Return to flip book view

JW MARRIOTT AUSTIN M AY 9 M AY 1 2 2 0 1 8 2017 COMBINED 2018 A U S T I N T E X A S A N N UA L M E E T I NG Local Hosts Jay Shapiro MD John Williams MD Program Chair Jeffrey Sawyer MD Pre Course Chair Wudbhav Sankar MD Subspecialty Day Chair Michelle Caird MD Local Hosts Julio de Pablos MD Jorge Kn rr MD Marius Aguirre Ca adell MD

Children s Mercy Kansas City is proud to announce the creation of the Department of Orthopaedic Surgery and Musculoskeletal Science This change reflects the scope and the depth of services we provide With over 150 members on our orthopaedic team including 17 faculty and 25 advanced practice nurses we are able to focus on all aspects of pediatric orthopaedics Our hand spine and sports medicine divisions offer further expertise in each field Recently we entered into a first of its kind partnership between a children s hospital a national sports federation and a professional sports team creating a new sports medicine center including a custom built state of the art human performance lab Our focus on improving outcomes for kids helps us find answers to the pediatric orthopaedic questions that matter today The Children s Mercy Department of Orthopaedic Surgery and Musculoskeletal Science congratulates Richard Schwend MD on his role as President of POSNA For more on how we re providing answers visit childrensmercy org POSNA Richard Schwend MD Director of Orthopaedic Research Brad Olney MD Department Chairman

TABLE OF CONTENTS Program Committee 2 President s Welcome 3 Board of Directors 5 Acknowledgments 6 Local Hosts Welcome 7 General Meeting Information 8 10 CME Credit 8 Disclosure and FDA Statement 9 Annual Meeting Policies 11 LOE Level of Evidence 13 Program at a Glance 14 15 POSNA Pre Course 17 19 Opening Ceremony Program 20 Speakers Award Recipients 21 23 Scientific Program 25 71 Symposia Program 37 43 Young Member Forum 44 Subspecialty Day 49 66 Paper Poster Program 72 74 ePoster Program 75 84 Welcome to Austin 85 87 Exhibitor Listing 88 93 POSNA Antitrust Policy 94 95 2018 Research Grant Award Winners 96 97 POSNA extends sincere appreciation to K2M for their support for the production of the Final Program Book 1

PRE COURSE COMMITTEE Chair Wudbhav N Sankar MD Committee Brian Scannell MD Jeffrey Sawyer MD A Noelle Larson MD PROGRAM COMMITTEE Chair Jeffrey Sawyer MD Anthony Stans MD Committee Michelle Caird MD Jeffrey Martus MD ABOUT POSNA The Pediatric Orthopaedic Society of North America POSNA is a group of professionals comprised mostly of pediatric orthopaedic surgeons We are board certified in orthopaedic surgery and have participated in additional training to become specialized in the care of children s musculoskeletal health and our practice reflects this dedication We as a group strive to become the authoritative source on such care through appropriate research that will lead to the best evidence based patient care POSNA MISSION STATEMENT To improve the care of children with musculoskeletal disorders through education research and advocacy CONNECT WITH POSNA DURING THE MEETING AND SHARE YOUR EXPERIENCES POSNA2018 POSNA_org Pediatric Orthopaedic Society of North America POSNA Websites POSNA org and orthokids org 2

