July 29–August 2, 2012Kauai Marriott Resort, Kauai, Hawaii USA

Jointly sponsored by the North American Spine Society and the Japanese Society for Spine Surgery and Related Research

P R E L I M I N A R Y P R O G R A M

Dear Spine Care profeSSionalS:aloha! On behalf of the North American Spine Society (NASS) and the Japanese Society for Spine Surgery and Related Research (JSSR), we invite you to attend Spine Across the Sea, July 29-August 2, 2012, on the beautiful island of Kauai, Hawaii. This meeting will provide spine care professionals an opportunity to share current information and concepts relating to spinal problems. While most will come from the United States and Japan, participants from Asia, the Americas and Europe are expected to attend.

Spine Across the Sea will be held at one of Kauai’s premier resort hotels, the Kauai Marriott Resort on Kalapaki Beach. Unique among hotels in Kauai, the resort sits on Kalapaki Bay and offers a wide variety of recreational activities, a superior beach experience and 18 holes of Jack Nicklaus championship golf at the adjacent Kauai Lagoons Golf Club.

This unique meeting is held every three years and offers a wealth of benefits: scientific paper presentations, electronic posters and symposia; a technical exhibition; plus breakfasts and networking breaks. The Wine and Cheese Opening Reception on Sunday, July 29 is a great opportunity to meet with colleagues.

We look forward to seeing you in Hawaii. Mahalo!

Hyun Bae, MD NASS Program Chairman

Planning CommitteeJames D. Kang, MD, NASS Overall ChairShinichi Kikuchi, MD, PhD, JSSR Overall Chair

NASS Program CommitteeHyun Bae, MDAlexander J. Ghanayem, MD John C. Liu, MDPaul Santiago, MDJeffrey T. Summers, MDWay Yin, MD

JSSR Program Committee Yukihiro Matsuyama, MD, PhD Takeshi Fuji, MD, PhDMotoki Iwasaki, MD, PhDMamoru Kawakami, MD, PhDHiroaki Nakamura, MD, PhD

JSSR Organizing Commitee Kazuhisa Takahashi, MD Kazuhiro Chiba, MD, PhDShigenobu Satoh, MD Toshihiko Taguchi, MD

Yukihiro Matsuyama, MD, PhDJSSR Program Chairman

2012 Spine Across the Sea Scientific Program ReviewersNASS thanks these volunteers who spent numerous hours reviewing abstracts:

Kuniyoshi Abumi, MD, DMScSigurd Berven, MDKazuhiro Chiba, MD, PhDAlexander C. Ching, MDMichael D. Daubs, MDTimothy T. Davis, MDMark Erwin, DC, PhDTakeshi Fuji, MD, PhDAlexander J. Ghanayem, MDHarry N. Herkowitz, MDWellington Hsu, MDManabu Ito, MD, PhDMotoki Iwasaki, MD, PhDJames D. Kang, MDMamoru Kawakami, MD, PhDMichael Lee, MDJohn C. Liu, MDJeffrey C. Lotz, PhDHiroaki Nakamura, MD, PhD

Avinash Patwardhan, PhDHeidi Prather, DOK. Daniel Riew, MDPaul Santiago, MDShigenobu Satoh, MDAtsushi Seichi, MDTateru Shiraishi, MD, PhDToshihiko Taguchi, MDKazuhisa Takahashi, MDHiroshi Taneichi, MDYasuaki Tokuhashi, MDEeric Truumees, MDAlexander R. Vaccaro, MD, PhDJeffrey C. Wang, MDWay Yin, MDMunehito Yoshida, MD, PhDYasutsugu Yukawa, MD

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about naSSThe North American Spine Society (NASS) is a multidisciplinary organization with 7,000 members in North America and abroad. The membership consists of orthopedic surgeons, neurosurgeons, physiatrists and other specialists involved in spine care. The leading multidisciplinary organization in the field of spinal disorders, NASS’ mission is to foster the delivery of quality spine care.

about JSSrThe Japanese Society for Spine Surgery and Related Research (JSSR) is the largest Japanese organization representing members in the field of spine and spinal cord disorders. JSSR has more than 3,600 members, mainly orthopedic surgeons. It holds an annual meeting and publishes an official journal to promote basic research and clinical innovation.

