Saturday | July 2, 2022

14.00-14:10 Federico Di Rocco: Introduction to the Course
14:10-15:40 SESSION 1: Introduction to the CVJ
14:10-14:30 Martin Catala: Embryology of posterior fossa and foramen magnum
14:30-14:40 Federico Di Rocco: Role of FGFR in the growth of the posterior fossa and foramen magnum in children
14:40-14:55 Martin Catala: Normal growth of CVJ in children and growth related modifications
14:55-15:10 Dominic Thompson: Developmental aspects of CVJ disorders in children
15:10-15:25 Sniya Sudhakar: Radiological analysis of posterior fossa and foramen magnum and  growth changes
15:25-15:40 Patrick Mertens: Essential surgical landmarks of posterior fossa and foramen magnum
15:40-17:00 SESSION 2: Chiari
15:40-16:00 Concezio Di Rocco: Why we should stop to call it a malformation
16:00-16:20 Sniya Sudhakar: Radiology of Chiari type 1 malformation
16:20- 16:30 Federico Di Rocco: Chiari type 1: the importance of associated anomalies
Gianpiero Tamburrini: Chiari type 1, spectrum of surgical techniques
16:45-17:00 Matthieu Vinchon: Complications after Chiari malformation type 1 surgery and their avoidance 
17:00-17:20 Break
17:20-18:30 SESSION 2: Con’t : Chiari
17:20-17:35 Dominic Thompson: Chiari type 1: Surgical algorithm in children
17:35-17:50 Steven Knafo: Chiari type 1: Surgical algorithm in adults
Matthieu Vinchon: evaluation of the results in Chiari type 1 surgery
18:05-18:15 Federico Di Rocco: presentation of ESPN Failed Chiari Surgery registry
18:15-18:30 Martina Messing-Jünger: Clinical cases
18:30-19:15 SESSION 3 Case for Discussion
18:30-19:15 Room A : Gianpiero Tamburrini,  Martina Messing-Jünger , Dominic Thompson
18:30-19:15 Room B: Alexandru Szathmari, Nobuhito Morota
 18:30-19:15 Room C: Matthew Vinchon, Massimiliano Visocchi

Sunday | July 3, 2022

08:00-10:30 SESSION 4: CVJ instability in children
08:00-08:20 Simonetta Gerevini: Imaging in pediatric CVJ trauma (acute phase and follow-up)
08:20-08:40 Martina Messing Juenger: mechanisms of CVJ trauma and indications for treatment
08:40-09:00 Sandip Chatterjee: Introduction to the CVJ stability in children
09:00-09:20 Alexandru Szathmari: Criteria for CVJ instability at the clinical examination: what to ask, what to search for
09:20-09:40 Sniya Sudhakar: Criteria for CVJ instability at the radiological examination: what to ask, what to search for
09:40-10:00 Dominic Thompson: clinical cases of  CVJ instability / How I evaluate it
10:00- 10:30 Discussion
10:30-11:00 Break
11:00-12:30 SESSION 3: Con’t: CVJ instability in children
11:00-11:20 Matthiew Visocchi: Principles of CVJ stabilization: Indications, biomechanics, long term results
11:20-11:30 Nohubito Morota: Principles of non surgical stabilization: When , how and how long
11:30-11:45 Dominic Thompson: Occipito-cervical stabilization – when and how
11:45-12:05 Sandip Chatterjee: Clinical cases of surgical stabilization
12:05-12:30 Discussion
12:30-14:00 Lunch break - visit of stands
14:00-15:05 SESSION 5: CVJ Congenital pathologies
14:00-14:15 Federico Di Rocco: CVJ in ACH
14:15-14:30 Nobuhito Morota: ACH case discussion
14:30-14:45 Luca Massimi: CVJ in MPS( indications for surgery and surgical principles)
14:45-15:05 Sandip Chatterjee: MPS and other malformations case discussion
15:05-16:25 SESSION 6: Cranio-Vertebral Junction Trauma
15:05-15:25 Dominic Thompson: The evaluation of childhood torticollis
15:25-15:45 Sandip Chatterjee: The spectrum of Atlanto-Axial Dislocations
15:45-16:05 Massimiliano Visocchi: Fractures of the CVJ in children. Diagnosis, management and indications for surgery (anterior or posterior)
 16:05-16:25 Douglas Brockmeyer: CVJ trauma case discussion
16:25-17:20  SESSION 7: CVJ tumoral lesions management
16:25-16:40 Douglas Brockmeyer: spinal tumor removal in children at the cervical level, pitfalls and tricks for reconstruction and stabilization
16:40-17:00 Alexandre Vasiljevic: Spectrum of Cervical spine tumoral lesions
Sandip Chatterjee: CVJ tumors case discussion
17:20-17:45 Coffee Break
17:45-18:30 SESSION 8: Outcome
17:45-18:00 Dominic Thompson: what happens after surgery: Spine evolution after CVJ fixation.
18:00-18:15 Sandip Chatterjee: Redo surgeries for CVJ pathologies, why and when.
18:15-18:30 Nobuhito  Morota: Long-term results in terms of ossification, stability and clinical results
18:30 SESSION 9: Meet the experts

