Member of American Academy of Spine Physicians An

Member of American Academy of Spine Physicians

An organization of Neurosurgeons & Chiropractic Physicians dedicated to conservative and cooperative spine care

It is all about the expert in non-operative spine care developing a working relationship with the expert in spine surgery to improve spinecare

WHY SEEK SPECIALIZED CARE OF THE SPINE ?

THE INTRICATE SPINE The spine is complex and is comprised of: • • • an intricate network of blood vessels countless specialized nerve endings hundreds of small nerve fibers which connect to structures of the spine more than 220 specialized ligaments greater than 120 individual muscles over 100 intricate joints 24 vertebrae along with the sacrum and coccyx 31 pairs of spinal nerves 23 intervertebral discs

WHO NEEDS CARE OF THE SPINE ?

BACK PAIN: THE STATISTICS • Eight out of ten adults will experience low back pain sometime during their lifetime • After the common cold problems related to the low back are the most frequent cause of lost workdays in individuals over 45 years of age • Back pain ranks second to headaches as the most frequent location for pain • Greater than 65 million Americans experience back pain every year • Back injuries are one of the most common causes for disability • The annual costs associated with back pain runs into the tens of billions of dollars considering lost productivity, medical expenses and worker’s compensation benefits

WHAT CAN GO WRONG WITH THE SPINE?

CAUSES OF BACK PAIN Includes but is not limited to • Facet Syndrome • Segmental • • • Dysfunction Disc Herniation Tumor Cyst Radiculopathy Scar Tissue (Fibrosis) • Fracture • Infection • Primary Cancer • Metastatic Cancer • Spinal Stenosis • Surgical • Instrumentation Transitional Segment

COMMON SPINE CONDITIONS • Facet Syndrome • Segmental • • Dysfunction Disc Herniation Spondylosis Degenerative Disc Disease Radiculopathy • Scoliosis • Myelopathy • Spondylolithesis • Spinal Stenosis • Muscular • • Deconditioning Disc Bulge Transitional Segment

WHAT IS COOPERATIVE SPINECARE ? Cooperative spine care refers to two or more health care professionals who work together to preserve or restore spinal integrity while prioritizing the patient’s well being.

COMMON GROUND Chiropractic Physicians and Neurosurgeons both have extensive training in Neurology Biomechanics and Disorders of the Spine

WHO NEEDS COOPERATIVE CARE OF THE SPINE ?

COOPERATIVE SPINECARE Candidates for cooperative spinecare include individuals who: • have multiple areas of the spine involved to varying degrees • are not responding to a conservative approach • require medication and a physical medicine approach • have progressive neurological compromise • have a complicated spinal condition • have failed to respond to surgery

STAGES OF SPINE DISEASE AND THE SPECTRUM OF CARE

Cooperative Spinecare Early Stage End Stage

Together chiropractic physicians and neurosurgeons can care for the entire spectrum of spine conditions Chiropractic Care Neurosurgical Care

WHAT IS A SPINE PHYSICIAN? A spine physician is a chiropractic physician or a neurosurgeon who emphasizes care of the spine in their practice. Typically more than 50% of the practice is dedicated to caring for patients with spine disorders.

WHAT IS THE AMERICAN ACADEMY OF SPINE PHYSICIANS? An Organization for Leaders in the Field of Spinecare

An organization of Neurosurgeons & Chiropractic Physicians dedicated to conservative and cooperative spine care

Mission Statement The objectives of the AASP are to: • Promote conservative and cooperative spine care • Cultivate open dialogue and clinical interaction between • • • members Promote continuing education for chiropractic physicians and members Expand available therapeutic options for patients Provide educational resource for physicians and their patients