table of ContentSLearning Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Who Should Attend . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Session Recordings On-Demand . . . . . . . . . . . . . . . . .4

Membership Information . . . . . . . . . . . . . . . . . . . . . . . .4

Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Headquarter Hotel and Reservations . . . . . . . . . . . . . . 5

Travel Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Kauai Informaiton and Attractions . . . . . . . . . . . . . . . . 6

Island Golf. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Airlines and Flights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CME Information and Certificates . . . . . . . . . . . . . . . .8

Technical Exhibition . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Wine and Cheese Opening Reception . . . . . . . . . . . . .8

Meeting Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Registration Information . . . . . . . . . . . . . . . . . . . . . . . . 14

Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

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learning obJeCtiveSUpon completion of this meeting, participants will gain strategies to:• Promote discussion of new scientific developments and

best practices within spine care organizations.•Demonstrate the application of current techniques,

procedures and research.• Practice evidence- and value-based medicine relative

to spine care.• Exchange ideas with experts and peers from around the

globe to strengthen professional relationships.•Analyze international health policy trends and their

impact on societies.

Who ShoulD attenDJoin the leading authorities in spine care, representing a multidisciplinary community that includes: orthopedic surgeons, neurosurgeons, radiologists, physiatrists, pain management specialists, anesthesiologists, psychologists, chiropractors, physician assistants, nurse practitioners, nurses, physical therapists, researchers, administrators and all other health care professionals with an abiding interest in spine care.

SeSSion reCorDingS on-DeManDCME Credit AvailableVisit www.spineacrossthesea.org to order the conference session recordings and get 24/7 access to scientific presentations. This recording includes electronic posters, scientific sessions, symposia, featured lectures and more. These web-based, fully synchronized audio, video, and slide presentations are available anywhere you can access the internet. Don’t miss your chance to view the archived online compilation of what you missed and earn CME credit!

MeMberShip inforMationThe North American Spine Society is the premier multidisciplinary medical organization representing 7,000 members dedicated to fostering the highest quality, evidence-based, ethical spine care by promoting education, research, and advocacy. With members in 72 countries and 32 specialties, NASS is your link to health care professionals invested in advancing spine care. Learn more at www.spine.org or apply online at www.spine.org/join.

DiSClaiMerThe material presented at Spine Across the Sea is made available by the North American Spine Society for educational purposes only. The material is not intended to represent the only, nor necessarily the best, method or procedure appropriate for the medical situations discussed; rather, it is intended to present an approach, view, statement or opinion of the faculty which may be helpful to others who face similar situations.

NASS disclaims any and all liability for injury or other damages to any individual attending the meeting and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by physicians or any other person.

On occasion, changes in program content or faculty may occur after publication of this preliminary program. The final program will contain confirmed program content, faculty and presenters. Any further changes from the published final program will be announced at the beginning of the session.

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heaDquarter hotelKauai Marriott Resort3610 Rice Street, Lihue, Kauai, HawaiiMain Telephone: 808-245-5050Toll-Free Reservations: 800-266-9432

Known for its warm island hospitality, the Kauai Marriott Resort on Kalapaki Beach underwent a $50 million upgrade, with major enhancements to all its guestrooms, suites, restaurants and pool deck. Unique among hotels in Kauai, the resort sits on Kalapaki Bay and offers a wide variety of recreational activities, a superior beach experience and 18 holes of Jack Nicklaus championship golf at the adjacent Kauai Lagoons Golf Club. Guests will enjoy one of the largest family-friendly pools in Hawaii and our spacious 5-star hotel rooms, most of which offer spectacular views and feature a balcony. Learn surfing, kayaking, scuba, standup paddling and more from the pros with Kauai Beach Boys. Pamper yourself with a luxurious spa treatment at the hotel’s on-site Alexander Spa and Salon. The resort is the idyllic location to meld business and pleasure.

attenDee hotel reServationSAttendee hotel reservations may be made by calling the Kauai Marriott toll-free at 800-266-9432 or online at www.spineacrossthesea.org. Reservations must be made no later than July 6, 2012 to guarantee the room rates. Reservations are made on a first-come, first-served basis and are subject to room availability. The discounted rate may not apply after the cut-off date. There are instances when the room block may sell out prior to the cut-off date so secure your reservations early.