Case presentation for advice from the audience

Monday | July 4, 2022

08:00-12:00 SESSION 10: Surgical techniques – Part 1: Posterior approach to the CVJ
08:00-08:15 Emile Simon: Surgical landmarks of the skull and posterior cervical spine: 3D Study
08:15-08:30 Massimiliano Visocchi: How I do it: posterior instrumentation in children
08:30-08:45 Nobuhito Morota: Practical aspects: How I chose my plate and my screws and where I put it: occiput, C1 lateral mass, C2 pedicle, C2 lamina, C2 pars, C1-C2…
08:45-09:00 Discussion
09:00-12:00 HANDS-ON WORKSHOP: C0-C2; C1-C2 fixation
12:00-13:00 Industry Sponsored Symposium

Supported by:

13:00-18:30 SESSION 10: Surgical techniques – Part 2: Approach to the subaxial spine
13:00-13:15 Emile Simon: Surgical landmarks of the anterior cervical spine
13:15-13:45 Sandip Chatterjee: When to approach to the cervical and subaxial spine anteriorly in children
13:45-14:00 Massimiliano Visocchi: Anterior and anterolateral approach of the subaxial spine
14:00-14:10 Discussion
14:15-17:00 HANDS-ON WORKSHOP: Anterior approach of the subaxial spine (C3) and C3 posterior fixation
17:20-17:40 Sandip Chatterjee: Complications of CVJ fixation and how to avoid them
17:40-18:00 Dominic Thompson: Short- and long-term risks of posterior instrumentation in children
18:00-18:30 PANEL DISCUSSION: Indications for lateral mass screw, C2 pedicle screw, pars screw, lamina screw, C1-C2 transarticular screw, plates…How to choose

Tuesday | July 5, 2022

08:00-12:30 SESSION 10: Surgical techniques – Part 3: transoral approach
08:00-08:15 Pierre-Aurelien Beuriat: Anatomy for the transoral approach
08:15-08:30 Alexandru Szathmari: How I do a transoral decompression: Principles and indications
08:30-08:45 Massimiliano Visocchi: Complications of transoral decompression and their avoidance
08:45-09:00 Discussion
09:00-12:30 HANDS-ON WORKSHOP: Transoral decompression
12:30-13:30 Industry Sponsored Symposium Supported by:
13:30-17:30 SESSION 10: Surgical techniques – Part 4: Occipito-cervical decompression
13:30-13:45 Nobuhito Morota: Posterior fossa decompression: principles and indications
13:45: 14:00 Federico Di Rocco: Posterior vault expansion principles and techniques
14:00-14:15 Dominic Thompson: Posterior fossa decompression: when, why and how I perform a duraplasty
14:15-14:30 Nejat Akalan: Tricks and tips of dural opening and tonsils’ management
14:30-14:45 Carmine Mottolese: Closure after posterior fossa decompression. Tips and tricks
14:45-15:00 Discussion
15:00-17:00 HANDS-ON WORKSHOP: Occipito-cervical decompression
17:00-18:00 SESSION 10: Surgical Complications
17.00-17.20 Dominic Thompson: Specific problems in managing the CVJ  in very young children
Sandip Chatterjee: Specific problems of complex congenital CVJ malformations
17:40 Evaluation of the workshop