Standing Room Only 16: Lumbar Spine

Medical Editor: Bradford L. Currier, MD

The link to the program is at the bottom of this infromational page.

Welcome to Standing Room Only 16: Lumbar Spine, self-directed program provides learning resources built upon the solid foundation of material presented during an Academy Surgical Skills Course held in the Orthopaedic Learning Center. It includes a selection of lecture presentations by distinguished faculty and video illustrations of contemporary surgical techniques.

This program provides insight into decision-making regarding the treatment of the lumbar spine. Participants will learn practical skills relating to both basic and complex deformity treatment, osteotomies, and minimally invasive techniques. You will also review methods to avoid complications.

Learning Objectives

This enduring material is designed to give you the knowledge and skills to:

  • Compare and contrast open and minimally invasive lumbar spine surgery techniques
  • Understand complications of lumbar spinal surgery techniques and how to avoid them
  • Ensure your OR is prepared with the equipment necessary to perform lumbar spinal surgery
  • Explain a variety of lumbar spine procedures including open and minimally invasive techniques through anterior, posterior, and lateral approaches
CME Credit

The American Academy of Orthopaedic Surgeons is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

U. S. Physicians: The American Academy of Orthopaedic Surgeons designates this educational activity for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should only claim credits commensurate with the extent of their participation in the activity.

International Physicians: The AMA has determined that physicians not licensed in the United States but who participate in this CME activity are eligible for AMA PRA Category 1 Credits™.

Allied Health Professionals: The Academy is not accredited to offer credit for nurses and other allied health professionals.  To determine if activities offering Category 1 CME credit are acceptable for your licensing or certification needs please contact the relevant organizations directly.

Obtaining CME Credit
To obtain up to four-and-a-half (4.5) AMA PRA Category 1 Credits™ for successfully completing this program, it is necessary for you to complete the program evaluation and the application for CME credit that is available at the end of the self-assessment section of this Standing Room Only program.

Minimum Performance Level
Per the 2010 revision of the American Medical Association (AMA) Physician’s Recognition Award (PRA) and credit system, a minimum performance level must be established on enduring material and journal-based CME activities that are certified for AMA PRA Category 1 Credit™. In order to successfully complete this CME activity for AMA PRA Category 1 Credit™, learners must demonstrate a minimum performance level of 2 out of 5 or higher correct responses on the post-activity evaluation which measures achievement of the educational purpose and/or objectives of the activity. Once minimum
performance level has been met and submitted the learners will receive credit on their AAOS CME transcript.

Estimated time to complete the educational activity
The program has a total of five hours of content.

Dates of original release and most recent review or revision
This program was published in January 2016 and offers continuing medical education credit through December 2018.  After that date, please consult the program web site for updated information.

Name of Medium or combination of media used
Website (or DVD-ROM international version), lecture and video based program

Method of Physician Participation in the Learning Process
Participants will self-study with the program via an internet connection or DVD-ROM. Upon completion of the program, participants will complete the post-event evaluation on the SRO website. Following the electronic evaluation, participants will receive their CME credit in their AAOS transcript.

AAOS Contact Information

If you have questions or problems, please contact Technical Support
Toll-fee: 1.800.626.6726
Direct Dial: 1.847.823.7186

Technical Support is available by telephone Monday through Friday 8:30 AM to 4:30 PM Central Time or by appointment. Calls and email are usually returned within 24 hours or the next business day.

List of Hardware/Software Requirements:
DVD-ROM Drive (International version only)
Recommended Browsers
Internet Explorer 6 and later,
Firefox 1.x and later,
Safari 3 and later,
Google Chrome,
Opera 9.5 and later

Recommended browser settings:
JavaScript enabled

AAOS Privacy Policy

The American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons (collectively "AAOS") are committed to maintaining your confidence and trust, and accordingly maintain the following privacy policy to protect the personal information you provide. Some of the personal information AAOS collects is provided online.

The AAOS may use “cookie” technology to obtain non-personal information from its on-line visitors. We do not extract personal information in this process no do we provide information to third parties. We also do not contact you based on this information in your cookie file.

The AAOS has taken steps to make all information received from our online visitors as secure as possible against unauthorized access and use. All information is protected by our security measures, which are periodically reviewed.