Academy Council • Edward C. Benzel, M. D. Cleveland Clinic • George J. Dohrmann, M. D. , • Stephen L. Ondra, M. D. Northwestern University Medical Center Ph. D. University of Chicago • John F. Shea, M. D. , Ph. D. • David H. Durrant, D. C • Steven Vanni, M. D. Chicago Neuroscience Institute • Barth A, . Green, M. D. University of Miami Medical Center Miami Project to Cure Paralysis • Vincent Lucido, M. D. President of FCER Loyola University Medical Center University of Miami Medical Center • Wayne M. Whalen, D. C. Past President, California Chiropractic Association • Terry R. Yochum, D. C. Colorado School of Medicine

SCIENTIFIC CONSULTANTS Scott Haldemann, DC, M. D. , Ph. D. Clinical Neuroscience Manohar M. Panjabi, Ph. D. , D. Tech Clinical Biomechanics

Common Ground Both disciplines: disciplines • are uniquely trained in neurology • appreciate the role of biomechanics • understand the spectrum of spinal • • • disorders emphasize a conservative approach assume a hands on approach to spine care isolated, are limited in their approach to spine care

Benefits of Cooperative Care • Reduce unnecessary testing • Early detection of spinal disorders at varying stages • • • of development Optimize continuity of care Reduce the risk for unnecessary surgery Improved patient recovery Reduced cost of spine care Limit malpractice exposure

Steps to Success in Comprehensive Spine Care • Achieve a high technical skill level • Rediscover the benefits of Cooperative Spine • • • Care Simplify your life Achieve a competitive edge Utilize all the resources available

Academy Council • Edward C. Benzel, M. D. Cleveland Clinic • George J. Dohrmann, M. D. , • Stephen L. Ondra, M. D. Northwestern University Medical Center Ph. D. University of Chicago • John F. Shea, M. D. , Ph. D. • David H. Durrant, D. C • Steven Vanni, M. D. • Barth A, . Green, M. D. • Wayne M. Whalen, D. C. • Vincent Lucido, M. D. • Terry R. Yochum, D. C. Chicago Neuroscience Institute University of Miami Medical Center Miami Project to Cure Paralysis President of FCER Loyola University Medical Center University of Miami Medical Center Past President, California Chiropractic Association Colorado School of Medicine

THE ACADEMY COUNCIL MEMBERS A Brief Introduction

Edward C. Benzel, M. D. Neurosurgeon • Chief of Neurosurgery at Cleveland Clinic • President of Spine Section of the American Association of Neurological Surgeons • Author of Textbooks titled, Biomechanics of Spine Stabilization and Fundamentals of Neuroimaging

George J. Dohrmann, M. D. , Ph. D. Neurosurgeon • Faculty of University of Chicago Medical Center • Editorial Boards of Surgical Neurology, Spinal Cord and Neurological Research • Represents the United States on Committees of the World Federation of Neurosurgical Societies

David H. Durrant, D. C. Chiropractic Neurologist • Director of the Chicago Neuroscience Institute • On the Scientific Committee of the American Academy of Spine Physicians • Author of benchmark neurology textbook titled, Myelopathy, Radiculopathy and Peripheral Entrapment Syndromes

Barth A. Green, M. D. Neurosurgeon • One of world’s leading spinal cord injury researchers • Director of Miami Project to Cure Paralysis • Chief of the Department of Neurological Surgery at the University of Miami

Vincent Lucido, D. C. Chiropractic Physician • Former President of the American Chiropractic Association (ACA) • President of the Foundation for Chiropractic Education and Research (FCER) • Former ACA chiropractic physician of the year

Stephen L. Ondra, M. D. Neurosurgeon • Director of the Back and Neck Institute at Northwestern University Medical Center • Member of editorial board of the Journal of Spinal Disorders • Faculty member of Northwestern University Medical School

John F. Shea, M. D. , Ph. D. Neurosurgeon • Faculty member of the Loyola University Department of Neurological Surgery • Faculty member of Loyola University Department of and Cell Biology (Neurobiology) and Anatomy • Nationally recognized expert in the field of spinal surgery