Meeting registration must be completed and processed within two weeks of reserving your hotel room. If not, your hotel room will be cancelled without notice. To receive the special conference hotel rates, please mention that you are attending Spine Across the Sea.

Hotel Room Rates (Room rate per night + taxes)Garden View $205 USDPool View $220 USDPartial Ocean View $240 USDOcean View $260 USD

travel reSourCeS AirportLihue/Kauai Airport (LIH)Website: http://hawaii.gov/lihPhone: 808-274-3800Located less than 5 minutes from the Kauai Marriott Resort.

Airport Shuttle There is a complimentary airport shuttle available upon request. When you arrive at the Lihue airport, there is a courtesy phone located at the Information booth outside of Baggage Claim. Guests can use the courtesy phone and our “At your Service” agents will advise the shuttle of your arrival.

Rental CarsEnterprise Rent-A-Car is located on property at the Kauai Marriott. To reserve your rental car, please call the Kauai Marriott Resort and ask to be directed to Enterprise Rent-A-Car.

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More of Kauai’S top SightS anD attraCtionS

Wailua RiverThe only navigable river in Hawaii.

Wailua FallsWailua Falls is an easily accessible, 80-foot-high waterfall located north of Lihue.

Hanalei TownTimeless Hanalei Town is home to taro farms, art galleries and the Hanalei Pier overlooking beautiful Hanalei Bay.

Poipu Beach ParkPoipu Beach Park, on Kauai’s south shore, was once voted “America’s Best Beach.”

Spouting HornSpouting Horn Park features a blowhole that’s one of the most photographed spots on Kauai.

Hanapepe TownKnown as “Kauai’s biggest little town,” charming Hanapepe Town is the art capital of Kauai.

Opaekaa FallsWith a roadside lookout, this is one of Kauai’s most accessible major waterfalls.

Kilauea LighthouseOn Kauai’s northernmost tip, the lighthouse watches over a wildlife refuge offering amazing views.

Kauai, haWaii Kauai is known as the “Garden Isle” and is considered by most people to be the most beautiful island in Hawaii. It is the oldest of the Hawaiian Islands. Mount Waialeale’s lush slopes are home to the wettest tropical rain forest in the world. This in return gives the island some of the most incredible waterfalls.

The Napali coast on the north shore has majestic cliffs and rugged terrain that make it accessible only by boat or helicopter. You can hike if you’re very adventurous. The Wiamea Canyon is on the south side of the island which is often referred to as the Grand Canyon of the Pacific.

Three quarters of the island is covered with beaches for any type of water sports or just relaxing in the warm tropical sun. Kauai is the only Hawaiian Island with navigable rivers to get up in the mountains and explore and swim in the pools and waterfalls. With all the spectacular waterfalls, beautiful beaches, incredible tropical flowers and Aloha spirit, you will understand why Kauai is known as the Garden Isle.

Weather Step off the plane and feel the warm embrace of Kauai with average July/August temperatures ranging between 75 and 84 degrees Fahrenheit. Ocean temperatures also are perfect, ranging from 71 to 81 degrees Fahrenheit year round.

iSlanD aCtivitieSContact the Kauai Marriott concierge desk at 808-246-5166 or mhrs.lihhi.concierge@marriott.com if you are interested in attending a luau on the island of Kauai. For island tours, please contact the resort activities desk at 808-246-5041.

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iSlanD golf Find the golf course of your dreams on Kauai. From Princeville to Lihue, Kauai is home to some of the world’s best golf. Visitors can play beautiful resort courses or affordable independent courses, where the rough is lined with lava rocks while mountain ranges and seascapes frame the greens.

The Kauai Lagoons Golf Club at the Kauai Marriott Resort reopened in May 2011 with three new holes—one a new ocean hole—and the longest stretch of continuous ocean holes of any course in Hawaii. Jack Nicklaus originally designed the course, and he again headed up the renovation work. The result is a course that is even more breathtaking and exciting.

Additional Kauai golf courses:North Shore•Makai Golf Club at Princeville •Makai Golf Club at Princeville—Woods Course • Prince Golf Course at Princeville at Hanalei East Side•Wailua Golf Course South Shore•Kiahuna Golf Club •Kukuiolono Golf Course • Poipu Bay Golf Course Lihue•Kauai Lagoons Golf Club • Puakea Golf Course

airlineS anD flightS Delta Airlines (800-221-1212) has several flights a day to Lihue and several other Hawaiian destinations from Atlanta, Cincinnati, Salt Lake City, and Los Angeles.