WELCOME Dear Colleagues On behalf of our local co hosts Jay and Shannon Shapiro and John and Jeannette Williams our Program Chair Jeffrey Sawyer our Executive Director Teri Stech and her staff as well as the numerous POSNA volunteers who have worked to make this meeting a success we welcome you to Austin for the 2018 POSNA Annual Meeting and Pre Course The meeting will be at the new JW Marriott in the heart of downtown Austin from May 9 to 12 2018 The meeting begins Wednesday morning with the Pre Course entitled Natural History in Pediatric Orthopaedics How Good is the Data on Which We Base our Decisions developed and chaired by Wudbhav Woody Sankar The scientific sessions begin Wednesday afternoon and will conclude on Saturday afternoon There was a record 865 submitted abstracts graded by the program committee Jeffrey Sawyer Anthony Stans Michelle Caird and Jeffrey Martus and 150 POSNA member volunteers resulting in 169 podium presentations 19 posters and 81 ePosters The program committee chaired by Jeffrey Sawyer has worked hard and created THE premier pediatric orthopaedic educational event The Opening Ceremony which will take place on Wednesday evening is highlighted with the Howard Steel Lecture presented by Mr Evan Smith Chief Executive Officer of The Texas Tribune The Future is Texas Unless We Screw It Up The Opening Ceremony also allows us to recognize our industry partners who have contributed to POSNA in the past year The Awards Committee has selected Lynn T Staheli for the Humanitarian Award and Derek M Kelly for the Special Effort and Excellence Award to be presented Wednesday evening A cocktail welcome reception will follow the Opening Ceremony The awards committee has selected Jim Roach for the Distinguished Achievement Award which will be presented on Thursday morning The Symposia Program will take place Thursday afternoon and includes programs from POPS and COUR as well as topics on Telemedicine Evidence Based Practice the Opioid Epidemic and a special symposium on member health and wellness in which spouses are encouraged to join The Fourth Annual Arabella Leet MD Young Member Forum will be Thursday afternoon and is moderated by Marty Herman Thursday evening as always is reserved for family friends and fellowship reunions with a wide variety of outstanding restaurants to experience in Austin Friday morning s scientific session will include the basic science and clinical awards papers Michael B Millis will be the Presidential Speaker and will be sharing his perspective from a lifetime of experience as a leader thinker and mentor in pediatric orthopaedics Friday morning will also be the presidential transfer to incoming POSNA President Steve Frick The Friday Subspecialty Day sessions will run after lunch and will include sessions on Hip Trauma Lower Extremity Neuromuscular Upper Extremity Spine and Sports The closing night celebration will be at Austin City Limits Live ACL Live just a short walk from the JW Marriott Food will be provided by Terry Black s BBQ and live music will be with nine time Grammy Award Winning Ray Benson and Asleep at the Wheel Remember to leave your tie at home for this memorable evening with your friends and family The educational and social program for this 2018 POSNA Annual Meeting is outstanding The POSNA volunteers staff and I are most excited to welcome you to Austin Richard M Schwend MD POSNA President 3

RICHARD M SCHWEND MD POSNA PRESIDENT Richard M Schwend MD is Chief of Orthopaedic Research at the Children s Mercy Hospital and is Professor of Orthopaedics and Pediatrics University of Missouri Kansas City and University of Kansas Medical Center He graduated with BA Biochemistry from the University of California MD from St Louis University Medical School orthopaedic residency at Harvard Combined Orthopaedic Residency and fellowship at Children s Hospital Boston He recently completed the Global Clinical Research Training Program Harvard University He is the immediate past chair of the Orthopaedic Section of the American Academy of Pediatrics and is board certified in pediatrics in addition to Orthopaedics He was the 2001 Scoliosis Research Society Travelling Fellow and Harvard University Cave Travelling Fellowship to Bern Switzerland He has received the POSNA Humanitarian and the POSNA Special Effort awards He is Medical Director of the Project Perfect World Ecuador Program which since 2002 has been developing a pediatric orthopaedic and spine program His research interests involve program development in regions with limited resources pediatric spine and chest anatomy and surgical safety He is a retired Colonel United States Air Force Dr Schwend and his wife Colleen have two children and one granddaughter In his spare time he enjoys bicycling to work swimming fly fishing reading history reading about airplanes and travel STEVEN L FRICK MD POSNA INCOMING PRESIDENT Dr Steven L Frick is a pediatric orthopaedic surgeon who joined the faculty of the Stanford University Department of Orthopaedic Surgery in December 2016 He was the founding Chairman of the Department of Orthopaedic Surgery at Nemours Children s Hospital in Orlando FL from 2012 2016 He also served as Surgeon in Chief and Chairman of the Department of Surgery A native of Greenville South Carolina he graduated from The George Washington University and received his medical education at the Medical University of South Carolina He completed orthopaedic surgery residency and a basic science research fellowship at Carolinas Medical Center in Charlotte NC and a fellowship in pediatric orthopaedic surgery at Children s Hospital San Diego He served from 1998 2012 on the faculty and as Residency Program Director in the Department of Orthopaedic Surgery at Carolinas Medical Center His academic interests include clubfoot and foot ankle disorders trauma hip dysplasia growth leadership professionalism and graduate medical education He has been honored with induction into the Eastside High School and The George Washington University Athletic Halls of Fame He was selected by the American Orthopaedic Association as a North American Traveling Fellow 2001 and an American British Canadian Traveling Fellow 2007 and as a Leadership Fellow 2002 3 for the American Academy of Orthopaedic Surgeons He is active in organized medicine previously chairing the Leadership Development Committees of both the American Orthopaedic Association and the American Academy of Orthopaedic Surgeons He was the annual meeting program chair for the Pediatric Orthopaedic Society of North America 2010 and for the American Academy of Orthopaedic Surgeons 2013 He serves on the Question Writing Task Force for the American Board of Orthopaedic Surgery He has also served on the Executive Committee of the J Robert Gladden Orthopaedic Society dedicated to promoting multi culturalism and diversity in orthopaedics and edits and reviews manuscripts for multiple orthopaedic journals He was Treasurer of POSNA He lives in Redwood City CA with his wife of 31 years Lisa Their son Eric is a graduate of the University of South Carolina and the George Mason University School of Law and practices in Charlotte NC and daughter Rachel is a graduate of North Carolina State University and is currently enrolled in the Temple University Occupational Therapy program in Philadelphia PA 4

