16th Annual International Congress on Early Onset Scoliosis and the Growing Spine. Sheraton Parco de' Medici Hotel, Rome, Italy
November 16–18, 2022

November 16–18, 2022

All times listed in EST*

1:00 pm ICEOS Registration Sala Visconti (Foyer)

Pre-Course: The EOS Graduate Loggia Dei Signori
2:30 Welcome J. Flynn, MD
Session 1: The EOS Graduate Mod: J.Flynn, MD
2:35-2:44 EOS Graduation: Our decision-making journey in the past 20 years C. Johnston, MD
2:45-2:54 Stop lengthening! Who, when, and why M. Oetgen, MD
2:55-2:59 Discussion  
3:00-3:04 I'm happy to stop lengthening and follow (non-MCGR) D. Marks, MD
3:05-3:09 I'm happy just leaving MCGR and follow P. Sponseller, MD
3:10-3:14 I prefer final fusion for all B. Yaszay, MD
3:15-3:19 Discussion  
3:20-3:29 How to know when observation is not working C. Hasler, MD
3:30-3:39 3 stage graduation: Removal, HGT, final fusion M. Glotzbecker, MD
3:40-3:44 Discussion  
3:45-4:09 Refreshment Break and Exhibits Sala Visconti
Session 2: Technical Pearls for Graduation Surgery Loggia Dei Signori
Mod:J. Smith, MD
4:10-4:19 Level selection: case examples A. McIntosh, MD
4:20-4:29 Managing the PJK: case examples M. Erickson, MD
4:30-4:34 The role of osteotomies across lengthy auto fusion R. Stueker, MD
4:35-4:39 How much should we be cleaning up the MCGR debris? C. Nnadi, MD
4:40-4:44 Revision surgeries following definitive fusions M.Vitale, MD
4:45-4:49 Discussion and surgeon therapy session J. Smith, MD
4:50-5:14 Cases for panel and audience discussion  
Tech Updates
5:15-5:21 #1 MAGEC X Technology Update | by NuVasive Toby Jacobs
5:22-5:28 #2 Novel Materials in Pediatric Spinal Deformity | by DePuy Synthes Chris Burke
5:29-5:30 Discussion  
5:30 Adjourn  
ICEOS Opening Session Loggia Dei Signori
Session 3: Campbell Award & Smith Family Lecture Mod: B. Yaszay, MD
5:40 Welcome B. Yaszay, MD
5:41-5:44 Introduction of the Robert Campbell, Jr. Award B. Akbarnia, MD
5:45-5:55 Acceptance Speech D. Marks, MD
5:56-5:59 Introduction of the Smith Family Annual Lecture J. Smith, MD
6:00-6:20 Smith Family Lecture Gorgio Colutta Francesco Trimani
6:20 Adjourn  
6:20 Welcome Reception Sala Visconti
7:15 Adjourn  