United Airlines (800-241-6522) flies to Honolulu from several cities and directly to Lihue (LIH) from both San Francisco and Los Angeles. Flying directly to Kauai (LIH) saves you from having to stop in Honolulu.

Hawaiian Airlines (800-367-5320) is one of the two main inter-island carriers on Hawaii. Hawaiian Airlines offers non-stop service to Honolulu from several mainland cities including: Seattle, Portland, Sacramento, San Francisco, Los Angeles, San Diego, Las Vegas, and Phoenix.

go! Airlines (888-IFLYGO2) flies inter-island flights between Honolulu, Oahu (HNL), Hilo, Big Island (ITO), Kona, Big Island (KOA), Kahului, Maui (OGG), and Lihue, Kauai (LIH).

Lihue Airport (LIH), pronounced lee-HU-ay, handles virtually all arrivals on Kauai. The terminal in Lihue is small, modern, and efficient. Airlines that fly directly to Kauai include Delta, Hawaiian, United, US Airways (from Pheonix), and Alaska Airlines (from Seattle). Because of the limited number of airlines servicing Kauai, many people fly other airlines to Honolulu and then use an inter-island carrier to travel to Kauai.

Kauai Golf ChallengeGolf your way around the island of Kauai! The cost is $435 USD for play on (3) selected courses and may be purchased at any of the course locations below. More information is available at www.spineacrossthesea.org.

Kauai Lagoons Golf ClubPoipu Bay Golf CoursePuakea Golf Course Prince Golf CourseMakai Golf Club

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Continuing MeDiCal eDuCation CreDitThis activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The North American Spine Society is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality and scientific integrity of this CME activity.

The North American Spine Society designates this live activity for a maximum of 20.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Medical Association has determined that physicians not licensed in the U.S. to participate in this CME activity are eligible for AMA PRA Category 1 Credits™.

The American Academy of Physician Assistants (AAPA) accepts Category 1 credit from AOACCME, prescribed credit from the American Academy of Family Physicians (AAFP) and AMA PRA Category 1 Credits™ for the Physician’s Recognition Award from organizations, such as NASS, accredited by the ACCME.

Each state has different requirements for nurses, physical therapists and other nonphysician providers; please contact the credit granting organization for their requirements.

For credit that may be acceptable to state medical associations, specialty societies or state boards of medical licensure, please contact those organizations for their requirements.

CMe CertifiCateSMeeting evaluations are submitted electronically and a CME certificate can be printed for the sessions you have attended once you have completed the evaluation. Additional information will be available in the final program.

teChniCal exhibition Kauai Ballroom Salon 3

Experience first-hand technology, products and services from vendors who can help you manage your professional goals and strategic objectives. Technical Exhibition hours:Mon., July 30 6:30 a.m.–12:00 p.m.Tues., July 31 6:30 a.m.–12:00 p.m.Wed., August 1 6:30 a.m.–12:00 p.m.Thurs., August 2 6:30–10:00 a.m.

Following are exhibiting companies as of March 22: Advanced Biologics Alphatec Spine, Inc. Baxano, Inc. Bradshaw Medical, Inc. K2M Life Instrument Corporation Nutech Medical, Inc. Stryker TeDan Surgical Innovations, LLC

Companies interested in exhibiting should download the exhibitor prospectus at www.spineacrossthesea.org.

Wine anD CheeSe opening reCeptionThe Wine and Cheese Opening Reception marks the official start of Spine Across the Sea on Sunday, July 29, 6:00-7:30 p.m. on the Luau Grounds at the Kauai Marriott Resort. This is an opportunity to see familiar faces and meet new colleagues.

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SunDay, July 29

2:00–6:00 p.m.Registration

6:00–7:30 p.m.Wine and Cheese Opening Reception

MonDay, July 30

6:30–7:15 a.m.Breakfast

6:30 a.m.–12:00 p.m.Technical Exhibition Open | ePosters Open for Viewing

6:30 a.m.–1:15 p.m.Registration

7:15–7:20 a.m.Opening Remarks

7:21–9:06 a.m.General Session: Basic Research

9:07–9:36 a.m.Best Poster Podium Presentations | Break/Technical Exhibition

9:37–10:57 a.m.

