The 12th Annual New York City Minimally Invasive Spine Surgery Symposium

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Dr. Michael Virk demonstrates a MIS technique to attendees of NYCMISS 2018.
Dr. Michael Virk demonstrates a MIS technique to attendees of NYCMISS 2018.
01-25-2019

The 12th Annual New York City Minimally Invasive Spine Surgery Symposium (NYC-MISS 2019) was held on December 14-16, 2018. Participants attended two days of lectures and case studies, followed by a hands-on cadaver lab session where they learned practiced the most advanced techniques for minimally invasive spine surgery. This year’s course featured the widest array to date of leading-edge equipment for advanced techiques, including robotic surgery.

Highlights of the symposium included a “Socratic Battle” between Dr. Juan Uribe and Dr. Sigurd Berven on the comparative benefits of MIS versus open surgery, a demonstration of Indirect Decompression via Transpsoas Approach and Extreme Lateral Interbody Fusion with Dr. Luiz Pimenta, a demonstration of the MIS Decompression for Lumbar Stenosis by Dr. Roger Härtl, and the lab session, which featured 10 cadaver workstations featuring the newest MIS technologies.

The debate among spine surgeons includes questions about  how surgeons select the correct procedure for the patient, whether minimally invasive surgery (MIS) and navigation should prevail over standard operative procedures for the treatment of spinal disorders, and how best to weigh the pros and cons? 

Many surgeons currently do not have the expertise or technical knowledge to inform this decision-making process, which requires a comprehensive understanding of the new and less invasive techniques (with and without stereotactic navigation) for the operative treatment of spinal disorders, particularly an understanding of the skills essential in selecting appropriate patients for MIS surgery.

Through lectures, panel discussions, and case studies covering the most current techniques (microdiscectomy/laminectomy using tubular access, minimally invasive TLIF, transpsoas approach),  pros/cons of MIS, complex case reviews, and a look at the future of MIS, this annual course provides surgeons with a better understanding of available procedures and criteria for appropriate patient selection. See the agenda below, and save the dates for this year’s course (December 12-14, 2019).

NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Franziska Schmidt practices new techniques
Dr. Franziska Schmidt practices new techniques
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Sertac Kirnaz practices new techniques
Dr. Sertac Kirnaz practices new techniques
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Eric Elowitz demonstrates techniques for spinal surgery
Dr. Eric Elowitz demonstrates techniques for spinal surgery
Dr. Eric Elowitz demonstrates techniques for spinal surgery
Dr. Eric Elowitz demonstrates techniques for spinal surgery
Dr. Eric Elowitz demonstrates techniques for spinal surgery
Dr. Eric Elowitz demonstrates techniques for spinal surgery
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Roger Hartl in conversation
Dr. Roger Hartl in conversation
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Michael Virk demonstrates spinal procedures
Dr. Michael Virk demonstrates spinal procedures
Dr. Eric Elowitz demonstrates minimally invasive spine procedures
Dr. Eric Elowitz demonstrates minimally invasive spine procedures
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Fernando Nin practices new techniques
Dr. Fernando Nin practices new techniques
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Fernando Nin discusses new techniques
Dr. Fernando Nin discusses new techniques
Dr. Murat Cosar learns new minimally invasive techniques
Dr. Murat Cosar learns new minimally invasive techniques
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
NYC-MISS 2018: 12th New York City Minimally Invasive Spine, Spinal Endoscopy, Robotics, and 3D Navigation Symposium: Case-Based and Hands-On
Dr. Michael Virk demonstrating new MIS techniques
Dr. Michael Virk demonstrating new MIS techniques
Dr. Eric Elowitz demonstrating new MIS techniques
Dr. Eric Elowitz demonstrating new MIS techniques
Dr. Christoph Wipplinger and Dr. Roger Härtl
Dr. Christoph Wipplinger and Dr. Roger Härtl

