PAST ICEOS 2022

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
Growth
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