Syposium: Minimally Invasive Lateral Access to the Lumbar SpineModerator: John C. Liu, MDMinimally invasive lateral access to the lumbar spine has gained tremendous popularity. The ability to reach the anterior lumbar spine to perform interbody fusions has allowed surgeons to treat patients with a variety of spine diseases including degenerative disc disease, pseudoarthrosis, adjacent level degeneration and spine deformity. This session covers the history, indications, surgical anatomy and techniques for safely navigating through minimal access to the lateral spine. A number of case exam-ples also are discussed.

Upon completion of this session, participants will gain strategies to:• Identify the indications for DLIF/XLIF.• Describe the most pertinent surgical

anatomy.• Apply DLIF/XLIF in deformity surgery.• Discuss complications and how to

practice avoidance in DLIF/XLIF.

Agenda:• Introduction and Case Presentation (John C. Liu, MD)• Pertinent Lateral Surgical Anatomy and Technique

(Hyun Bae, MD)• How to Avoid Complications in the Lateral Approach

(Neel Anand, MD)• Application in Spinal Deformity (Frank Acosta, MD)• Case Presentation: Is This a Good Patient for

Minimally Invasive Direct Lateral Approach? (John C. Liu, MD)

10:58–11:28 a.m.Break/Technical Exhibition

11:29 a.m.–1:15 p.m.General Session: MIS and New Procedures

Meeting SCheDule

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tueSDay, July 31

6:30–7:15 a.m.Breakfast

6:30 a.m.–12:00 p.m.Technical Exhibition Open | ePosters Open for Viewing

6:30 a.m.–1:15 p.m.Registration

7:15–7:20 a.m.Opening Remarks

7:21–8:34 a.m.General Session: Cervical Spine

8:35–8:50 a.m.Best Poster Podium Presentations | Break/Technical Exhibition

8:51–10:09 a.m.Symposium: Cervical DeformityModerator: Paul Santiago, MDDeformities of the cervical spine can lead to significant functional and neurological impairment in the adult patient. Deformity of the cervical spine can arise from congenital, traumatic, infectious and inflammatory causes. Often these deformities do not come to surgical attention until they are quite advanced.

This symposium covers the natural history, work-up, surgical techniques and outcomes of deformities of the cervical spine, with an emphasis on the use of osteotomy techniques for the correction of sagittal plane deformities of the cervical spine and cervicothoracic junction.

Upon completion of this session, participants will gain strategies to:• Identify the common types of cervical

spine deformities.• Discuss the natural history of iatrogenic

cervical spine deformity and possibly how to prevent it.

• Assess different techniques used for the correction of cervical spine deformity, including pedicle subtraction osteotomies of the cervicothoracic junction.

Agenda:• Case Presentations: Natural History, Diagnosis,

Work-up (Paul Santiago, MD)• Treatment of Inflammatory/Infections Deformities

(Alexander R. Vaccaro, MD, PhD)• Treatment of Degenerative and Post-surgical

Deformities (K. Daniel Riew, MD)

10:10–10:25 a.m.Break

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11:37–11:57 a.m.Break/Technical Exhibition

11:58 a.m.–1:15 p.m.General Session: Spinal Deformity

1:16–1:30 p.mEarthquake and HealthcareSpeaker: Shinichi Kikuchi, MD, PhDDr. Kikuchi gives a firsthand account of the disaster and how the Japanese are moving forward to overcome the earthquake and tsunami.

WeDneSDay, auguSt 1

6:30–7:15 a.m.Breakfast

6:30 a.m.–12:00 p.m.Technical Exhibition Open | ePosters Open for Viewing

6:30 a.m.–1:15 p.m.Registration

7:15–7:20 a.m.Opening Remarks

7:21–8:34 a.m.General Session: Cervical Diagnostics and Imaging

8:35–8:50 a.m.Best Poster Podium Presentations | Break/Technical Exhibition

10:26–11:36 a.m.Symposium: Adult DeformityModerator: Yukihiro Matsuyama, MD, PhDThis symposium details the natural history, clinical symptoms as well as the classification of adult scoliosis based on surgical treatment.

