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Jun 06 - Jun 06, 2025

2025 David B. Levine, MD, HSS Spine Symposium

New York, NY

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Location

535 East 70th Street New York, NY 10021

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Description

Join HSS for a 1-day course focused on the evolving field of spinal alignment, with insights into the latest concepts and practices. Learn about new alignment parameters, how they impact surgical planning, and how to evaluate spinal alignment pre- and postoperatively, considering patient-specific factors that influence outcomes. The course will cover advanced surgical techniques, advanced imaging and navigation tools, and evidence-based guidelines for addressing spinal deformities and complications. Participants will gain a deeper understanding of personalized treatment approaches, tailored to age, comorbidities, and individual clinical presentation.

This course is named in honor of David B. Levine, MD, Orthopaedic Surgeon Emeritus at Hospital for Special Surgery. A former Chief of the Scoliosis Service (1967–1995), Dr. Levine specialized in scoliosis and care of the spine at HSS for over 30 years. He is Director Emeritus of both the Alumni Affairs and the Archives Committees. The David B. Levine, MD, Chair in Scoliosis is established in his honor.

This activity is targeted to spine and neurosurgeons, non-operative spine and sports physicians, and advanced practice providers. Residents, fellows and medical students may also benefit from this activity.

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Course chairs

Orthopaedic Surgeon - Spine Specialty

Surgeon

HSS - The Pavilion

Map

535 East 70th Street New York, NY 10021

06.30AM - 07.00AM
Check In / Exhibit Hall Open*
07.00AM - 08.00AM
David B. Levine, MD Honorary Lecture in Spine: Modern Alignment Concepts in a Dynamic Field
MOD:
08.00AM - 08.25AM
Transition / Breakfast / Exhibit Hall Open*
08.25AM - 08.30AM
Introduction and Welcome
MOD:
08.30AM - 08.40AM
Spine Service Update
08.40AM - 09.00AM
Historical Perspective of Scoliosis at HSS | A Word from David B. Levine, MD*
09.00AM - 09.30AM
Alignment Concepts Overview
MOD: ,
09.05AM - 09.20AM
PI-LL and the Evolution of How We Arrived at These Concepts
09.20AM - 09.30AM
The History of the Creation of Age-Adjusted Alignment and Its Clinical Relevancy
09.30AM - 10.15AM
Clinical Applications of PI-LL in Spinal Deformity Patients: Successes and Failures with Case Examples
MOD:
09.30AM - 09.35AM
Case #1: PI-LL was Perfect, but Still Had Mechanical Failures
09.35AM - 09.45AM
Panel Commentary
09.45AM - 09.50AM
Case #2: PI-LL was Perfect, and Patient Did Perfectly
09.50AM - 10.00AM
Panel Commentary
10.00AM - 10.05AM
Case #3: Where PI-LL was Not Perfect, but Patient Did Very Well Anyway
10.05AM - 10.15AM
Panel Commentary
10.15AM - 10.30AM
Break / Exhibit Hall Open*
10.30AM - 11.15AM
New Concepts in Spinal Alignment
MOD:
10.35AM - 10.45AM
GAP Score and Its Clinical Relevancy
10.45AM - 11.00AM
T4-L1PA and Future Concepts in Spinal Alignment
11.00AM - 11.15AM
Practical Applications of the GAP Score, T4-L1PA, C2-PA and PI-LL, SVA Concepts: What Does the Literature Say is Superior with Regard to PJK Incidence?
11.15AM - 12.00PM
Clinical Applications of T4-L1PA in Spinal Deformity Patients
MOD:
11.15AM - 11.20AM
Case #1: T4-L1PA are Spot On, but Still Had Failure / PJK Development
11.20AM - 11.30AM
Panel Commentary
11.30AM - 11.35AM
Case #2: T4-L1PA were “Off,” but No Failure of PJK and Clinical Success
11.35AM - 11.45AM
Panel Commentary
11.45AM - 11.50AM
Case #3: T4-L1PA were “Off,” and developed Mechanical Failure
11.50AM - 12.00PM
Panel Commentary
12.00PM - 12.30PM
Lunch / Exhibit Hall Open*
12.30PM - 12.45PM
Pediatric Applications of Alignment Concepts: The Evolution of Sagittal Alignment in Pediatric Deformity Patients
12.45PM - 01.00PM
Level Selection to Optimize Sagittal Alignment in Pediatric Deformity Surgery (Scoliosis & Kyphosis)
MOD:
01.00PM - 01.30PM
Case Discussion: Early Failures in Pediatric Deformity Surgery due to Malalignment: Lessons Learned
01.00PM - 01.15PM
Case 1
01.15PM - 01.30PM
Case 2
01.30PM - 01.45PM
Break / Exhibit Hall Open*
01.45PM - 02.00PM
The Role of Alignment Concepts in MIS Surgery
MOD:
01.50PM - 02.00PM
MIS Applications of Alignment Concepts: Is it Important?
02.00PM - 02.22PM
Debate: Point / Counterpoint / What’s on the Horizon
02.00PM - 02.07PM
Segmental Alignment is Not Important for Fusions in MIS Surgery
02.07PM - 02.14PM
Segmental Alignment is Absolutely Important in MIS Surgery
02.14PM - 02.21PM
The Role for Alignment in the Endoscopic Case
02.21PM - 02.22PM
Audience Vote: Debate Winner
02.22PM - 02.45PM
Techniques for Getting the Alignment Right: Tips and Tricks
MOD:
02.25PM - 02.30PM
Prone-Lateral Procedures: Tips and Tricks
02.30PM - 02.35PM
02.35PM - 02.40PM
Thoracic Kyphosis Generation in the AIS Patient
02.40PM - 02.45PM
Closing Remarks and Adjourn*
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