Welcome to the Event Room for the AO Spine Webinar—Management of L4-L5 Instability with Asymptomatic Disc Disease at L3-L4 or L5-S1
Moderators: S. Rajasekaran
Evidence based medicine and randomized prospective controlled trials are the basis of clinical medicine today. While we strongly rely on this evidence, the practicing surgeon frequently encounters clinical scenarios for which solutions from such trials are not possible.
The AO Spine Clinical Expert Advice Forums aims to fill that void, by documenting experts’ advice on different everyday clinical scenarios, from diagnosis, or management decisions, to intra-op events or post-operative complications.
Segmental instability at the L4-L5 level is a very common condition in lumbar pathology. Common causes of instability include advanced disc degeneration, spondylolisthesis, spondylolysis, and post-laminectomy syndrome. In many cases, L4-L5 is the only affected level, while adjacent segments show no critical illness. In some patients, an incipient deformity may be recognized together with the segmental instability, but the deformity is not severe or symptomatic.
Surgical management of L4-L5 instability consists of segmental fusion, which can be achieved through different techniques and approaches depending on the surgeon’s preferences and the patient’s condition. To provide guidance on the management of segmental instability at the L4-L5 level, the lead author (Matteo Pejrona (EP)) asked four expert spine surgeons (Pedro Berjano (PB), Ashish Diwan (AD), Emiliano Vialle (EV), and Claudio Lamartina (CL)) from three continents to advise on two case studies. A classification strategy is also presented to help clinicians determine appropriate treatment options for L4-L5 instability.
The event starts on November 27th at 12:00 Central European Time.
Please check your local time for the webinar here.
To log-in: A link will be emailed to all registered participants about 20 minutes prior to the start.
The webinar will run under Adobe Connect. Please use preferably Google Chrome as browser for best results.