Planned and presented by the NASS Section on Interdisciplinary Spine, the Interdisciplinary Spine Forum features a special track of sessions designed to highlight and emphasize the growing importance of coordination of the entire health care team in providing optimal patient care. These specialty educational sessions are intended for surgical and conservative care physicians, physician assistants, engineers, nurse practitioners, nurses, chiropractors and physical therapists.
This year’s program opens on Wednesday, October 25, with a symposium covering the etiology, clinical presentation and management of patients with multiple sites of spinal stenosis.
“The co-occurrence of spinal stenosis and degenerative changes in the cervical and lumbar spine, commonly referred to as tandem spinal stenosis, is a condition that is often misinterpreted and can be extremely challenging to diagnose and treat,” said Evan K. Johnson, DPT, OCS, who will serve as co-moderator of the symposium alongside Rick Placide, MD, PT.
Patients with symptomatic tandem stenosis may present with signs of neurogenic claudication, progressive gait disturbance and findings of mixed myelopathy and radiculopathy. Patients who present with two sites of compressive stenosis may be misdiagnosed in clinical practice, as the patient exhibits an array of symptoms that could be caused by a variety of conditions, including motor-neuron diseases.
“Among the scheduled speakers, we have two renowned engineers who will be presenting on the mechanical properties and natural history of degenerative changes seen in spinal stenosis, as well as regional interdependence and spinal alignment considerations of the cervical and lumbar spine,” Johnson said.
Dr. Placide, an orthopedic surgeon and physical therapist, will follow with a discussion on the physical examination of tandem spinal stenosis patients. He will also talk about “spinal masqueraders,” non-spine conditions that mimic tandem spinal stenosis. Other topics on the symposium agenda include imaging and ancillary testing, interventional management and surgical management of patients with tandem spinal stenosis. Johnson will conclude the symposium with a discussion about physical rehabilitation and education of the patient with tandem spinal stenosis.
“Integrating a biomechanical understanding of tandem spinal stenosis with a strong understanding of the clinical presentation and the research to date will allow us to better identify and treat this condition and make the best decisions for our patients,” Johnson said. “By bringing together experts in different disciplines, we hope to highlight the things we can do collectively that afford our patients with tandem spinal stenosis the greatest opportunity to heal and recover.”
Following is the complete list of this year’s Interdisciplinary Spine Forum sessions. Check the meeting program or the Annual Meeting app for more information.
Wednesday, October 25
THURSDAY, OCTOBER 26
FRIDAY, OCTOBER 27
Co-sponsored by the American Women’s Medical Association