PSS - CSMC: Approaches to the Cervical Spine: A Cadaveric Workshop

March 2-3, 2024

PCAS Skills Lab, Cardinal Santos Medical Center

Day 1 (March 2, 2024)

Moderator: Dr. Frederick G. Tiambeng

07:30-08:00 Registration

08:01-08:10 Welcome Remarks [Dr. Theodore S. Vesagas/Dr. Anne Kathleen B. Ganal-Antonio]

08:11-08:20 Course Introduction [Dr. Gilbert J. Rañoa]

08:21-08:30 Anatomy and Biomechanics of the cervical spine [Dr. Daniel William T. Yu]

08:31-08:40 Indications for Anterior Cervical Approaches [Dr. Jereme B. Atupan]

08:41-08:50 Use of the Operating microscope for anterior cervical approaches [Dr. Gilbert J. Rañoa]

08:51-09:00 Q and A

09:01-09:10 Trans-oral approach to C1C2 pathology [Dr. Rafael C. Bundoc]

09:11-09:20 Odontoid screw Fixation: Operative Technique [Dr. Jose Miguel T. Lumawig]

09:21-09:30 Q and A

09:31-10:00 Coffee Break (Sponsors)

Moderator: Dr. Anne Kathleen B. Ganal-Antonio

10:01-10:10 Surgical Management of OPLL [Dr. Kathryn Anne B. Jimenez]

10:11-10:20 ACDF/ACCF: Pearls and Pitfalls [Dr. Ma. Ramona Reyes-Diyco]

10:21-10:30 Artificial Disc Replacement: Current Evidence [Dr. Mikhail Lew P. Ver]

10:31-10:40 Management of Complications of Anterior cervical approaches [Dr. Willo G. Toledo]

10:41-10:50 Q and A

10:51-11:00 Workshop Instructions and Grouping [Dr. Ferdinand R. Bernal]

11:01-12:00 Lunch Break (Major Sponsors)

12:01-05:00 Cadaveric dissection (Anterior Approaches)

Demo Cases

1. Odontoid screw [Jose Miguel T. Lumawig]

2. ADR [Dr. Ibet Marie Y. Sih]

Facilitators: Dr. Ferdinand R. Bernal, Dr. Romel P. Estillore, Dr. Levi M. Maliwat, Dr. Mary Ruth A. Padua, Dr. Franklin M. Dizon III, Dr. Reggie A. Toredes

Case Discussions: (12-3pm)

Moderator: Dr. Michael Louis Gimenez

Panelists: Dr. Dave Anthony G. Dizon, Dr. Rafael C. Bundoc, Dr. Jose Joefrey F. Arbatin Jr, Dr. David T. Endriga

Day 2 (March 3, 2024)

Moderator: Dr. Gilbert J. Rañoa

07:30-08:00 Registration

08:01-08:10 Welcome Remarks

08:11-08:20 Indications for Posterior approaches to the Cervical Spine [Dr. Bienvenido Leo Antonio M. Caro]

08:21-08:30 Image-guided surgery for the Cranio-cervical junction [Dr. Leo Anthony R. Acedillo]

08:31-08:40 Deformity Correction of the cervical spine [Dr. Mary Ruth A. Padua]

08:41-08:50 Q and A

08:51-09:00 C1C2 posterior fusion: Pearls and Pitfalls [Dr. Romel P. Estillore]

09:01-09:10 Endoscopic Cervical Laminotomy and Foraminotomy [Dr. Gian Karlo P. Dadufalza]

09:11-09:20 Laminoplasty: How do I do it? [Dr. David M. Cabatan, Jr.]