Upon completion of this session, participants will gain strategies to:• Review the natural history.• Describe clinical symptoms of deformity.• Classify adult scoliosis based on surgical

treatment.

Agenda:• Natural History of Scoliosis (Shunji Tsutsui, MD, PhD)• Classification of Adult Scoliosis (Yu Yamato, MD, PhD)• Surgical Treatment of Adult Scoliosis

(Hiroshi Taneichi, MD; Morio Matsumoto, MD; Motoki Iwasaki, MD, PhD)

Continued on next page

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10:26–11:36 a.m.Symposium: Neurological Complications Associated with Spinal Interventions: Patterns of Injury, Anatomy and AvoidanceModerator: Way Yin, MDThe incidence of serious neurological complications associated with spinal interventions has increased dramatically over the last decade, likely associated with the popularity of injections for the diagnosis and treatment of spine pain. Most complications remain sub judice.

Accordingly, reported incidences and patterns of injury may be underestimated in the scientific literature. Several patterns of severe neurological injury can now be discerned, and may be categorized into injuries associated with direct trauma to the spinal cord and secondary vascular events.

This symposium combines case studies with relevant anatomical considerations and technical considerations relevant to modern spinal interventions to minimize the occurrence of these complications.Upon completion of this session, participants will gain strategies to:• Describe basic anatomical relationships of

the spinal nerves and vessels.• Explain how knowledge of regional anatomy

may reduce the likelihood of complications associated with spinal injections.

• Analyze technical considerations which may reduce the risks of complications associated with spinal injections.

Agenda:• Case Presentations (Way Yin, MD;

Timothy T. Davis, MD)• Neuraxial Anatomy, Relational Foraminal

Anatomy, Vascular Anatomy, Fluoroscopic Correlation (Frank H. Willard, PhD)

• Technical Considerations (Way Yin, MD)

11:37–11:57 a.m.Break/Technical Exhibition

11:58 a.m.–1:15 p.m.General Session: Complications and Trauma

8:51–10:09 a.m.

Symposium: Ask the Professors: Interesting and Complex Spine CasesModerator: James D. Kang, MDIn this session, the moderator presents several illustrative cases and asks the panel of experts for their opinions on the management of these patients. Lively discussion on preoperative evaluation, radiological work-up, conservative therapy options, surgical treatment options and techniques, as well as postoperative concerns are thoroughly addressed. Audience participation is encouraged.

Upon completion of this session, participants will gain strategies to:• Explain the principles of cervical stenosis surgery.• Assess the principles of complicated degenerative spinal deformity surgery.• Discuss principles of thoracic disc herniations and their treatment.• Describe the management of spine surgery complications in the cervical and lumbar spine.• Gain insight into how the experts in the field treat complicated spine pathology.

Faculty: Kuniyoshi Abumi, MD, DMSc; Tateru Shiraishi, MD, PhD; Yasuaki Tokuashi, MD; Jeffrey C. Wang, MD; S. Tim Yoon, MD, PhD

10:10–10:25 a.m.Break/Technical Exhibition

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9:37–10:57 a.m.Symposium: Kyphotic Deformity with Compression FractureModerator: Mamoru Kawakami, MD, PhDIt is important to prevent kyphotic deformity after vertebral compression fracture, which may result in residual back pain and neurological deficits due to compression of the spinal cord and cauda equina.

The sequelae can be a significant burden for patients, impairing physical function and quality of life. Surgical intervention should be considered to restore spinal alignment and neurological function without pain in patients with kyphotic deformity with vertebral compression fracture. This symposium focuses on treating the kyphotic deformity with compression fracture.

Upon completion of this session, participants will gain strategies to:• Assess how much kyphotic deformity

should be corrected.• Review the surgical indications to determine

if an anterior or posterior approach is most beneficial.

• Discuss how patients with osteoporosis are best treated for kyphotic deformity.

