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Programm

Dear Colleagues,
The therapy of degenerative diseases of the spine carries with it medical and socio-economic problems. After conservative measures are exhausted and where there are exacerbated pain conditions or neurological deficites, a surgical procedure may become necessary. Despite good therapy results, consecutive damage may ensue due to traumatisation. It is therefore of particular importance to optimize theseprocedures on a continuous basis. The goal we should strive for is the minimisation of surgically induced traumatisation and negative longterm consequences, taking into account the existing quality standard.

Minimally invasive techniques can reduce tissue damage and its consequences. Endoscopic surgeries demonstrate advantages which have raised these procedures to the standard in various medical areas. On the lumbar spine, as a result of the development of the interlaminar and lateral transforaminal access, the spinal canal with its adjoining structures can be reached full endoscopically. Technical problems have been solved by special rod-lens endoscopes with a large intra-endoscopic working channel and appropriate instruments. Working under a continuous stream of liquid offers options which have proved their worth in arthroscopic surgery through long experience. In the area of the cervical spine anterior or posterior access is possible.

Today, the combination of the new surgical access routes with the technical developments makes possible a full-endoscopic methodology coupled with excellent visibility which, taking into account the indication criteria, carries with it the advantages of a truly minimally invasive procedure and is sufficient, low in complications and economic. Principal indications are disc herniations, spinal canal stenosis and intradiscal procedures such as the introduction of implants.

Full-endoscopic surgeries are an addition and an alternative within the overall concept of spinal surgery. Nevertheless, because of clear indications and boundaries, open and maximally invasive procedures are necessary. These must be mastered by the spinal surgeon in order, while taking into account the respective pathology, to be able to offer the appropriate
procedure as well as cope with problems and complications of full-endoscopic surgeries.

In order to be able to visualize the exact position in the space at any time during the surgery, detailed knowledge of the anatomy is a prerequisite. In addition, for the three-dimensional understanding of the anatomical and pathological structures, the imaginary linking of different imaging procedures and their sectional planes is necessary. This applies in particular to endoscopic techniques in which the direct visual reference between surgical access and working on the spot is lacking.

During the training course we intend, in a reciprocal exchange with yourselves, to try to demonstrate the current and future options as well as problems, risks and complications of full-endoscopic surgeries in the area of the spine. In an environment of practical demonstration where you perform access routines on
cadavers yourself, typical practical experience for your expected learning curve or future clinical application can be gathered. Under intensive tuition by instructors, each participant will perform the various access routines on a practical level and run through special working procedures. For this reason the number of participants is limited. Nevertheless, the training course cannot replace the acquisition of the necessary extensive knowledge.

Having regard to the considerable demand for national and international training courses we hope we have pinpointed your field of interest in the enclosed program and would be happy to welcome you as a participant at our symposium and at the dinner.

Prof. Dr. med. Sebastian Ruetten

Head of the Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group - Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne University Hospital/Marien Hospital Witten, Germany

Dr. med. Martin Komp

Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group - Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne University Hospital/Marien Hospital Witten, Germany

Wednesday, April 17th, 2024

08:30 h Registration and Welcome Address

09:00 h Lecture:
Full-endoscopic spine surgery with the foraminal approach –
Indication and surgical technique

Hands-on cadaver session 1:
09:30 h Demonstration – foraminal approach
10:00 h Hands-on training

12:30 h Lunch

13:30 h Lecture:
Full-endoscopic spine surgery with the interlaminar approach –
Indication and surgical technique

Hands-on cadaver session 2:
14:00 h Demonstration – interlaminar approach
14:30 h Hands-on training

16:00 h Final discussion

16:30 h Closing / Transfer to hotel

 

Friday, April 19th, 2024

08:30 h Registration

09:00 h Welcome and Introduction
D. Goethel, S. Ruetten, M. Komp

Lumbar Spine:

09:10 h The full-endoscopic foraminal approach in disc herniations – Technique and indications of intra-, extra-, and transforaminal lateral access
S. Ruetten, M. Komp, M. Mikhael

09:40 h Discussion

09:50 h Instructional Video
Full-endoscopic surgery with lateral foraminal access in a disc herniation
S. Ruetten, M. Komp, M. Mikhael

10:20 h Break

10.35 h The interlaminar full-endoscopic approach in disc herniations – State of the art, possibilities and limitations
M. Komp, S. Ruetten, M. Mikhael

11:00 h Discussion

11:10 h Instructional Video
Full-endoscopic surgery with interlaminar access in a disc herniation
M. Komp, S. Ruetten, M. Mikhael

11:40 h Full-endoscopic decompression in lateral and central stenosis – Application of the interlaminar and foraminal approach
S. Ruetten, M. Komp, M. Mikhael

12:10 h Discussion

12:20 h Lunch

13:15 h Access information for full-endoscopic surgery of the lumbar spine – Criteria for the foraminal and interlaminar technique
M. Komp, S. Ruetten

13:30 h Complications (dural and nerve injury) in fullendoscopic decompression – How to reduce and how to manage
S. Ruetten, M. Komp, M. Mikhael

13:50 h Discussion

14:00 h Case presentation
International Instructors

14:45 h Break

Cervical Spine:

15:00 h The full-endoscopic surgery of the cervical spine with anterior and posterior access – Possibilities and limitations
M. Mikhael, M. Komp, S. Ruetten

15:25 h Discussion

15:35 h Instructional Video
Full-endoscopic surgery with posterior approach in a disc herniation
M. Mikhael, M. Komp, S. Ruetten

Thoracic Spine:

16:05 h Operation of thoracic disc herniations and stenosis in the full-endoscopic technique – Interlaminar, foraminal, and transthoracic access
S. Ruetten, M. Komp, M. Mikhael

16:25 h Discussion

17.00 h Closing
D. Goethel, S. Ruetten, M. Komp

Referenten

Sebastian Ruetten

Organisation und Anmeldung

ORGANIZATION OFFICE:
RIWOspine GmbH
Ms. Julia Armingeon
Pforzheimer Str. 32
75438 Knittlingen, Germany
Tel.: +49 7043 35-4137
E-Mail:education@riwospine.com
www.riwospine.com/events

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