2018 Course Agenda
Day 1 — Thursday, December 13, 2018
12:00-12:45pm, Registration and Lunch
            Belfer Research Building
12:45-1:00pm, Welcome Remarks
            Roger Härtl, M.D. and Luiz Pimenta, M.D.
Session I: MIS Decompression
1:00-1:10pm, Introduction to course and MIS
            Roger Härtl, M.D.
1:10-1:30pm, Step by Step: 10-step Technique; 3 Principles &
             MIS Decompression for Lumbar Stenosis
            Roger Härtl, M.D. 
1:30 – 1:50pm, Step by Step: Decompression for Cervical 
            Pathologies Alexandre Sadao Iutaka, M.D.
1:50-2:10pm, Step by Step: Endoscopy for Spinal 
            Pathologies Christoph Hofstetter, M.D. 
2:10-2:30pm, Step by Step: Indirect Decompression via 
            Transpsoas Approach and Extreme Lateral 
            Interbody Fusion Luiz Pimenta, M.D.
2:30-2:40pm, Tubular Far Lateral Discectomy: Tips and Tricks
            Eric Elowitz, M.D.
2:40-3:00pm,   BREAK
Session II: Navigation, Planning, Robotics, 3D Printing
3:00–3:20pm, Step by Step: 3D Navigation for Spine
            Paul Park, M.D.
3:20-3:40pm, Robotic OLIF John Pollina, M.D. 
3:40-4:00pm, Surgical Planning Using Advanced Software: 
            Current Status and Outlook
            Frank Schwab, M.D. 
4:00-4:20pm, 3D Printing in Spinal Surgery James Lynch, M.D.
4:20-4:40pm, Total Navigation Roger Härtl, M.D.
4:40-4:50pm, Robotic Navigation in Complex Deformity 
            Surgery Juan Uribe, M.D.
4:50-5:30pm, Panel Discussion: What Is the 
            Future for Robotic & Navigation? All Faculty

Day 2 – Friday, December 14th 2018
7:15-7:40am, Registration and Breakfast
            Belfer Research Building

Session III: Advanced MIS Techniques
7:40-8:00am, Step by Step: MIS TLIF 
            Giuseppe Barbagallo, M.D. 
8:00-8:20am, Expandable Lateral Cages
            Sheeraz Quereshi, M.D. 
8:20-8:40am, Single Stage Lateral Surgery & Navigation
            Anand Veeravagu, M.D. 
8:40-9:00am, Current Status Cervical TDR – Advantages 
            to Fusion Michael Hisey, M.D. 
9:00-9:20am, Biological Approaches for Disc Repair and 
            Regeneration Christoph Wipplinger, M.D. 
9:20-9:40am, MIS Cervical Facet Cages Rahul Shah, M.D.
9:40-10:00am, BREAK
10:00-11:00am, MIS Deformity Small Group Case Discussions
            (breakout sessions, 2 rooms)
            Moderators: Kai-Ming Fu, M.D., Ph.D. and 
            Michael Virk, M.D., Ph.D.
Session IV: “Socratic Battle”
11:00-11:20am, MIS Is Best for Deformity Juan Uribe, M.D.
11:20-11:40am, Open Surgery Is Better and Safe
            Sigurd Berven, M.D.
11:40-11:50am, Q & A Moderator: Massimo Balsano, M.D.
11:50am-12:50pm, WORKING LUNCH Cases and Videos
            Moderated by Sertac Kirnaz, M.D., Franziska Schmidt, M.D., and Christoph Wipplinger, M.D.
12:50-1:10pm, OLIF 5/1 John Pollina, M.D., Ph.D.
1:10-1:30pm, MIS Sacro-Pelvic Fixation Techniques
            Frank Phillips, M.D. 
1:30-1:50pm, Single Stage Perc Screws with Navigation 
            Michael Virk, M.D., Ph.D. 
1:50-2:10pm, MIS Deformity Correction: Mini PSO
            Juan Uribe, M.D. 
2:10-2:30pm, Lateral Potential for Deformity Correction 
            Cristiano Menezes, M.D.
2:30-2:50pm, Posterior MIS Deformity Correction 
            Frank Phillips, M.D. 
2:50-3:10pm,   BREAK
3:10-3:20pm,   Expanding Indications of MIS Deformity 
            Correction Based on the Newest ISSG 
            Consensus Recommendation 
            Kai-Ming Fu, M.D., Ph.D.
3:20-5:00pm, Lateral Deformity Correction: Tips and 
            Tricks Luiz Pimenta, M.D.
            Breakout Sessions, 2 Rooms
            Deformity Moderators:
            Kai-Ming Fu, M.D., Ph.D. and 
            Michael Virk, M.D., Ph.D.
            Endoscopy Moderators:
            Eric Elowitz, M.D., and 
            Christoph Hofstetter, M.D.
5:00-5:15pm, Closing Remarks Roger Härtl, M.D.

Day 3 – Saturday, December 15, 2018
Session V: Techniques and Hands-on Lab
7:20-7:40am, Registration and Breakfast 
            Griffis Faculty Club
7:40-7:50am, Overview /Instructions
7:50-8:00am, Travel to Lab / Instructions
8:00am-2:00pm, Surgical Demonstration and Lab Dissection
            Anatomy Lab
2:00-3:30pm, Sit-down Lunch and Case Presentations / 
            Videos Griffis Faculty Club
            Moderated by Franziska Schmidt, M.D. 
            and Christoph Wipplinger, M.D.