09:21-09:30 Q and A

09:31-10:00 Coffee Break

Moderator: Dr. Romel P. Estillore

10:01-10:10 Posterior Subaxial Cervical Screw fixation techniques [Dr. Ryan Conrad A. Carnero]

10:11-10:20 Surgical Options for Adjacent level disease of the cervical spine [Dr. Mario R. Ver]

10:21-10:30 Indications for Circumferential fixations of the cervical spine [Dr. Ronald P. Tangente]

10:31-10:40 Management of Complications of Posterior Cervical approaches [Dr. Ken Jeffrey O. Magcalas]

10:41-10:50 Q and A

10:51-11:00 Workshop Instructions [Dr. Ferdinand R. Bernal]

11:01-12:00 Lunch Break

12:01- 5:00 Cadaveric Dissection (Posterior approaches)

1. C1C2 Fusion [Dr. Romel P. Estillore]

2. Subaxial spine Fusion [Dr. Mary Ruth a. Padua]

pedicle screw insertion
translaminar
lateral mass

Facilitators: Dr. Ferdinand R. Bernal, Dr. Dave Anthony G. Dizon, Dr. Ma Ramona Reyes-Diyco, Dr. Yehlen francis R. Saligumba, Dr. Ryan Conrad A. Carnero, Dr. Jose Joefrey F. Arbatin Jr

Case Discussions (12-3pm)

Moderator: Dr. David M. Cabatan Jr.

Panelists: Dr. Austin Samuel L. Lim, Dr. Samuel Arsenio M. Grozman, Dr. Mario R. Ver, Dr. Ronald P. Tangente

PSS Annual 2023: Cervical Spine Conditions

FACULTY

October 26-27, 2023

Marco Polo Ortigas Manila

Pasig City, Philippines

Day 1- October 26, 2023

0730-0800 Registration

0800-0805 Welcome remarks

Dr. Ryan Conrad A. Carnero, FPOA, FPSS [PSS Treasurer]

0805-0810 Introduction to the course

Dr. Richard V. Condor, FPOA, FPSS, [PSS Vice-President]

0810-0820 A brief review of pertinent surgical anatomy and biomechanics of the cervical spine [Dr. Jon Christian S. Manuntag, FPSS]

0820-0830 Pathologies of the cranio-cervical junction [Dr. Wencito A. Daya, FAFN, FPSS]

0830-0840 Natural History of Disc Disease and updates on nonsurgical treatment of degenerative cervical spine [Dr. Gaudencio Arsenio T. Ligutom III, FAFN, FPSS]

0840-0850 Trans-oral approach to the Dens [Dr. Michael Sabalza, FAFN]

0850-0900 Odontoid Screw Fixation [Dr. Jose Miguel T. Lumawig, FPOA, FPSS]

0900-0910 C1C2 and Occipito-cervical Fusion [Dr. Gilbert J. Ranoa, FAFN, FPSS]

0910-0920 Decision Making in Endoscopic Decompression of the Upper Cervical Spinal Cord [Dr. Elmer Jose A. Meceda, FAFN, FPSS]

0920-0930 Q&A

0930-1000 Coffee break

1000-1010 Surgical indications and patient preparation for the Degenerative Cervical Spine [Dr. Jereme B. Atupan, FPOA, FPSS]

1010-1020 ACDF and ACCF Indications and outcomes [Dr. Ma. Ramona B. Reyes-Diyco, FPOA, FPSS]

1020-1030 Artificial Disc Replacement and my experience [Dr. Mario R. Ver, FPOA, FPSS]

1030-1040 Arthroplasty vs ACDF [Dr. Mikhail Lew P. Ver, FPOA, FPSS]

1040-1050 Q&A

1050-1110 Pearls and pitfalls in cervical Laminotomy and Foraminotomy [Dr. Arnaldo S. Favila, Jr., FPOA]

1100-1110 Outcomes of cervical Laminectomy and Fusion [Dr. Levi M. Maliwat, FAFN, FPSS]

1110-1120 Management of Complications of posterior approach to the cervical spine [Dr. Ken Jeffrey O. Magcalas, FPOA, FPSS]

1120-1140 Q&A

1140-1155 Debate: anterior vs. posterior

1155-1200 Closing remarks: Dr. David M. Cabatan, Jr. [PSS Auditor]

1200-1300 Lunch Symposium

Mega LifeSciences Ltd., Inc.

