Due to AdvaMed regulations, TranS1, Inc. is only able to cover your Thursday night accommodation at THEhotel. If you are extending your stay to participate in the SMISS meeting, please make your Friday through Sunday / Monday reservation directly as per below. Please note that we will coordinate with the hotel to ensure that you do not move rooms during your stay (if your SMISS reservation is at THEhotel). Room rates for SMISS are: $229 per night, plus tax at THEhotel and $179 per night, plus tax at Mandalay Bay. To make your reservation and receive these discounted rates, please call the Mandalay Bay/THEHotel reservations department and ask to book a room for the "XSMISS" meeting. Reservations - 877-632-9001 or book online at resweb.passkey.com/go/xsmiss. The hotel will need a credit card to secure the reservation and they will charge one night's stay to book the room. Don't forget to register for the SMISS meeting by going to http://www.smiss2009.org.

Lumbosacral Arthrodesis in Adult Complex Spine


CURRENT SITUATION: Researchers at Washington University have reported that long fusions from the thoracic spine down to L5 and circumferential fusion may further promote subsequent L5-S1 disc degeneration. Sacral fixation is the most vulnerable segment of a long stabilization. Advanced L5-S1 DDD developed in 69% of deformity patients after long fusions to L5 with five to fifteen year follow-up.1 The below case study series from Dr. Oheneba Boachie-Adjei, Chief of the Scoliosis Service, Hospital for Special Surgery, discuss an emerging approach for fixation at L5-S1 at the base of long Deformity constructs.

Case Study #1

Case Study #2
1 Kuhns, Bridwell, Lenke et al., Thoracolumbar Deforimity Arthrodesis Stopping at L5: Fate of the L5-S1 Disc, Minimum 5 Year Follow Up, Spine, Vol 32., Number 24, pp. 2771-2776