Thursday, November 17, 2022

6:45-7:25 Breakfast and Exhibits Sala Visconti
7:30 Welcome B. Yaszay, MD
Session 4: EOS - Back to the Basics Loggia Dei Signori
Mod: J. Sanders, MD
7:35-7:43 Understanding spinal growth A. Dimeglio, MD
7:44-7:52 EOS is a 3D deformity S. Parent, MD
7:53-8:01 Growth-friendly implants: The effects on growth and 3D correction R. Castelein, MD, PhD
8:02-8:12 Discussion  
8:13-8:21 Pulmonary function now, and where it will be in 5 years G. Redding, MD
8:22-8:30 Classifying EOS and its guide to treatment M. Vitale, MD
8:31-8:39 Understanding EOSQ and measuring outcomes B. Ramo, MD
8:40-8:50 Discussion  
8:51 Debate: 2-year-old with a small curve – Cast vs. Brace Mod: M. Glotzbecker, MD
8:52-8:57 Cast is best for the patient, parent, and surgeon Y. Li, MD
8:58-9:03 Brace is best for the patient, parent, and surgeon J. Brooks, MD
9:04-9:09 Combination of brace and cast is the best of both worlds M. Oetgen, MD
9:10-9:19 Discussion  
Session 5: Scientific Papers – Back to the Basics Loggia Dei Signori
Mod:M.Crostelli, MD&A. McIntosh, MD
9:20-9:24 Spirometry Outcomes in an Orthopedic Clinic Setting vs Pulmonary
Function Laboratory for Children with EOS
K. White, MD
9:25-9:29 Growth Friendly Surgeries Increase 3D True Spine Length at 2-Years Post-Operative J. Brown
9:30-9:34 Weight Gain and Nutritional Improvement After Magnetically Controlled Growing Rod Surgery in Early Onset Scoliosis: An Analysisof 68 Patients H. Turner, MD
9:35-9:39 Children with Presumed Early-Onset Idiopathic Scoliosis and Treated in Cast May Have Delayed Ambulation M. Glotzbecker, MD
9:40-9:44 Discussion  
9:45-9:49 Definition of Tweener: Consensus Among Experts in Treating Early Onset Scoliosis H. Matsumoto , MD
9:50-9:54 Clinical Utility of Ultrasonography for the Assessment of Skeletal with Juvenile Idiopathic Scoliosis
Maturity Based on the Sanders Radiological Classification in Patients
T. Bas, MD
9:55-9:59 Parent Requests to STOP Spine-Lengthening Treatment and Impact on EOSQ-24 Scores J. Anari, MD
10:00-10:04 Is Spine Straightness Correlated with Mental Health in Early-Onset Scoliosis Patients Treated with Growing Rods? Psychological Assessment in Graduated Patients M. Yazici, MD
10:05-10:09 Discussion  
10:10-10:40 Refreshment Break and Exhibits  
Session 6: Scientific Papers Loggia Dei Signori
Mod: Y. Li, MD&R. Castelein, , MD, PhD
10:41-10:45 There Is No Magic to It: Lengthening Behavior of Magnetically Controlled Growing Rods in Early Onset Scoliosis J. Heyer, MD
10:46-10:50 The Magic Behind the Magnets in the Magnetically Controlled Growing Rods S. Eiskjaer, MD
10:51-10:55 Establishing Parameters for Future EOS Lengthening Devices: High Resolution Electronic Detection of Force, Displacement and Stiffness During Expansion Surgeries J. Anari, MD
10:56-11:00 The Evaluation of Serum Metal Ion Levels and Metallosis in Patients with Magnetically Controlled Growing Rods F. Alberghina, MD
11:01-11:05 Discussion  
11:06-11:10 Lower Instrumented Vertebra Selection in Growing Rod Surgery and the Risk of Adding On S. Hwang, MD
11:11-11:15 Growth Guidance Surgery with Fusion at Upper Foundation and Segmental Guidance Screwing at Lower Foundation (modified Shilla Surgery) for Early-onset Scoliosis: Evaluation at Least 2 Years Follow Up M. Ito, MD
11:16-11:20 The Spring Distraction System for Growth-friendly Surgical Treatment of Early-onset Scoliosis: A Preliminary Report on Clinical Results and Safety after Design Iterations in a Prospective Clinical Trial R. Castelein, MD, PhD
11:21-11:25 Risk Factors for and Impacts of Auto fusion in Early Onset Scoliosis Fusionless Growing Constructs P. Sturm, MD
11:26-11:30 Discussion  
11:31-11:35 Growth Modulation Significantly Increases the Chance of PostoperativeSuccess Following Vertebral Body Tethering D. Hoernschemeyer,MD
11:36-11:40 Intraoperative Correction Associated with VBT Success at 2-Year Follow-Up N. Larson, MD