Agenda:• Anterior Surgical Treatment of Kyphotic

Deformity with Compression Fracture (Manabu Ito, MD)

• Posterior Surgical Treatment of Kyphotic Deformity with Compression Fracture (Tomohiko Hasegawa, MD)

10:58–11:28 a.m.Break

11:29 a.m.–1:15 p.m.General Session: Degenerative Spinal Highlights

thurSDay, auguSt 2

6:30–7:15 a.m.Breakfast

6:30 a.m.–10:00 a.m.Technical Exhibition Open | ePosters Open for Viewing

6:30 a.m.–1:15 p.m.Registration

7:15–7:20 a.m.Opening Remarks

7:21–9:05 a.m.General Session: Diagnostics, Epidemiology, Function, Outcomes and Miscellaneous

9:06–9:36 a.m.Best Poster Podium Presentations | Break/Technical Exhibition

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regiStration inforMationGo to www.spineacrossthesea.org for instructions, registration and policies. For any questions, call NASS at 866-960-6277 or 630-230-3600.

Conference Registration Categories and Fees By April 27 After April 27

Member Physician* $695 $795NASS Member Affiliate Health $495 $595NASS Member Resident & Fellow In-training $495 $595Nonmember Physician $795 $895Nonmember Affiliate HealthLimited to individuals directly employed by a hospital, healthcare network, university, or freestanding facility administering to patients (e.g. DC, PA, NP, RN, PT)

$555 $655

Nonmember Resident & Fellow In-trainingMust provide a letter on letterhead from your program director

$555 $655

Commercial BusinessInterest in spine field but does not treat patients

$795 $895

Guest (Limit 1)Includes continental breakfasts (Mon-Thurs) and Opening Reception

$160 $160

*JSSR Members: To receive the Member rate, please email registration@spine.org and indicate that you are a JSSR member.

ConferenCe regiStration feeSRegistration fees for Spine Across the Sea are designated in US currency. Visa, MasterCard, and American Express are accepted. All education sessions (Monday, July 30 through Thursday, August 2); Wine and Cheese Opening Reception (Sunday evening, July 29); continental breakfasts and networking breaks (Monday through Thursday) are included in the registration fee.

Spine aCroSS the Sea 2012 on-DeManD On-Demand 24/7 online access to all presentations: Member, $50; Nonmember, $75.

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DiSCloSureNASS Financial Conflict of Interest Disclosure PolicyNASS recognizes that professional relationships with industry are essential for development of new spine technologies and medical advancement. According to the NASS Ethics Committee, which authored the disclosure policy, “the goal is to create an environment of scientific validity, in which learners can accurately judge whether the information they receive is objective and unbiased, and to be sure that our members are current and forthright in their dealings with one another and with their colleagues and patients.” The establishment of uniform disclosure requirements frees individuals from having to decide which relationships might influence his or her decision-making and which are irrelevant; transparent disclosure allows the audience to participate in the interpretation of the significance. All authors and faculty speaking at Spine Across the Sea were required to provide complete disclosure of all conflicts of interest. Commercial Support Disclosure As a sponsor accredited by the ACCME, the North American Spine Society must ensure balance, independence, objectivity and scientific rigor in all its sponsored activities. All individuals participating in a sponsored activity are expected to disclose to the activity audience any significant financial interest or other relationship (1) with the manufacturer(s) of any commercial product(s) and or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity. Significant financial interest or other relationship may include: grants or research support, employee, consultant, major stockholder, member of the speaker’s bureau, etc. Disclosure information will be made available visually on a PowerPoint® slide before each presentation, in the final program and orally by the moderator.

Program Committee Statement on Resolution of Conflict of Interest in PresentationsThe intent of this disclosure is to ensure that all conflicts of interest, if any, have been identified and have been resolved prior to the speaker’s presentation. By doing so, the North American Spine Society has determined that the speaker’s or author’s interests or relationships have not influenced the presentation with regard to exposition or conclusion; nor does the society view the existence of these interests or commitments as necessarily implying bias or decreasing the value of the presentation.

FDA DisclosureIf a device or drug requiring FDA approval is identified as an important component of a presentation, the author must indicate the FDA status of those devices or drugs as Approved, Investigational or Not Approved for distribution within the United States. The final program will include all FDA status information. Certain medical devices and drugs identified at Spine Across the Sea may have FDA clearance for use for specific purposes only, or in restricted research settings. The FDA has stated it is the responsibility of the physician to determine the FDA status of each drug or device he or she wishes to use in clinical practice and to use these products in compliance with applicable law.

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