Veidlapa Nr. M-3 (8)
Study Course Description
Treatment of Degenerative Diseases of the Spine II
Course Code
RMK_016
Branch of Science
Clinical medicine
ECTS
15.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Jānis Osītis
Residency Speciality
Speciality
Vertebral surgeon
Supervisor of Medical Speciality
Jānis Osītis
Contacts
-
About Study Course
Objective
The second part of the spinal degenerative diseases training course is a sequential training course that builds on the knowledge and skills acquired in the first courses. The aim of part II is the ability to analyze, understand the problem and create a treatment plan in case of complicated degenerative pathology of the spine, such as degenerative scoliosis with spondylolisthesis or osteoporotic fracture, ankylosis, kyphosis, spinal imbalance. In these cases, a complex approach to the spine is required, both respecting the biomechanical parameters and the integrity and function of the nerve structures, understanding the effect of the operated section of the spine on the non-operated ones. The aim of the course includes giving residents the ability and skill to combine surgical techniques and materials, to use both dorsal and ventral approaches to the spine.
Learning Outcomes
Knowledge
1.The student has acquired sufficient theoretical knowledge to evaluate whether an improvement in the patient's quality of life can be achieved with extensive reconstructive surgery, to create a complex one- or several-stage surgery plan and to consider alternatives in case of unforeseen technical difficulties.
Skills
1.Has mastered at least one of the types of spinal osteotomies and knows how to correct degenerative scoliosis in the lumbar region with implant construction and intervertebral disk fixing substitutes (PLIF or TLIF), augmented screw implantation technique.
Competences
1.Competent in evaluating treatment options for complex spinal deformity or chronic instability and drawing up a treatment plan.
Assessment
Individual work
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Title
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% from total grade
|
Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Three of the study course topics must be presented in writing.
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Examination
|
Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
2.
Examination |
-
|
-
|
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Assessment of practical skills in a 10-point system at the end of the course, conducted by the lecturer from whom the resident received practical training.
Assessment of theoretical knowledge in a 10-point system for the written review presented within the seminar.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Ankylosing spondylitis. Kyphotic deformities. Spinal osteotomies, their types.
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-
Seminar
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Modality
|
Location
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|---|---|---|
|
-
|
-
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Topics
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Multiple osteoporotic fractures. Correction of deformities with augmented implant construction. Risks of surgical and postoperative complications.
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-
Seminar
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Modality
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Location
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|
|---|---|---|
|
-
|
-
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Topics
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Ossification of the posterior longitudinal ligament, multilevel spinal stenosis in the neck. Surgical treatment options. Back fixation of the neck. Craniocervical fixation.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Atlanto - axial instability. Transarticular fixation. Transpedicular fixation. C2 dens axis fixation with cannulated screws.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Pseudarthrosis after vertebral fractures. Various vertebral body replacement implants. Planning of multi-step operations. Fixation with anterior-lateral construction in the chest and waist. Use of autografts and allografts.
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-
Seminar
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Modality
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Location
|
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|---|---|---|
|
-
|
-
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Topics
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Importance of spondylodesis in reconstructive surgery. Artificial materials and drugs to promote spondylodesis. Use of autologous bone in adults.
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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Motion-preserving prostheses of intervertebral discs, indications for their use, theoretical implantation technique and features compared to ALIF and ACIF.
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Total ECTS (Creditpoints):
15.00
Number of Residency Seminars:
7
Length (weeks):
12
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Benzel’s Spine Surgery. 4th edition, Elsewier 2017.
Additional Reading
1.
European spine Journal