Pacific Surgical

A Spine/Raynham

STUDY GROUP CASE PRESENTATIONS (7 mins presentation and 3 minutes question and answer)

Moderators: Dr. Jose Manuel F. Ignacio & Dr. Jose Miguel T. Lumawig

1300-1305 Introduction

SIMOT (Spine Infections Metabolic Disorders Osteoporosis Tumours)

1305-1312 Treatment Options for Giant Sacral Schwannoma: a Scoping Review of Literature [Dr. Kevin Melchor]

1312-1319 Awareness of Trainees on Diagnosing TB Spondylitis - an Analysis of Cross-sectional Data among Filipino Orthopaedic Residents [Dr. Romeo Galapon II]

1319-1326 Early Postoperative Outcomes of Posterior Spinal TB Surgeries - a Single-institutional Prospective Analysis of 14 Consecutive Cases (Dr. Romeo Galapon II)

1326-1333 Functional Outcome and Quality of Life of Conservative Versus Surgical Management of Adult Pott’s Disease with Incomplete Spinal Cord Injury: A Prospective Cohort Study [Dr. David Endriga]

1333-1345 Open Forum

BASIC SCIENCE

1345-1352 Dural Sealants in Spine Surgery: A Scientometric Analysis [Dr Rosales]

1352-1359 Outpatient intermittent percutaneous Cerebrospinal Fluid (CSF) drainage as treatment of CSF leak in spine surgery [Dr Paul Albert C. Manuel]

1359-1405 Open Forum

MISS

1405-1412 The Efficacy of Epidural Ropivacaine Plus Morphine as Post-Operative Analgesia in Major Lumbar Spine Surgery: A Randomized Prospective Double-Blind Study [Dr Richard V. Condor]

1412-1415 Open Forum

CERVICAL

1415-1422 Anatomic Feasibility of C7 Pedicle Morphology for Optimal Entry Points and Trajectories for Pedicle Screw Fixation [Dr. Ronald P. Tangente]

1422-1425 Open Forum

DEFORMITY

1425-1432 Translation, Cultural Adaptation, and Validation of the Scoliosis Research Society Health-Related Quality of Life Questionnaire (SRS22) into Filipino [Dr. Carl Celera]

1432-1439 Selective Thoracic Fusion for Lenke Type 1 Adolescent Idiopathic Scoliosis Using Vertebral Column Manipulators: Analysis of Three-Dimensional Correction of both thoracic and lumbar curves [Dr. Ferdinand R. Bernal]

1439-1445 Open Forum

1445-1515 Coffee Break

INTERESTING CASE PRESENTATIONS (7 mins presentation and 3 minutes question and answer)

Moderators: Dr. Adrian B. Catbagan & Dr. Mikhail Lew P. Ver

1515-1520 Introduction

1520-1530 CHONG HUA HOSPITAL: Early Clinical and Radiologic Outcomes of Anterior to Psoas Lateral Lumbar Interbody Fusion vs. Minimally Invasive Transforaminal Lumbar Interbody Fusion [Dr Alejandro Roberto S. Montejo lll]

1530-1540 VICENTE SOTTO MEMORIAL MEDICAL CENTER: Optimizing Surface Matching Registration in Computer Assisted Minimally Invasive Spine Surgery: A Case Series” [Dr. Erika Paulina Stefani H. See]

1540-1550 VICENTE SOTTO MEMORIAL MEDICAL CENTER: Early Clinical Outcomes of Unilateral Biportal Enscoscopic Spine Surgery: A Case Series [Dr Lemuel John M. Tonogan]

1550-1600 THE MEDICAL CITY: Spinal Cord Schistosomiasis: A Conus Medullaris Syndrome Differential Diagnosis [Dr John Alfred Yap]

1600-1610 DAVAO DOCTORS HOSPITAL: Neglected C5 - C6 Bilateral Facet Dislocation: A Case Report [Dr. Harjoland Obenieta]

1610-1620 PHILIPPINE ORTHOPEDIC CENTER: Full Endoscopic Direct Repair of Spondylolysis in the Adult Using Percutaneous Cannulated Screws: A Case Report [Dr Gian Karlo P. Dadufalza]

1620-1630 PGH

1630-1640 CARDINAL

1640 Closing Remarks - Dr. Romel P. Estillore (Research Committee Chairman

1700-2200 Fellowship Night @ the Vu's Bar, Marco Polo Ortigas Manila

Day 2- October 27, 2023

0730-0800 Registration

0800-0810 Welcome remarks

Dr. Anne Kathleen Ganal-Antonio, FPOA, FPSS [PSS Chairman-Scientific Committee]

