adult spinal deformity Time: 16:00-18:00 hrs CET
Registration fee: € 50 excl. VAT
Accreditation is applied for: CME credits by EACCME, KNGF, ADAP, KABIZ and NVAMG.
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Update on Scoliosis: [Thursday, January 13 2022] Adult Spinal Deformity (ASD) Watch webinar back
Speakers
Our Speakers
Who's Speaking?

René Castelein

[Orthopedic Surgeon]
MD PhD orthopedic surgeon, Dutch Scoliosis Center Zeist, The Netherlands More info

Miranda van Hooff

[Senior researcher & clinical epidemiologist]
PhD. Senior researcher & clinical epidemiologist – Sint Maartenskliniek & Radboudumc –

Tom Schlösser

[Orthopedic surgeon]
Orthopaedic surgeon – University Medical Center Utrecht, The Netherlands

Nikola Jevtić

[Kineziterapeut]
Kinesiotherapist – Scolio Centar, Novi Sad, Serbia

Fabio Zaina

[Physiatrist]
Physiatrist – ISICO Italian Scientific Spine Institute, Milan, Italy
Webinar
[About the Webinar]
Background information

Adult Spinal Deformity differs from adolescent scoliosis in that the patient often presents with rather severe and incapacitating pain, both back pain and radicular leg pain. Studies have shown that the burden of disease for a patient with adult deformity can be more severe than for any other chronic illness at the same age. The problems associated with Adult Spinal Deformity are likely to increase over the next years due to an aging and more demanding population, that asks to remain active until a later age.

Two types of adult scoliosis can be distinguished, the first is a further aggravation in later life of an already existing scoliosis that started during adolescence, the second a so called de novo scoliosis that develops in an initially straight spine, previously without a scoliosis. Whereas the first type can present with any curve pattern, depending on its original shape, de novo adult scoliosis always presents in the lumbar or thoraco-lumbar spine. Walking capacity is often diminished significantly due to lateral recess or central spinal canal stenosis. Symptoms are related to disc degeneration, facet osteo-arthritis, lateral recess stenosis and loss of trunk balance, most importantly in the sagittal plane. Recent studies have shown similarities in mechanical background and spino-pelvic configuration between adolescent idiopathic and de novo adult degenerative deformity.

This Webinar aims to shed light on a number of important aspects of this disorder, that will demand more medical resources over the next years. The background and magnitude of the problem will be shown, the changes in the sagittal plane, that are known to be more important than the other planes for the functioning of the patient, will be discussed and conservative treatment options will be given, where possible supported by the latest evidence. Lastly, although braces have become unpopular because they can lead to diminished muscle strength, recent insights into the role of braces, and more specifically night time braces, will be given.     

Schedule
[Our Timetable]
At What Time?
16.00 - 16.10 hrs
Introduction
René Castelein, MD PhD orthopedic surgeon, Dutch Scoliosis Center Zeist, UMC Utrecht, The Netherlands
16.10 - 16.22 hrs
Epidemiology of ASD for ‘dummies’
PhD. Senior researcher & clinical epidemiologist - Sint Maartenskliniek & Radboudumc – Nijmegen, the Netherlands
16.34 - 16.46 hrs.
The truth about sagittal balance
Tom Schlösser, Orthopaedic surgeon resident University Medical Center Utrecht, The Netherlands
16.58 - 17.10 hrs.
Therapeutic intervention for ASD
Nikola Jevtić - Kinesiotherapist - Scolio Centar, Novi Sad, Serbia
17.22 - 17.34 hrs.
Braces for ASD
Fabio Zaina, MD Physiatrist, ISICO Italian Scientific Spine Institute · Rehab, Milan
17.46 - 18.00 hrs.
Wrap up
René Castelein, MD PhD orthopedic surgeon, Dutch Scoliosis Center Zeist, UMC Utrecht The Netherlands