11:41-11:45 Major Cobb Angle Did Not Decrease in 92% of Patients After Vertebral Body Tethering (VBT) Surgery Following First Erect Radiograph L. Andras, MD
11:46-11:50 Differential Vertebral Growth Is Maintained 4 Years After Vertebral Body Tethering Surgery for Idiopathic Scoliosis R. El-Hawary, MD
11:51-11:55 Discussion  
11:56-12:00 A Five-Year Look at Pulmonary Function After Both Index and Revision VBT S. Plachta, MD
12:01-12:05 Back Pain in Children Younger Than 10 Years with Spine Concerns B. Ramo, MD
12:06-12:10 Self Sliding Growth Guidance for Early-Onset Scoliosis: Clinical and Radiological Results After a Minimum of Six Years (6-14) of Follow-up M. Enercan, MD
12:11-12:15 Self Growing Rods Modern Luque Trolly in Treatment of Early Onset Scoliosis , 3.5 Years Follow Up J. Ouellet, MD
12:16-12:25 Discussion  
12:30-1:25 Lunch with Non-CME Workshops
12:30-1:25 AIS Treatment: Non-Fusion Scoliosis Correction with REFLECT by Globus Medical Sala Lorenzo
M. Crostelli, MD
12:30-1:25 OR Efficiency: Patient Safety: Better Outcomes | Come see how ApiFix and 7D technologies can transform your practice by OrthoPediatrics Sala Guiliano
J. Brooks, MD
R. Fitzgerald, MD
12:30-1:25 Data and Patient-Specific Implants: How technology is changing my practice by Medtronic Sala Cosimo
N. Larson, MD
M. Vitale, MD
1:30-3:00 Breakout #1 – The Role of Vertebral Body Tethering in 2022 Sala Cosimo
1:30-1:33 Introduction Mod: N. Larson, MD
Thoracic Spine
1:34-1:40 VBT: Best for lumbar, minimal role for thoracic curves A. Samdani, MD
1:40-1:46 Why VBT for thoracic curves S. Parent, MD, PhD
1:46-1:52 VBT should be limited to the child with significant growth remaining B. Yaszay, MD
1:52-1:58 VBT has a role for the older child without a lot of growth D. Hoernschemeyer, MD
1:58-2:04 VBT vs. PDD, how do I choose, and what best facilitates spinalgrowth? R. El-Hawary, MD
2:04-2:14 Panel rapid fire cases and discussion Full Panel
2:14-2:20 Pulmonary function after VBT J. Pahys, MD
2:20-2:26 Bone mineral density, BMI, and patient selection in VBT (how low istoo low) and how does it impact patient selection F. Miyanji, MD,FRCSC
2:26-2:32 Radiographic motion and disc disease after VBT N. Larson, MD
2:32-2:38 Activity and HRQL after VBT M. Welborn, MD
2:38-2:44 Complications after VBT P. Cahill, MD
2:45-3:00 Discussion, Q&A, panel: Current state of affairs around the world, what needs to happen to drive the field forward in Europe, North America, and Asia Full Session Panel
1:30-3:00 Breakout #2– Pre-surgical Optimization: Practical Steps to Really Prepare Kids for the EOS Surgical Journey Sala Lorenzo
1:30-1:34 Introduction Mod:M. Oetgen, MD
1:35-1:41 The US Perspective – Pathways/surgical homes/pre-op clinics J. Murphy, MD
1:42-1:48 The OUS Perspective–The essentials of pre-op assessment to optimize surgical success L. Miladi, MD
1:49-1:55 Pulmonary assessment for OR risk stratification G. Redding, MD
1:56-2:06 Panel Q&A  
2:07-2:13 Infection/Nutrition B. Snyder MD
2:14-2:20 Traction – When to consider and how to decide: pre-op halo gravity, intra-op, temp distraction rods L. Andras, MD
2:21-2:27 Occipito-cervical fusions – Are there special considerations for these cases in the pre-op period? R. Anderson, MD
2:28-2:34 The surgical chess match J. Sanders, MD
2:35-3:00 Panel Q&A and case presentations Full Session Panel
3:00-3:30 Refreshment Break and Exhibits Sala Visconti
Session 7: Case-Based Learning: My Ideal First Case Loggia Dei Signori
Mod: F. Perez-Grueso, MD
3:30-3:36 MCGR L. Andras, MD
3:37-3:43 Traditional Growing Rods Associated with Rib-to-Rib Instrumentation M. Crostelli, MD
3:44-3:50 VBT S.Parent, MD
3:51-3:57 PDD R. El-Hawary, MD
3:58-4:04 Shilla S.Luhmann, MD
4:04-4:14 Discussion  
4:15-5:00 Cases – Ideally, I have tried everything, now what?Or, I should have chosen differently
Panel: Andras, Erickson, Helenius, McCarthy, Miyanji, Skaggs, Yazici
Mod: A. Samdani, MD
5:00 Adjourn  