0810-0820 Primary tumors of the cervical spine [Dr. Mamer S. Rosario, FPOA, FPSS]

0820-0830 Upper cervical spinal cord tumors [Dr. Eric Dennis C. Legaspi, FAFN, FPSS]

0830-0840 Management of metastatic cervical spine tumors (subaxial) [Dr. Michael Louise A. Gimenez, FAFN, FPSS]

0840-0850 Surgical treatment of upper cervical spine metastases

[Dr. Ronald P. Tangente, MBA, FPOA, FPSS]

0850-0900 Q & A

0900-0910 Image guided surgery for the Cranio-cervical junction [Dr. Leo Anthony R. Acedillo, FAFN, FPSS]

0910-0920 Discogenic pain and management options [Dr. Moreen T. Velasco, FPOA, FPSS]

0920-0930 What do we need to know about OPLL and its management? [Dr. Kathryn Anne B. Jimenez, FPOA, FPSS]

0930-0940 Q&A

0940-1000

1000-1030 Coffee Break

1030-1040 Cervical spine deformities: an overview and classification [Dr. Austin Samuel L. Lim, FPOA, FPSS

1040-1050 Cervical spine deformity associated with resection of spinal cord tumors [Dr. Mary Ruth A. Padua, FPOA, FPSS]

1050-1100 Cervical abnormalities in severe spinal deformities [Dr. Romel P. Estillore, FPOA, FPSS]

1100-1110 Q & A

1110-1120 Changes of Cervical Sagittal Alignment after Thoracolumbar Deformity Correction and Clinical Implication [Prof. Yong-Chan Kim, MD, PHD - Korea]

1120-1130 C1 and C2 spinal cord injuries [Dr. John David Mata, FAFN]

1130-1140 Expansion Duraplasty [Dr. Ronald P. Tangente, MBA, FPOA, FPSS]

1140-1200 Surgical Strategies for the Patient with Severe Dynamic Sagittal Imbalance: Overcoming Challenge [Prof. Yong-Chan Kim, MD, PHD - Korea]

1200-1210 Q & A

1210-1230 Case Discussion with a panel (Cervical)

1230-1240 Closing Remarks - Dr. Ronald R. Tangente, MBA, FPOA, FPSS [PSS President]

1240-1400 Lunch Symposium

ZPT Amgen

Medtronic/Goldmed

1400-1600 Induction of new members & PSS Business Meeting

Presentation & Induction of new PSS members (PSS Secretary & PSS President)

PSS Business Meeting

FACULTY

Live Tissue Course Program

August 26, 2023

Valdez Hall, Veterans Memorial Medical Center

Quezon City, Philippines

730-0800H Registration

0800-0810H Welcome remarks

Opening Remarks

Ronald P. Tangente, MD, MBA, FPOA, FPSS, PSS President

Antonio Mario L. De Castro, MD, FPOA, Head, VMMC Orthopedic Department

0810-0820H Indications, risks and complications of the anterior approach to the sub cervical spine [Dr. Michael Nelson P. Lim, FPOA]

0820H-0830H Positioning and anterior approach to the sub cervical spine

[Dr. Jesse Jerus Alem Gabrieli T. Joson, FPOA, FPSS]

0830-0840H Special lecture: complications in anterior neck surgery and how to avoid

[Dr. Charles A. Malapit, FPSO-HNS]

0840H-0850H Indications, risks and complications of the posterior approach to the cervical spine,

including the upper cervical spine [Dr. Ken Jeffrey O. Magcalas, FPOA, FPSS]

0850H-0900H Positioning and posterior approach to the cervical spine

[Dr. Orland Joshua M. Alimbuyuguen, FPOA]

0900-0910H Special lecture: Dural tear (cervical to lumbar) complications, how to avoid

[Dr. Gaudencio Arseño T. Ligutom, FAFN, FPSS]

0910-0920H Q&A

0920H-0930H Indications, positioning in the anterior approach to the thoracic and lumbar spine

[Dr. Angelo Phillip P. Ong, FPOA, FPSS]

0930H-0940H Posterior approach to the thoracic and lumbar spine (positioning and approach)