BOARD OF DIRECTORS PRESIDENT Richard M Schwend MD Kansas City MO SENIOR MEMBER AT LARGE Daniel J Sucato MD MS Dallas TX PRESIDENT ELECT BOS REPRESENTATIVE Steven L Frick MD Palo Alto CA SENIOR MEMBER AT LARGE Vishwas R Talwalkar MD Lexington KY VICE PRESIDENT Stephen A Albanese MD East Syracuse NY SECRETARY Todd A Milbrandt MD Rochester MN TREASURER Mark A Erickson MD Aurora CO IMMEDIATE PAST PRESIDENT James McCarthy MD MHCM Cincinnati OH HISTORIAN Ex officio Jay Shapiro MD Austin TX AAP REPRESENTATIVE Ex officio Norman Otsuka MD New York NY IPOS REPRESENTATIVE Ex officio Donald S Bae MD Boston MA EDUCATION COUNCIL CHAIR Ex officio Martin J Herman MD Philadelphia PA HEALTH CARE DELIVERY COUNCIL CHAIR PAST PRESIDENT Lori A Karol MD Dallas TX Ex officio JUNIOR MEMBER AT LARGE A Noelle Larson MD Rochester MN RESEARCH COUNCIL CHAIR Ex officio Paul D Sponseller MD Baltimore MD JUNIOR MEMBER AT LARGE Scott B Rosenfeld MD Houston TX COMMUNICATIONS COUNCIL CHAIR SENIOR MEMBER AT LARGE Kevin G Shea MD Boise ID JUNIOR MEMBER AT LARGE Matthew Oetgen MD Washington DC Michael T Hresko MD Boston MA Ex officio Jennifer M Weiss MD Los Angeles CA EDITOR IN CHIEF JPO Ex officio Robert N Hensinger MD Ann Arbor MI EXECUTIVE DIRECTOR Ex officio Teri Stech Rosemont IL 5

ACKNOWLEDGMENTS The Pediatric Orthopaedic Society of North America gratefully acknowledges the following for their generous financial support during 2018 Howard Steel Foundation St Giles Foundation Angela S M Kuo Memorial Fund DOUBLE DIAMOND LEVEL K2M NuVasive Inc OrthoPediatrics DIAMOND LEVEL DePuy Synthes Medtronic Shriners Hospitals for Children Stryker PLATINUM LEVEL Zimmer Biomet GOLD LEVEL Arthrex Biogen BioMarin Pharmaceutical Globus Medical SILVER LEVEL Children s Mercy Kansas City Clementia Pharmaceutical EOS Imaging Implanet Wright Medical Pega Medical Sponsored Lanyards Stanford Children s Health Sponsored Pens Provided financial support to POSNA for the 2018 POSNA Annual Meeting 6

WELCOME Dear friends and fellow pediatric orthopedic surgeons We are looking forward to having you visit Austin Texas for the Annual POSNA meeting from May 9 12 2018 This year s scientific program under the direction of our president Rick Schwend and program chair Jeffrey Sawyer promises to be nothing less than outstanding Austin is located deep in the heart of Texas It is the state capital and has been the home of 2 United States presidents in the past half century It is a bustling center of government when the state legislature is in session every other year for 6 months and home of one of the top 10 state universities in the US Texas Longhorns But more than being just a center of government and education it is the soul of Texas culture both old and new with a vibrant community of scholars musicians artists ranchers and developers of new age technology Diverse cultures of the South and Southwest US come together in Austin to create an amazingly rich music and food scene We are the live music capital of the world and on any given night there are numerous venues for listening to music ranging from blues to country swing to salsa and merengue Over the past few years chefs have been flocking to Austin to create dining experiences fusing influences of Latin America Texas barbecue and locally sourced farm to table produce Austin is somewhat of an oasis with rivers lakes and hills in an otherwise flat dry state Our downtown is very walkable with a hike and bike trail winding its way around our appropriately named Town Lake Our weather in May can be unpredictable It s possible to have cool nights and clear warm days or tropical weather with high temperatures and sudden dramatic thunderstorms Either way we have plenty of sunshine and expect our guests to get outside and exercise around the lake We welcome our POSNA friends to come to Austin and enjoy our slower pace and outdoor lifestyle while visiting with colleagues and exchanging new ideas and collaboration Who knows you may return home with a cowboy hat or new pair of boots Jay Shapiro Local Host John Williams Local Host 6 7