The Academy would like to thank the Orthopaedic Trauma Association for the many contributions made by its members in the production of this program. The Academy and orthopaedic specialty societies work together to provide orthopaedic surgeons with the highest quality educational programs and publications. This cooperative spirit among colleague organizations is an important resource and valuable asset for the orthopaedic community.

The Academy gratefully acknowledges these individuals for their contributions, dedication and commitment to the field of orthopaedic education.

Medical Editor
Bradford L. Currier, MD

Faculty and contributors
Michael D. Daubs, MD
Jeffrey Deckey, MD
John C. France, MD
Alexander J. Ghanayem, MD
Colin Haines, MD
Wellington K. Hsu, MD
Michael J. Lee, MD
Steven C. Ludwig, MD
Justin Miller, MD
Ahmad Nassr, MD
Alpesh A. Patel, MD
Frank M. Phillips, MD
Joseph R O'Brien, MD
Kristen E. Radcliff, MD
Rick C. Sasso, MD
Jeremy S. Smith, MD
Michael Yaszemski, MD, PhD

Board of Directors
Joshua J. Jacobs, MD (President)
Frederick M. Azar, MD (1st Vice President)
David Teuscher, MD (2nd Vice President)
Andrew N. Pollak, MD (Treasurer)
John R. Tongue, MD (Past President)
Wilford K. Gibson, MD (Chair Board of Councilors)
John J. McGraw, MD (Chair-Elect Board of Councilors)
David J. Mansfield, MD (Secretary Board of Councilors)
Steven Douglas K. Ross, MD (Chair Board of Specialty Societies)
David C. Templeman, MD (Chair-Elect Board of Specialty Societies)
David A. Halsey, MD (Secretary Board of Specialty Societies)
William J. Best (Lay Member)
Annunziato Amendola, MD (Member-At-Large)
Joseph A. Bosco, III MD (Member-At-Large)
Matthew Barrett Dobbs, MD (Member-At-Large)
Todd A. Milbrandt, MD (Member-At-Large)
Karen L. Hackett, FACHE, CAE (Staff Liason)

2014 Publications Committee
Jay R. Lieberman, MD (Chair)
Henry G. Chambers, MD
Loretta Chou, MD
Daniel J. Downey, MD
Brian T. Feely, MD
Lawerence S. Halprin
Alicia Karin Harrison, MD
Vicki Kalen, MD
Orr Limpisvasti, MD
Kamran Majid, MD
Geoffrey Marecek, MD
Craig M. Rodner, MD
Adam Schwartz, MD
Ran Schwarzkopf, MD
Melissa Willenborg, MD
Christopher T. Martin, MD (Resident Member)
Hans Koelsch (Staff Liason)

Academy Staff
Department of Electronic Media, Evaluation, CME Course Operations
Howard Mevis, Director

Course Operations
Debbie Mazur, Course Coordinator
Ann O'Neill, Manager
Ro Simon, Coordinator, Surgical Skills Lab

Electronic Media
Brian Moore, Manager
Ben Varnau, Media Producer
Madelaine Reese, Digital Media Specialist
Katie Hovany, Digital Media Specialist

Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAOS CME Activities

Contributors to ACCME accredited continuing medical education programs, such as this one, are asked to disclose if they have received something of value from a commercial company.  The AAOS has identified the options to disclose as follows:

1 = Royalties from a company or supplier;
2 = Speakers bureau/paid presentations for a company or supplier;
3A= Paid employee for a company or supplier;
3A = Paid employee for a company or supplier
3B = Paid consultant for a company or supplier;
3C = Unpaid consultant for a company or supplier;
4 = Stock or stock options in a company or supplier;
5 = Research support from a company or supplier as a PI;
6 = Other financial or material support from a company or supplier;
7 = Royalties, financial or material support from publishers;
8 = Medical/Orthopaedic publications editorial/governing board;
9 = Board member/committee appointments for a society.
(n) = Respondent answered 'No' to all items indicating no conflicts. 

An indication of the contributor's disclosure appears after his or her name as well as the commercial company or institution that provided the support.

The Academy does not view the existence of any disclosed interests as necessarily implying bias or decreasing the value of their presentation.  It is intended solely for information.