[Dr. Allan Rodolfo P. Herrera, Jr., FPOA]

0940H-0950H Special lecture: Complications in the anterior approach to the thoracic and lumbar spine, how to avoid and how to fix; Management of intraoperative vessel injury in the cervical, thoracic, and lumbar spine [Dr. Edgar Tuazon]

0950H-1000H Q&A

1000H-1015H Coffee break

1015H-1025H Indications, risks and complications of the lateral approach to the lumbar spine, positioning and the approach in MISS [Dr. Roy Michael G. Domacena, FPOA, FPSS]

1025H-1035H Special lecture: Complications in the retroperitoneal approach, how to avoid and how to manage [Dr. Karl Marvin M. Tan, MD, MMHoA, FPUA]

1035H-1045H Correlating anatomy and imaging (CT and MRI) in identifying vessels at risk in anterior approach to the cervical, thoracic and lumbar spine [Dr. Aureen c. Foronda-Nieto, FPCR, FUSP]

1045H-1055H DVT prophylaxis [Dr. Kevin Archie Ramos, FPCP, FPCC, FPSVM]

1055-1105H Q&A

1105H-1115H Durotomy in spine surgery: when to repair and how to repair

[Dr. Wencito A. Daya, FAFN, FPSS]

1115H-1125H Postoperative CSF leak, its medical management and when to repair (10 minutes)

[Dr. Paul Albert C. Manuel, FPOA]

1125H-1135H Diagnosing metabolic bone disease and its management

[Dr. Dionese Ysabelle Bawal, FPCP, DPCEDM]

1135H-1145H Q&A

1145H-1230H Lunch

1230-1700H Demo Tissue Surgery

[Dr. Kathryn Anne B. Jimenez, FPOA, FPSS/Dr. Gerardo Juan M. Sison, FPOA, FPSS]

Liv Tissue 2023

Adult Spine Deformity

October 21-22, 2022

Face to Face

Marco Polo Ortigas Manila

FILL UP THE EVALUATION FORM Click Here

October 21, 2022

0845-0900 Opening [Watch]

Welcome Remarks

Invocation/Doxology
Philippine National Anthem

Short Introduction/Overview of the entire convention

Session I:
Moderator: Dr. David T. Endriga
0900-0910 Definition and Pathophysiology of ASD, including etiology and epidemiology

[Dr. Moreen T. Velasco] [Watch]

0910-0920 Describing ASD with sagittal imbalance: The impact of sagittal balance in ASD

[Dr. Steve D. Glassman] [Watch]

0920-0930 Classification systems for ASD [Dr. Angelo Phillip P. Ong] [Watch]
0930-0945 Q&A [Watch]
0945-1000 Case Discussion I: Severe Kyphosis in a Patient with Ankylosing Spondylitis -

Philippine Orthopedic Center [Dr. Ryan Conrad A. Carnero] [Watch]

1000-1015 Coffee Break [Watch]

Session II:
Moderator: Dr. Samuel Arsenio M. Grozman
1015-1020 Primary degenerative sagittal imbalance [Dr. Ferdinand R. Bernal]   [Watch]
1020-1040 Iatrogenic spinal deformity [Dr. Jose Martin S. Paiso]  [Watch]
1040-1050 Adult spinal scoliosis: prevalence, outcomes [Dr. Buenaventura Alfredo B. Canto IV]
1050-1100 Q&A  [Watch]
1100-1115 Case Discussion II: How to manage a case of Scoliosis in a patient diagnosed with

Osteogenesis Imperfecta - Philippine General Hospital [Dr. Bienvenido Leo Antonio M. Caro] [Watch]

1115-1130 Radiological assessment of ASD: Regional, global, sagittal spinopelvic, and coronal

parameters with clinical examples [Dr. Chaisiri Chaichankul] [Watch]

1130-1145 Biomechanical radiographical analysis to guide in treatment planning

[Dr. Dennis Hey Hwee Weng Hey] [Watch]

1145-1155 Decision-Making for Managing ASD [Dr. Jonathan N. Sembrano] [Watch]
1150-1200 Q&A [Watch]
1200-1215 Case Discussion III: Conservative Treatment of Postoperative Cerobrospinal Fluid

