Spanish & Portuguese Spine Societies Course Diploma. Module 5: Tumours & Inflammatory Diseases of the Spine

BONE DISORDERS
• Paget‘s disease
• Rickets
• Diffuse idiophatic skeletal hyperostosis (DISH) (Forestier’s disease)
• Metabolic bone disease
OSTEOPOROSIS
• Outline the etiology of osteoporosis
• Diagnose osteoporosis using appropriate investigations
SURGICAL CONSIDERATIONS IN DISORDERS OF THE BONE
• Evaluate treatment options
• Compare minimally invasive techniques including; vertebroplasty, kyphoplasty, vertebral body stenting
CASE DISCUSSION

POSTERIOR CERVICAL
• Approach the posterior cervical spine
• ldentify anatomical landmarks of the occipito-cervical region
• Anticipate risks and pitfalls
• Perform lateral mass screw fixation
• Perform lamina hook fixation
• Perform C1-C2 screw osteosynthesis (Harms or Magerl)
• lnsert an occipital plate
VBR: VERTEBRAL BODY REPLACEMENT (THORACIC SPINE & THORACO-LUMBAR JUNCTION)
• Approach to the anterior thoracic and thoraco-lumbar spine
• Describe the relationship between large vessels and spine
• Elevate diaphragm
• Prepare rib for strut graft
• Perform discectomy
• Perform corpectomy
• Place rib strut graft
• Place corpectomy cage

RHEUMATOID ARTHRITIS
AETIOLOGY, PATHOGENESIS, SYMPTOMS, DIAGNOSIS
• Explain the aetiology of rheumatoid disease
• Describe the pathogenesis relating rheumatoid disease and joint changes
• Recognise the signs and symptoms
• Select and interpret appropriate investigations and imaging
• Recognise signs of the rheumatoid spine and ankylosing spondylitis
STABILIZING & CORRECTIVE SURGERY OF THE SPINE
• Describe indications for corrective surgery for ankylosing spondylitis
• Diagnose occipito-atlantoaxial complex and subaxial cervical spine
• Differentiate between horizontal and vertical atlantoaxial instability
DIAGNOSIS & TREATMENT OF THE OCCIPITO-ATLANTOAXIAL COMPLEX
• Identify the commonly used radiographic lines and measurements for the C0 to C2 complex
• Plan appropriate treatment for C0 to C2 and sub-axial rheumatic neck problems
• Appraise current evidence regarding outcome and prognosis
CASE DISCUSSION

PRIMARY BENIGN TUMOURS AND TUMOUR LIKE LESIONS; DIAGNOSIS AND MANAGEMENT
• Explain the aetiology of tumours and tumour like lesions
• Describe the pathogenesis relating to tumours and tumour like lesions
• Differentiate between primary benign tumours and tumour like lesions
• Select appropriate investigations, interpret results and stage tumour like lesions
• Evaluate treatment options
• Anticipate outcomes
• Formulate a plan for long term monitoring
SECONDARY MALIGNANT TUMOURS; DIAGNOSIS AND MANAGEMENT
• Justify the relative importance of combined tumour therapy including surgery, radiotherapy and chemotherapy
• Evaluate surgical options and results
• Formulate a multidisciplinary management plan
• Justify the risks, benefits and impact of radiotherapy and chemotherapy
• Evaluate surgical options
• Anticipate complications
COMPLICATIONS AND QUALITY OF LIFE EVALUATION
CASE DISCUSSION