GENERAL MEETING INFORMATION LEARNING OBJECTIVES Objective 1 Learn about the latest advances in pediatric orthopaedic surgery Objective 2 Obtain opinions of world renowned thought leaders in the field Objective 3 Use the information obtained to make improvements in their own practices Objective 4 Fulfill the annual meeting requirements for membership in POSNA ACCREDITATION This Annual Meeting of the Pediatric Orthopaedic Society of North America has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education ACCME through the joint providership of the American Academy of Orthopaedic Surgeons and POSNA The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians CONTINUING MEDICAL EDUCATION The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 22 75 AMA PRA Category 1 Credits Physicians should claim only the credit commensurate with the extent of their participation in the activity Scientific Program 15 75 8 9 hours may be used for external trauma related CMEs Presentations denoted with are eligible for these credits Subspecialty Day 3 75 Symposia Program 2 00 Young Member Forum 1 25 ONSITE REGISTRATION POSNA MEETING REGISTRATION POSNA Member 775 Non member 1025 Resident Fellow 550 RN PA Allied Health 550 Delegates from Reduced Rate Countries Low Income 475 Low Middle Income 550 Accompanying Person Senior Members Children 13 17 per child Children 6 12 per child 325 375 100 10 PRE COURSE REGISTRATION Member Non member RN PA Allied Health Resident Fellow 150 200 100 100 FRIDAY SUBSPECIALTY DAY REGISTRATION Friday ONLY Member Friday ONLY Non member Friday ONLY Allied Health Friday ONLY Resident Fellow 250 300 200 200 Friday Subspecialty Day registration is Friday only and includes breakfast the morning scientific paper sessions afternoon sessions and the Closing Reception in the evening Residents Fellows must have the phone number and signature of their Chief of Service on their registration form to qualify for the reduced fee Without a signature and phone number you will be charged the non member fee 8

GENERAL MEETING INFORMATION BADGES Badges are required for entry to the Exhibit Hall POSNA sessions and events and are distributed with a paid registration White Annual Meeting Registration Blue Pre Course Registration Green Friday Only Lavender Accompanying Person EVENT CANCELLATION Due to circumstances beyond our control the Pediatric Orthopaedic Society of North America may elect to cancel the Annual Meeting These circumstances may include but are not limited to disaster severe weather civil commotion or government laws or regulations In the event of such cancellation all Annual Meeting registrants will be notified by email at the address noted in the POSNA database and registration fees will be refunded in full Other costs incurred by the registrant such as airline or hotel penalties are the responsibility of the registrant DISCLOSURE Each faculty member in this meeting has been asked to disclose if he or she has received something of value from a commercial company or institution which relates directly or indirectly to the subject of their presentation An indication of the participant s disclosure appears after his or her name as well as the commercial company or institution that provided the support POSNA does not view the existence of these disclosed interests or commitments as necessarily implying bias or decreasing the value of the author s participation in the meeting FDA STATEMENT Some drugs or medical devices demonstrated at this meeting may not have been cleared by the FDA or have been cleared by the FDA for specific purposes only The FDA has stated that it is the responsibility of the physician to determine the FDA clearance status of each drug or medical device he or she wishes to use in clinical practice Academy policy provides that off label uses of a drug or medical device may be described in the Academy s CME activities so long as the off label use of the drug or medical device is also specifically disclosed ie it must be disclosed that the FDA has not cleared the drug or device for the described purpose Any drug or medical device is being used off label if the described use is not set forth on the product s approval label Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use SPEAKER READY ROOM INFORMATION POSNA REQUIRES ALL ELECTRONIC PRESENTATIONS TO BE MADE USING THE CENTRAL COMPUTER SYSTEM No Laptop computers will be allowed Note All presentations including concurrent sessions MUST be uploaded in the Speaker Ready Room located in the General Session room JW Grand Ballroom 5 8 HOURS OF OPERATION Friday May 11 Saturday May 12 Wednesday May 9 6 30 AM 5 00 PM Thursday May 10 6 30 AM 6 30 PM 9 6 30 AM 5 30 PM 6 30 AM 12 00 PM

GENERAL MEETING INFORMATION PAPER POSTERS AND ePOSTERS Paper posters and ePosters will be located in the JW Grand Foyer LANGUAGE English will be the official language POSNA LOST AND FOUND Lost and Found Inquiries may contact 512 608 4546 or Extension 4546 while on property SAFETY INFORMATION EMERGENCY NUMBERS City Police Emergency 911 City Police Non Emergency 512 974 2000 Poison Control 800 222 1222 Nationwide NEAREST HOSPITAL AND URGENT CARE Nearest Hospital CVS Pharmacy 500 Congress Ave Dell Seton Medical Center at The University of Texas Austin TX 78701 1500 Red River Street 512 474 2380 512 324 7000 0 2 Miles 1 4 miles Operation Hours Monday Sunday 7 00 AM 10 00 PM Urgent Care First Choice Emergency Room Care Center 2020 E Riverside Dr 737 717 4100 2 3 miles Open 24 hours 7 days a week Pharmacy Hours M F 9 00 AM 9 00 PM SA 9 00 AM 6 00 PM SU 11 00 AM 3 00 PM FULL PROGRAM CAN BE FOUND IN THE 2018 MEETING APP Access the meeting app by downloading My POSNA from the Apple App or Google Play store Schedules will NOT be provided at registration We encourage you to create your schedule in the app by bookmarking sessions where you can download into your Outlook calendar 10