Program Faculty Ahmad Nassr, MD (Faculty)5 (AO Spine; Synthes); 7 (Journal of Bone and Joint Surgery - American); 9 (Cervical Spine Research Society; Scoliosis Research Society); Submitted on: 06/02/2014
Bradford L. Currier, MD (Course Director, SRO Program Medical Editor) 1 (DePuy, A Johnson & Johnson Company; Stryker; Zimmer); 3B (Zimmer); 4(Spinology,Tenex,); 7 (Wolters Kluwer Health - Lippincott Williams & Wilkins); 9 (Lumbar Spine Research Society; Councilfor Value in Spine Surgery; Spine Study Group); Submitted on: 06/02/2014
Michael David Daubs, MD (Faculty) Faculty 1 (Synthes); 3B (Synthes); 5 (Stryker); 9 (AO Spine North America Board Member); Submitted on: 04/29/2014
John C. France, MD (Co-Director) 9 (Cervical Spine Research Society committee,Scoliosis research Society education committee,AAOS spine program committee); Submitted on: 04/29/2014
Alexander J. Ghanayem, MD (Faculty) Faculty 8 (Journal of Spinal Disorders and Techniques); 9 (AAOS; American Orthopaedic Association; Cervical Spine Research Society; Lumbar Spine Research Society; OMeGA Medical Grants Association); Submitted on: 05/15/2014
Wellington K. Hsu, MD (Faculty) Faculty 2 (AONA); 3B (AONA; Bioventus; Globus Medical; Lifenet; Medtronic Sofamor Danek; Pioneer; Stryker; Synthes); 8 (Journal of Spinal Disorders and Techniques); 9 (AAOS; Cervical Spine Research Society; Lumbar Spine Research Society; North American Spine Society); Submitted on: 07/15/2014
Michael J. Lee, MD (Faculty) (n); Submitted on: 04/01/2014
Steven C. Ludwig, MD (Faculty) 1 (DePuy, A Johnson & Johnson Company; Globus Medical); 2 (DePuy, A Johnson & Johnson Company; Synthes); 3B (DePuy, A Johnson & Johnson Company; Globus Medical; Synthes; K2Medical); 4(Globus Medical; Alphatec Spine, ASIP, Spinicity, ISD); 5 (Globus Medical); 7 (Thieme, QMP); 8 (Journal of Spinal Disorders and Techniques, The Spine Journal, Contemporary Spine Surgery); 9 (Cervical Spine Research Society); Submitted on: 05/29/2014
Steven C. Ludwig, MD (Faculty)
Dawn Martinez (Faculty) (n); Submitted on: 08/08/2014
Debbie Mazur (Staff) (n); Submitted on: 03/25/2014
Howard Mevis (Staff) 4 (Bristol-Myers Squibb; GE Healthcare); 9 (Orthopaedic Learning Center); Submitted on: 07/29/2014
Joseph R. O'Brien, MD (Faculty) 1 (Nuvasive; Globus); 3B (Stryker; Nuvasive; Globus; Relivant); 4 (Doctors Research Group; Spinicity); 5 (Bioset;,Nuvasive; Globus); Submitted on: 05/04/2014
Ann O'Neill (Staff) 4 (Johnson & Johnson); Submitted on: 04/16/2014
Alpesh Ashwin Patel, MD (Faculty) 1 (Amedica; Ulrich Medical USA); 3B (Amedica; Biomet; DePuy, A Johnson & Johnson Company; GE Healthcare; Stryker; Zimmer); 4 (Amedica; Cytonics; Nocimed; Trinity Orthopaedics); 7 (Springer); 8 (Journal of the American Academy of Orthopaedic Surgeons; Surgical Neurology International; Wolters Kluwer Health - Lippincott Williams & Wilkns); 9 (AAOS; American College of Surgeons; American Orthopaedic Association; AO Spine North America; Cervical Spine Research Society; Indo-American Spine Alliance; Lumbar Spine Research Society; North American Spine Society); Submitted on: 04/01/2014
Frank M. Phillips, MD (Faculty) Faculty 1 (DePuy, A Johnson & Johnson Company; Medtronic; Nuvasive; Stryker); 3B ( Nuvasive); 4(Nuvasive; Spinal Kinetics, Spinal Motion, Axiomed, Flexuspine, CrossTrees, Pearl Diver; Facet Solutions, Pioneer, Vital 5; SI Bone; Provident; Theracell); 9 (Cervical Spine Research Society; Society of Minimally invasive Spine Surgery); Submitted on: 06/02/2014
Kristen E. Radcliff, MD (Faculty) 1 (Globus Medical); 3B (DePuy, A Johnson & Johnson Company; Globus Medical; Medtronic); 4 (Mergenet Medical); 5 (DePuy, A Johnson & Johnson Company; Medtronic; Paradigm Spine); 6 (Stryker; Medtronic; Globus Medical; DePuy, A Johnson & Johnson Company; Synthes; Relievant); 7 (Lippincott); 9 (ACSR); Submitted on: 05/19/2014
Rick C. Sasso, MD (Faculty) 1 (Medtronic); 4 (Biomet; SpineCor; Trans1); 5 (Cerapedics; Medtronic; Smith & Nephew; Stryker); 7 (Saunders/Mosby-Elsevier); 8 (journal of spinal disorders and technique,spine arthroplasty society journal); 9 (Cervical Spine Research Society); Submitted on: 08/18/2014
Ro Simon (Staff) 9 (The Association for Bioskills Laboratory Excellence); Submitted on: 05/08/2014
Kern Singh, MD (Faculty) 1 (Pioneer; Zimmer; Stryker); 3B (DePuy, A Johnson & Johnson Company; Stryker, Zimmer); 7 (Wolters Kluwer Health - Lippincott Williams & Wilkins); 8 (Wolters Kluwer Health - Lippincott Williams & Wilkins); Submitted on: 04/22/2014
Jeremy Scott Smith, MD (Faculty) 2 (DePuy, A Johnson & Johnson Company); 3C (spineart); Submitted on: 08/29/2013