Leakage in Cervical Spondylotic Myelopathy - Davao Doctors’ Hospital [Dr. Ronald P. Tangente] [Watch]

1215-1300 Lunch Symposia

AMGEN [Watch]

Pacific Surgical [Watch]

Session III:
Moderator: Dr. Oliver Y. Ong
1300-1310 Treatment considerations in ASD [Dr. Larry V. Acuña] [Watch]
1310-1320 Different surgical techniques in ASD [Dr. Neilson G. Palabrica] [Watch]
1320-1330 Risk stratification in ASD [Dr Geraldine Raphaela B. Jose] [Watch]
1330-1345 Q&A [Watch]
1345-1400 Case discussion IV: Computer navigated scoliosis surgery in a patient with AIS

associated with bilateral congenital hip dysplasia - Vicente Sotto Memorial Medical Center [Dr. Erika Paulina Stefani H. See] [Watch]

1400-1410 When can we do limited decompression alone? [Dr. Gian Karlo P. Dadufalza] [Watch]
1410-1420 Indications for limited stabilization [Dr. Hey Hwee Weng Dennis] [Watch]
1420-1430 Osteotomies in ASD [Dr. Dave Anthony G. Dizon] [Watch]
1430-1445 Q&A [Watch]

Session IV:
Moderator: Dr. Renato D. Lipana, Jr.
1445-1500 Biologics in ASD surgery [Dr. Tunku Kamarul Zaman] [Watch]
1500-1515 Complications in ASD surgery [Prof. Noriaki Kawakami] [Watch]
1515-1530 Case Discussion V [Prof. Noriaki Kawakami] [Watch]
1530-1545 Q&A [Watch]
1545 Closing Remarks for Day 1
1700-2200 Fellowship Night (Moonshine – at the back of Marco Polo)

October 22, 2022

Session V: Interesting Case presentation from Training Fellows
0800-1000 Welcome Remarks [Dr. Romel P. Estillore] [Watch]

Interesting Case presentation from Training Fellows

1. Moderator: Dr. Mario R. Ver
Revision of wrong level surgery in a chronic cervical bilateral facet dislocation [Dr. Orland Joshua M. Alimbuyuguen, Vicente Sotto Memorial Medical Center] [Watch]

2. Moderator: Dr. Gilbert J. Ranoa
Cervical Myelopathy in Tourette’s syndrome [Dr. Paul Albert C. Manuel, Cardinal Santos Medical Center] [Watch]

3. Moderator: Dr. Franklin M. Dizon III
Computer-assisted multi-rod construct for a thoracolumbosacral ependymoma [Daniel William Yu, Chong Hua Hospital-Cebu] [Watch]

4. Moderator: Dr. Jean Pierre F. Leung
Case of Paraplegia LN T4 secondary to Spinal Cord Compression from Pott’s Disease (Part of an ongoing series for Pediatric Pott’s Patients presenting in the Cervical and Upper Thoracic Spine Segments) [Dr. Bienvenido Leo Antonio M. Caro, UP-Philippine General Hospital] [Watch]

5. Moderator: Dr. Michael Louis A. Gimenez
Traumatic Spondyloptosis of Axis (C 2 Hangman’s Fracture) with Retrolistheis of C5-C6 (AO Type C): A Case Report in a 26-year-old female [Rommel Tan, MD. FPOA, FPSS, Lou Ides A. Wooden, MD, Ronald Tangente, MD, MBA, FPOA, FPSS Spine and Scoliosis Center, Davao Doctors Hospital, Davao City] [Watch]

1000-1015 Brunch [Watch]

1015-11:15 Turnover and Induction Ceremony [Watch]
Keynote Speaker [Dr. Antonio B. Sison]: Life and Experiences as a Surgeon
Valedictory Address [Dr. Francisco P. Altarejos]
Announcement of election results
Proclamation of New PSS Officers [Dr. Richard V. Condor]
Presidential Turnover
Induction/Oath of Office of New Officers (Dr. Francisco P. Altarejos)
Inaugural Speech (New PSS President)
Announcement of new PSS members (New PSS Secretary)
Induction of new PSS members (New PSS President)