Steve Vanni, D. O. , D. C. Neurosurgeon • Practicing chiropractic physician • Practicing neurosurgeon • On surgical staff at Jackson Memorial Hospital in Florida

Wayne M. Whalen, D. C. Chiropractic Neurologist • Board Certified Chiropractic Neurologist • Past President of the California Chiropractic Association • Holds a Diplomate in Chiropractic Rehabilitation

Terry R. Yochum, D. C. Chiropractic Radiologist • Instructor of Skeletal Radiology at the University of Colorado Medical School • Author of the textbook titled, Essentials of Skeletal Radiology • Past President of the American Board of Chiropractic Radiology

Scott Haldeman, D. C. , M. D. , Ph. D. Neurologist • Ph. D. in neurophysiology • Medical neurologist and chiropractic physician • Serves on the Editorial Boards of the following Journals; Spine, JMPT and the Journal of the Musculoskeletal System

Manohar M. Panjabi, Ph. D. , D. Tech. Specialist in Biomechanics • Author of the textbook titled, Clinical Biomechanics of the Spine with Dr. White of Harvard • Head of the Department of Biomechanics at Yale University • Recognized authority on biomechanics of the spine

Certificate of Membership

AASP MEMBERS INTEGRATE TO DEVELOP A COOPERATIVE APPROACH

AASP MEMBERS COMMUNICATING WITH THE LATEST TECHNOLOGY Developing the spinecare referral network

Members work together to evaluate and treat complicated conditions

TRAINING OF THE SPINE PHYSICIAN

CHIROPRACTIC PHYSICIAN Education and Training • 3 -4 years of college (pre-chiropractic training) • 3 -5 of chiropractic education with internship • Option of 2 -5 additional years of post-doctoral training and/ or residency in specialty fields. The chiropractic physician is particularly skilled in a drugless, non-surgical and rehabilitative approach to spinal disorders.

NEUROSURGEON Education and Training • • years of college (pre-medical training) 4 years of medical school 1 year of general surgery 5 -7 years of neurosurgical residency The neurosurgeon is particularly skilled in pharmaceutical and surgical approaches to spinal disorders.

CONTINUING EDUCATION FOR SPINE PHYSICIANS

CONTINUING EDUCATION Chiropractic Physicians and Neurosurgeons receive the same level of education through the American Academy of Spine Physicians. Training on the same platform helps facilitate a working relationship and continuity of care for the patient with a spine disorder.

Chiropractic Physicians and Neurosurgeons can achieve Diplomate Status through the AASP

The Highest level of Academic Distinction with the AASP is Fellow with the American College of Spine Physicians

THE AMERICAN ACADEMY OF SPINE PHYSICIANS PUBLIC SERVICES

THE PIC ONLINE PATIENT/PUBLIC INFORMATION CENTER One of the largest online databases of information on the spine and spinecare

THE PIC ONLINE PATIENT/PUBLIC INFORMATION CENTER One of the largest online databases of information on the spine and spinecare • Need-to-Know • • • Information Searchable Database Pictures Animations Fact Sheets Downloadable Formats

FIND A SPINE SPECIALIST THROUGH THE NATIONAL DIRECTORY OF SPINE PHYSICIANS The largest online directory of spine physicians

FIND A SPINE SPECIALIST THROUGH THE NATIONAL DIRECTORY OF SPINE PHYSICIANS The largest online directory of spine physicians Search the Directory By • Specialty • Level of Academic • Distinction Location

THE PUBLICATION “ 30 Tips for Spine Health”

American Academy of Spine Physicians website address www. spinephysicians. org

THE FUTURE OF SPINECARE • • • Conservative Care Cooperative Care Interdisciplinary Care Early Detection Early Intervention Preventative Approaches Neurorehabilitation Advances in Diagnostic Technology Genetic/Molecular Treatment Minimally Invasive Surgical Approaches Functional Neurosurgery

American Academy of Spine Physicians