Friday, November 18, 2022

6:45-7:25 am Breakfast and Exhibits Sala Visconti
7:30 Welcome B. Yaszay, MD
Session 8: Master Techniques – Managing the Complex and their Complications Loggia Dei Signori
Mod: A. McIntosh, MD
7:35-7:43 Management of TL kyphosis K. White, MD
7:44-7:52 Congenital cervicothoracic junction scoliosis P. Sponseller, MD
7:53-8:01 Occipital-Cervical fusion D. Brockmeyer, MD
8:02-8:10 Congenital spinal dislocations Prof. M. Ruf
8:10-8:20 Discussion  
8:21-8:29 Severe pelvic obliquity L. Miladi, MD
8:30-8:38 Infected implant M. Welborn, MD
8:39-8:47 Management of SMA P. Cahill, MD
8:48-8:56 Rigid kyphosis I. Helenius, MD
8:57-9:07 Discussion  
Session 9: Scientific Papers – Techniques Loggia Dei Signori
Mod:J. Anari, MD&C. Nnadi, MD
9:08-9:12 Can We Definitely Avoid Spinal Fusion Surgery for Progressive Early Onset Neuromuscular Scoliosis? L. Miladi, MD
9:13-9:17 Over 10 Years Mean Follow up Results of Hemivertebra Resection and Spine Arthrodesis by Single-Stage Posterior Approach in Congenital Scoliosis and Kyphoscoliosis M. Crostelli, MD
9:18-9:22 Risk Factors for Fusion Failure in Children Undergoing Occiput to C2 Rigid Instrumentation and Fusion R. Anderson, MD
9:23-9:27 Is Spondylothoracic Dysplasia (Jarcho-Levin) a Core Surgical Indication fora V-osteotomy VEPTR Expansion Thoracoplasty of the Posterior Fused Ribs? N. Ramirez, MD
9:28-9:32 Discussion  
9:33-9:37 Proximal Junctional Kyphosis in Growth Guidance Systems for Early Onset Scoliosis S. Luhmann, MD
9:38-9:42 Outcomes of Growth-friendly Instrumentation in Osteogenesis Imperfecta D. Badin, MD
9:43-9:47 Complications Associated with Growing Rod Surgery for Scoliosis in Patients with Prader-Willi Syndrome at Minimum 4 Years B. Ramo, MD
9:48-9:52 Utility of a Risk Severity Scoring System to Predict Infections in Patients Undergoing Growth Guidance Surgery for Early Onset Scoliosis S. Luhmann, MD
9:53-9:59 Discussion  
10:00-10:29 Refreshment Break andExhibits  
Session # 10: Scientific Papers, Best Paper Award, PSF Presidential Address, Keynote Address Loggia Dei Signori
Mods: L.Miladi, MD&B. Snyder, MD
10:30-10:34 Unplanned Return to the Operating Room (UPROR) Occurs in Half of MCGR Patients at 2.years After Initial Implantation A. McIntosh, MD
10:35-10:39 Implant Related Revision Surgery in Spine Based MCGR Constructs: Is it Associated with Construct-Levels to Anchored-Levels Ratio, UIV or Rod Diameter? F. Rios, MD
10:40-10:44 Complications of MCGRs and TGRs in the Management of EOS: A Multicenter Database Study of 800 Patients M. Oetgen, MD
10:45-10:49 Outcomes After Completing Growth-Friendly Surgical Treatment for Early-Onset Scoliosis in Patients with Skeletal Dysplasia A. Saarinen, MD
10:50-10:54 Discussion  
10:55-10:59 Utilizing a Comprehensive Machine Learning Approach to Identify Patients at High Risk for Extended Length of Stay Following Spinal Deformity Surgery in Pediatric Patients with Early Onset Scoliosis M. Vitale, MD
11:00-11:04 Outcomes of Interventions for Intraoperative Motor EvokePotentials (MEP) Waveform Change in Early Onset Scoliosis(EOS) Surgery T. Hashimoto, MD
11:05-11:09 Timing of Clinical and Intraoperative Neurophysiological Monitoring (IONM) Recovery After Termination of Pediatric Spinal Deformity Surgery Due to Loss of IONM Signals: When Is It Safe to Return to the OR? R. Anderson, MD
11:10-11:14 Comparison of the Modified Clavien-Dindo-Sink System and Smith System for Classifying Complications Following Surgical Treatment of EOS M. Vitale, MD
11:15-11:20 Discussion  
11:21-11:26 Money Can't Buy Happiness, but Can It Buy Less Complications and UPRORs in Growth Friendly Surgery? J. Brooks, MD
11:27-11:31 Discussion and Presentation of the Behrooz A. Akbarnia Award for Best Paper B. Yaszay, MD
11:32-11:35 Keynote Introduction B. Yaszay, MD
11:36-11:48 Keynote B. Akbarnia, MD
11:49-11:51 ICEOS 2023 N. Larson, MD
11:52-12:00 PSF Presidential Address J. Flynn, MD
12:00-12:05 Discussion  
12:10-1:00 Non-CME Workshops with Lunch  
12:10-1:00 Cone Beam Tomosynthesis: what we have learned after the first 100 clinical cases. A debrief on the evolution of the technology and an assessment of its clinical utility | by nView Medical Sala Cosimo
B. Ramo
C. Atria, CEO
12:10-1:00 VBT: Optimal indications that result in optimal outcomes | by ZimVie
Panel: D. Hoernschemeyer, F. Myanji, A. Samdani, M. Vitale
Sala Lorenzo
Session 11: Mistakes Made/Lesson Learned: The Benefits of Experience Loggia Dei Signori
Mod: C. Hasler, MD
1:05-1:17 I should have delayed to a definitive fusion C.Johnston, MD
1:18-1:30 Cases we still don't have solutions for J. Flynn, MD
1:31-1:43 I should have gone to the front of the spine D. Marks, MD
1:44-1:59 Discussion  
2:00-2:12 I should not have gone to the pelvis J. Smith, MD
2:13-2:25 I should not have gone to the ribs D. Skaggs, MD
2:26 -2:38 I should not have removed the implants M. Yazici, MD
2:39-2:49 Discussion  
2:50 Closing Remarks; Adjourn B. Yaszay, MD