The Pre-sacral Surgical Technique: Rationale, Techniques, Outcomes

This course has expired. You may still view the lesson, however, no credit will be issued.
Release Date: March 30, 2010
Expiration Date: March 31, 2011

Faculty

  • Larry T. Khoo, MD About

    Neurosurgeon

    Los Angeles Spine Clinic
    Los Angeles, CA USA
     

    Dr. Larry T. Khoo graduated from Yale University School of Medicine with Magna Cum Laude honors. Before his fellowship at the Chicago Institute of Neurosurgery and Neuroresearch, Dr. Khoo was Chief Resident in Neurosurgery at the University of Southern California Los Angeles.  Read More

  • William Blake Rodgers, MD About

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

Overview
Overview:  Rationale, basic technique, outcomes
William Blake Rodgers, MD

Technique
Pre-sacral technique:  Surgical fusion animation

Outcomes and Complications
Complications: Subsidence
Larry T. Khoo, MD

Safety and the learning curve of trans-sacral fusion
William  Blake Rodgers, MD

Cases
3 cases: Spondylolisthesis; Revision of TLIF; Adult scoliosis
William  Blake Rodgers, MD

2 cases:  Complex revision; L5 fracture
Larry T. Khoo, MD

Media

Internet

Educational Objectives

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

  • Discuss the rationale, technique outcomes and complications for the pre-sacral technique.

Statement of educational need

Update spine surgeons regarding an emerging technique within the field of spine surgery, the pre-sacral technique, to facilitate increased understanding of the technique, its rationale, clinical outcomes and complications avoidance.

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 Trans1, Inc.

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 experimented 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.

Larry T. Khoo, MD has indicated the following relevant financial relationships: Consultant: Zimmer Spine, Globus, DePuy Spine

William Blake Rodgers, MD has indicated the following relevant financial relationships: Research or institutional support has been received from: NuVasive, Exactech; Stock or stock option held in: NuVasive; Royalties have been received from: NuVasive; Consultant or employee: NuVasive, Exactech, TranS1.

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

J. Longhurst:
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 30, 2010 through March 31, 2011, participants must:

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

Participants will be able view to their statement of credit upon submission of the completed post-test 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 Trans1, Inc.. 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 United States Food and Drug Administration (FDA). It is emphasized that package inserts must be referred to for labeling limitations for products used in the United States.

Software Requirements