ANNUAL MEETING POLICIES DISCLAIMER The material presented at the Annual Meeting has been made available by the Pediatric Orthopaedic Society of North America for educational purposes only The material is not intended to represent the only nor necessarily best method or procedure appropriate for the medical situations discussed but rather is intended to present an approach view statement or opinion of the faculty which may be helpful to others who face similar situations POSNA disclaims any and all liability for injury or other damages resulting to any individual attending the Annual Meeting and for all claims which may arise out of the use of the techniques demonstrated therein by such individuals whether these claims shall be asserted by physician or any other person INSURANCE LIABILITIES POSNA will not be held liable for personal injuries or for loss or damage to property incurred by participants or guests at the Pre Course or Meeting including those participating in tours and social events Participants and guests are encouraged to take out insurance to cover losses incurred in the event of cancellation medical expenses or damage to or loss of personal effects when traveling outside their own country POSNA cannot be held liable for any hindrance or disruption of the Meeting arising from natural political social or economic events or other unforeseen incidents beyond its control Registration of a participant implies acceptance of this condition PRIVACY POLICY USE OF PERSONAL INFORMATION Annual Meeting registration lists including the registrant s name and postal mailing address are provided to POSNA s sponsors as a sponsor benefit REPRODUCTION POLICY POSNA reserves any and all rights to materials presented at the Annual Meeting including Posters and ePosters Reproductions of any kind by any person or entity without prior written permission from POSNA are strictly prohibited Prohibited reproductions include but are not limited to audiotapes videotape and or still photography Cameras or video cameras may not be used in any portion of the scientific sessions Persons violating this policy may have their badge confiscated and be escorted from the meeting No unapproved surveys handouts or literature may be distributed at the meeting PHOTOGRAPHY Registration and attendance at or participation in POSNA activities constitutes an agreement by the registrant to allow POSNA to capture retain and utilize both now and in the future the attendees image likeness voice and actions whether captured live or recorded and in any format during the Annual Meeting for display exhibition publication or reproduction in any medium or context for any purpose including but not limited to POSNA member communications commercial or promotional purposes NO SMOKING POLICY Smoking is not permitted during any meeting or event 11

PARTNERING WITH YOU FOR A CHILDHOOD SPENT AT HOME NOT IN A HOSPITAL Shilla Growth Guidance System lessening the need for surgical interventions UC201809769 EE 2018 Medtronic All rights reserved PMD020780 1 0

LEVELS OF EVIDENCE of Evidence for Primary Research Questions FORLevels PRIMARY RESEARCH QUESTIONS Types of Studies 13 12

2018 POSNA A nnual Meeting PROGRAM AT A GLANCE TUESDAY MAY 8 Board of Directors Meeting Registration POPS Meeting 7 30 AM 2 00 PM 4 00 PM 6 00 PM 8 00 AM 5 30 PM Room 502 503 JW Grand Foyer JW Grand Ballroom 1 2 6 30 AM 7 30 AM 6 30 AM 5 00 PM 7 00 AM 8 00 AM 8 00 AM 12 00 PM 12 00 PM 1 00 PM 1 00 PM 5 06 PM 2 46 PM 3 06 PM Room 502 503 JW Grand Foyer JW Grand Foyer JW Grand Ballroom 5 8 On Your Own JW Grand Ballroom 5 8 JW Grand Ballroom 1 4 6 30 PM 8 00 PM 8 00 PM 9 30 PM JW Grand Ballroom 5 8 Lone Star Ballroom DE WEDNESDAY MAY 9 Fellowship Directors Meeting Registration Pre Course Breakfast Pre Course Lunch Scientific Program Coffee Break Exhibits Evening Opening Ceremony Welcome Reception THURSDAY MAY 10 Registration 6 30 AM 3 30 PM JW Grand Foyer Breakfast Exhibits 6 30 AM 7 30 AM JW Grand Ballroom 1 4 Accompanying Person Breakfast 8 00 AM 9 30 AM Lone Star Ballroom E Scientific Program 7 30 AM 9 38 AM JW Grand Ballroom 5 8 Distinguished Achievement Award 9 38 AM 9 53 AM JW Grand Ballroom 5 8 Coffee Break Exhibits 9 54 AM 10 14 AM JW Grand Ballroom 1 4 Concurrent Session Spine 10 21 AM 11 56 AM Lone Star Ballroom F H Concurrent Session Sports 10 21 AM 11 56 AM Lone Star Ballroom AB Lunch 12 00 PM 1 30 PM On Your Own Member Business Meeting 12 15 PM 1 15 PM JW Grand Ballroom 5 8 Symposia Program POPS 1 30 PM 3 30 PM Room 303 304 Practice Management 1 30 PM 3 30 PM Lone Star Ballroom D Research 1 30 PM 3 30 PM Lone Star Ballroom C Pain Management 1 30 PM 3 30 PM Lone Star Ballroom F H COUR 1 30 PM 3 30 PM Lone Star Ballroom E Physician Wellness 1 30 PM 3 30 PM Lone Star Ballroom AB Young Member Forum 5 00 PM 6 30 PM 14 Lone Star Ballroom D Lunch will be served at the Member Business Meeting