AAOS Publications Committee
Jay R. Lieberman, MD (Chair) 3B (DePuy, A Johnson & Johnson Company); 4 (Hip Innovation Technology); 5 (Amgen Co; Arthrex, Inc); 8 (American Association of Hip and Knee Surgeons; Journal of Arthroplasty; Journal of the American Academy of Orthopaedic Surgeons); 9 (AAOS; Hip Society); Submitted on: 04/04/2014
Hank G. Chambers, MD 3B (Allergan Corporation; Orthopediatrics); 5 (Allergan Corporation); 8 (Developmental Medicine and Child Neurology; Gait and Posture); 9 (AAOS; American Academy for Cerebral Palsy and Developmental Medicine; American Academy for Cerebral Palsy and Developmental Medicine; Pediatric Orthopaedic Society of North America); Submitted on: 10/05/2013.
Loretta Chou, MD (n); Submitted on: 08/15/2013.
Daniel J. Downey, MD 9 (Patient Education Committee, AAOS); Submitted on: 11/16/2013
Brian T. Feeley, MD 9 (AAOS); Submitted on: 12/18/2013
Lawrence S. Halperin, MD 4 (Avanir Pharmaceuticals; Pfizer; Sanofi-Aventis; Smith & Nephew); 9 (AAOS; Florida Medical Association; Florida Orthopedic Society); Submitted on: 01/25/2014
Alicia Karin Harrison, MD 9 (American College of Surgeons); Submitted on 4/17/2012
Vicki Kalen, MD 8 (Deputy editor of "Spine Deformity" journal published by Elsevier.); 9 (AAOS Publications Committee); Submitted on: 04/01/2014
Orr Limpisvasti, MD 3B (Ossur; CONMED Linvatec); 9 (AAOS; American Orthopaedic Society for Sports Medicine); Submitted on: 04/01/2014
Kamran Majid, MD (n) Submitted on 04/04/2014.
Geoffrey Marecek, MD (n); Submitted on: 02/03/2014.
Craig M. Rodner, MD 8 (Review Editorial Board); Submitted on: 04/06/2014.
Adam Schwartz, MD (n) Submitted on: 10/07/2013.
Ran Schwarzkopf, MD 3B (Smith & Nephew); 4 (Gauss surgical; Pristine); 5 (Pricaria); 8 (Journal of Arthroplasty); 9 (AAOS); Submitted on: 04/01/2014
Melissa Willenborg, MD (n) Submitted on 04/01/2014.
Christopher T. Martin, MD (Resident Member) 9 (AAOS; Musculoskeletal Transplant Foundation); Submitted on: 04/01/2014
Hans Koelsch, PhD (Staff Liaison) Submitted on 04/01/2014.