DAY 1 | June 23, 2025 @ Anatomy Lab, University of Lyon

09:00-09:10

Welcome of the participants

09:10-11:00

PART I - THEORETICAL ASPECTS

09:10	Introduction to the course and ESPN
09:15	Pre course trainee’s evaluation
09:30	Principles of rhizotomy and physiopathology of spasticity Discussion
09:55	Nuances between adult and pediatric patients Discussion
10:10	Pre-op evaluation and patient selection Discussion
10:30	Electrophysiology of spasticity Discussion
10:50	Illustrative case #1 -discussion on indication

11:00-11:30

Break

11:30-12:30

PART II SURGICAL ASPECTS

11:30	Anatomy of rhizotomy 15 Discussion
11:50	Per operative evaluation - Physiotherapist and electrophysiology evaluation - How to manage the % of roots section Discussion
12:15	Illustrative case #2 discussion on indication

12:30-14:00

Lunch break

14:00-14:30

PART IV PRACTICAL PART

14:00	Multilevel rhizotomy a. Principles and advantages and risks b. How I do it Discussion
14:30	Unilevel rhizotomy c. Principles and advantages and risks d. How I do it Discussion

15:00-16:30

Hands-on

17:00-18:00

PART V SURGICAL ASPECTS (Con’t)

17:00	Round table: Technical nuances
17:20	Illustrative case #3 -discussion on surgical technique
17:30	Surgery with VR (to be confirmed)

DAY 2 | June 24, 2025 @ GHE

PART VI. LIVE SURGERY
Clinical case HFME

Lunch Break

14:00-15:45

PART VII. THEORETICAL ASPECTS Con’t

14:00	Complications and complications avoidance - Per-op complications - Short term complications - Long term complications Discussion
14:40	Clinical case #4 - discussion on FU and complications
14:55	Clinical case #5 - discussion on FU and complications
15:10	Clinical case #5 - discussion on FU and complications
15:25	Multidisciplinary follow-up and role of the neurosurgeon
	Discussion

15:45-16:00

Post course trainees’ evaluation

16:00-16:30

Course evaluation

16:30

End of the course