FRIDAY MAY 11 Registration Breakfast Exhibits Accompanying Person Breakfast Scientific Program Award Papers Coffee Break Exhibits Presidential Speaker 2019 Meeting Highlights Presidential Transfer Lunch Member Business Meeting Subspecialty Day Trauma Sports Hip Spine Lower Extremity Neuromuscular Upper Extremity Evening Closing Reception 6 30 AM 5 00 PM 6 30 AM 7 30 AM 8 00 AM 9 30 AM 7 30 AM 11 30 AM 7 35 AM 10 38 AM 9 35 AM 9 50 AM 10 39 AM 10 59 AM 11 00 AM 11 05 AM 11 06 AM 11 25 AM 11 30 AM 1 30 PM 12 00 PM 1 00 PM JW Grand Foyer JW Grand Ballroom 1 4 Lone Star Ballroom E JW Grand Ballroom 5 8 JW Grand Ballroom 5 8 JW Grand Ballroom 1 4 JW Grand Ballroom 5 8 JW Grand Ballroom 5 8 JW Grand Ballroom 5 8 On Your Own JW Grand Ballroom 5 8 1 30 PM 5 40 PM 1 30 PM 5 40 PM 1 30 PM 5 40 PM 1 30 PM 5 40 PM 1 30 PM 5 40 PM 1 30 PM 5 40 PM Lone Star Ballroom D Lone Star Ballroom C Lone Star Ballroom F H Lone Star Ballroom AB Lone Star Ballroom E Room 303 304 7 30 PM 11 00 PM Austin City Limits Live 6 30 AM 12 00 PM 7 00 AM 8 00 AM 8 00 AM 9 30 AM 8 00 AM 9 00 AM 8 00 AM 12 12 PM 9 47 AM 10 07 AM JW Grand Foyer JW Grand Foyer Lone Star Ballroom E Room 502 503 JW Grand Ballroom 5 8 JW Grand Foyer SATURDAY MAY 12 Registration Breakfast Accompanying Person Breakfast 2nd Board Meeting Scientific Program Coffee Break ANNUAL BUSINESS MEETINGS Lunch will be served at the Member Business Meeting All POSNA members are urged to attend the Annual Business Meetings held in Grand Ballroom 5 8 of the J W Marriott The meetings will be held Thursday May 10th from 12 15 PM 1 15 PM and Friday May 11th from 12 00 PM 1 00 PM Lunch will be provided 2018 NOMINATING COMMITTEE In May 2017 the membership elected five members by ballot to serve on the 2018 Nominating Committee President Richard M Schwend MD appointed the Chair of Nominating Committee The members of the 2018 Nominating Committee are James McCarthy MD Chair Peter O Newton MD Jack M Flynn MD Ellen M Raney MD Gregory A Mencio MD James O Sanders MD alternate The 2018 Nominating Committee will present its slate of nominees for each vacancy during the first business meeting Thursday May 10th 2019 NOMINATING COMMITTEE Nominations for the 2019 Nominating Committee will be accepted from the floor during the second business meeting on Friday New this year all members will receive an electronic ballot after the 2018 Annual Meeting with an opportunity to cast their votes for nominees to fill the elected positions on the 2019 Nominating Committee BYLAWS COMMITTEE Proposed amendments to the POSNA Bylaws were circulated to the membership in March 2018 The Bylaws Committee will present the proposed amendments to the membership during the first business meeting on Thursday March 11th 15

