to their statement of credit upon submission of the completed posttest and evaluation with a score of 80% or better. 

Disclaimer

The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources or BroadWater, LLC. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of MER, BroadWater, LLC, and SMISS. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.

Purpose

This program is for educational and scientific purposes only. Any discussion of a product will be objective, balanced, and scientifically rigorous.

Off-Label/Investigational Use

 It should be noted that specific medicines and medical devices discussed or referred to in this program may not yet be specifically cleared by the FDA for use in the United States.  It is emphasized that package inserts must be referred to for labeling limitations for products used in the United States.

Software Requirements