16

2018 POSNA A nnual Meeting PRE COURSE WEDNESDAY MAY 9 2018 8 00 AM 12 00 PM Natural History in Pediatric Orthopaedics How Good is the Data on Which We Base our Decisions Chair Wudbhav N Sankar MD DESCRIPTION Proper knowledge of the natural history of pediatric orthopaedic conditions is essential to providing high quality care Without an understanding of how patients conditions would evolve untreated one is unable to accurately evaluate the relative benefits of a given form of treatment In spite of this the natural history of many pediatric orthopaedic conditions is poorly understood The purpose of this pre course is to draw attention to the data that is known and the data that is unknown about several common pediatric orthopaedic conditions This will inform our membership and provide a springboard for discussion about future directions in research and registry development LEARNING OBJECTIVES Upon completion of this program participants should be able to Objective 1 To appreciate what is known and unknown about the natural history of several common pediatric orthopaedic conditions including issues related to lower extremity alignment hip pathology spinal deformity and traumatic sports injuries Objective 2 To appreciate how the natural history of a given condition directly impacts a decision on whether or not to recommend surgery Objective 3 To understand how future research could be designed to improve our understanding of the natural history of pediatric orthopaedic conditions ACCREDITATION This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education ACCME through the joint providership of the American Academy of Orthopaedic Surgeons and the Pediatric Orthopaedic Society of North America The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians CONTINUING MEDICAL EDUCATION The American Academy of Orthopaedic Surgeons designates this live activity for a maximum of 3 75 AMA PRA Category 1 Credits Physicians should claim only the credit commensurate with the extent of their participation in the activity 45 hours may be used for external trauma related CMEs 17

PRE COURSE Natural History in Pediatric Orthopaedics How Good is the Data on Which We Base our Decisions J W Marriott Austin Texas WEDNESDAY MAY 9 8 00 AM 8 02 AM OPENING WELCOME 8 02 AM 8 14 AM KEYNOTE SPEAKER POSNA President Richard Schwend MD Pre Course Chair Wudbhav N Sankar MD Importance of Natural History Stuart Weinstein MD SESSION 1 Natural History of LE Deformity Presider Mark Seeley MD Moderator James Kasser MD 8 15 AM 8 23 AM Mild Leg Length Discrepancy Eric Gordon MD 8 24 AM 8 32 AM Angular Deformities of the Lower Extremity Philip McClure MD 8 33 AM 8 41 AM Rotational Malalignment of the Lower Extremity Ira Zaltz MD 8 42 AM 8 50 AM Debate Miserable Malalignment Surgery Pro vs Con Peter Stevens MD vs Michelle Caird MD 8 50 AM 8 58 AM Questions Natural History of Hip Conditions Presider Mark Seeley MD Moderator Dennis Wenger MD 8 59 AM 9 07 AM Acetabular Dysplasia Daniel Cooperman MD 9 08 AM 9 16 AM SCFE Deformity A Noelle Larson MD 9 17 AM 9 25 AM Femoroacetabular Impingement Young Jo Kim MD PhD 9 26 AM 9 34 AM Spastic Hip Benjamin Shore MD MPH FRCSC 9 35 AM 9 43 AM Debate Surgery for Mild Acetabular Dysplasia in the Skeletally Immature Ernest Sink MD vs Kishore Mulpuri MD 9 43 AM 9 51 AM Questions 9 52 AM 10 12 AM Break Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 18

SESSION 2 Natural History of Spine Conditions Presider Nirav Pandya MD Moderator Laurel Blakemore MD 10 13 AM 10 21 AM Early Onset Scoliosis Lori Karol MD 10 22 AM 10 30 AM AIS Stuart Weinstein MD 10 31 AM 10 39 AM Spondylolisthesis Patrick Cahill MD 10 40 AM 10 48 AM Kyphosis Sagittal Plane Disorders Firoz Miyanji MD FRCSC 10 49 AM 10 57 AM Debate Surgery for the 50 Degree Curve Pro vs Con David Skaggs MD vs Timothy Ward MD 10 57 AM 11 05 PM Questions Natural History of Sports Conditions Presider Nirav Pandya MD Moderator Theodore Ganley MD 11 06 AM 11 14 AM ACL Deficient Knee Kevin Shea MD 11 15 AM 11 23 AM Traumatic Shoulder Instability Jennifer Weiss MD 11 24 AM 11 32 AM Meniscal Deficient Knee Henry G Chambers MD 11 33 AM 11 41 AM Debate Medial Epicondyle Fracture Surgery Pro vs Con J Todd Lawrence MD PhD vs Stephanie Mayer MD 11 41 AM 11 49 AM Questions WRAP UP FUTURE 11 50 AM 12 00 PM What it Would Take to Answer these Natural History Questions The Role of Registries and Study Groups Colin Moseley MD POSNA extends sincere appreciation to NuVasive for their support for the production of the Pre Course program may be used for external trauma related CMEs 19

OPENING CEREMONY J W Marriott Austin Texas WEDNESDAY MAY 9 6 30 PM 6 40 PM WELCOME 6 40 PM 6 50 PM INTRODUCTIONS OF DISTINGUISHED GUESTS POSNA President Richard M Schwend MD Local Hosts Jay Shapiro MD and John Williams MD International Presidents New Members 2017 Distinguished Achievement Award Recipient Presidential Guest Speaker APPOS and SLAOTI Traveling Fellows POSNA Traveling Fellows COUR Visiting Scholars 6 50 PM 7 15 PM PRESENTATION POSNA AWARDS 7 15 PM 7 30 PM RECOGNITION OF INDUSTRY SPONSORS 7 30 PM INTRODUCTION STEEL LECTURER St Giles Young Investigator Award Donald R Huene MD Arthur H Huene Award Donald R Huene MD Angela S M Kuo Memorial Award Ken Kuo MD POSNA Humanitarian Award Richard M Schwend MD POSNA Special Effort and Excellence Award Richard M Schwend MD Richard M Schwend MD John Williams MD 7 35 PM 8 00 PM 2018 STEEL LECTURE 8 00 PM 9 30 PM WELCOME RECEPTION Mr Evan Smith Chief Executive Officer Texas Tribune The Future is Texas unless we screw it up 20

SPEAKERS and AWARD RECIPIENTS JAMES W ROACH MD DISTINGUISHED ACHIEVEMENT AWARD James W Roach MD retired in 2016 as a Professor of Orthopaedic Surgery at the University of Pittsburgh where he held the William F and Jean W Donaldson Endowed Chair in Pediatric Orthopaedics Dr Roach a Texan graduated from Texas Tech University with a degree in Chemistry attended law school at the University of Texas graduated from Georgetown University School of Medicine and attained an MBA at Duke University His internship and residency were at Tripler Army Medical Center Honolulu Hawaii and his fellowship at Texas Scottish Rite Hospital Dr Roach held several academic and business positions during his career Prior to joining the University of Pittsburgh he had been the Assistant Chief of Staff at the Texas Scottish Rite Hospital for 13 years the Director of Pediatric Orthopaedic Surgery and Vice Chairman of the Cook Fort Worth Children s Health Care System for 9 years Chief of Staff of Shriner s Hospitals for Children Salt Lake City for 10 years and the Medical Director of Shriner s Hospitals for Children Erie for 6 years He had special interests in the treatment of complex spinal deformities developmental dysplasia of the hip outcomes research and pediatric trauma He published 96 articles book chapters and textbooks and has presented his research findings at 199 national and international meetings He was a member of the American Academy of Orthopaedic Surgery the Pediatric Orthopaedic Society of North America and the Scoliosis Research Society He served as an Associate Editor of Spine Deformity and as a reviewer for the Journal of Pediatric Orthopaedics Spine and the Journal of AAOS He was the Director of the University of Pittsburgh Pediatric Orthopaedic Fellowship Program and in 2010 2011 President of the Pediatric Orthopaedic Society of North America MICHAEL MILLIS MD 2018 PRESIDENTIAL GUEST SPEAKER Dr Millis is a graduate of Harvard Medical School and the Harvard Combined Orthopaedic Residency Program He was Chief Resident under Dr John Hall at the Boston Children s Hospital After 2 years in the US Navy in Charleston he returned to a faculty position with Dr Hall in Boston Following a fellowship with Professor Heinz Wagner in Germany he has pursued a career long interest in developmental hip conditions and their evolution through adolescence and adulthood with a particular interest in hip preservation surgery He was the Founding Director of the Adolescent and Young Adult Hip Unit at Boston Children s Hospital and is Professor of Orthopaedic Surgery at Harvard Medical School He began the continuing series of Instructional Courses on Hip Osteotomies and Hip Preservation at the AAOS Annual Meetings in 1984 He Dr John Clohisy and Dr Perry Schoenecker founded the ANCHOR Group He and Dr Young Jo Kim established the Children s Hospital Hip Fellowship in 2003 He is a member of POSNA EPOS the American Hip Society and the International Hip Society Dr Millis received the Pro Maximis Meritis Award from EPOS in 2017 21

DEREK M KELLY MD SPECIAL EFFORTS AND EXCELLENCE AWARD Derek M Kelly MD is a Professor of Orthopaedic Surgery for the University of Tennessee Campbell Clinic Department of Orthopaedic Surgery He serves as the Campbell Clinic Pediatric Orthopedic Fellowship Director and the Campbell Clinic Assistant Orthopaedic Residency Program Director After graduation from medical school and orthopaedic surgery residency at the University of Arkansas for Medical Sciences in Little Rock AR he completed the Dorothy and Bryant Edwards Fellowship in Pediatric Orthopaedic and Spine Surgery at Texas Scottish Rite Hospital for Children in Dallas TX He currently practices pediatric orthopaedics and spinal deformity surgery at Campbell Clinic and Le Bonheur Children s Hospital in Memphis TN He is active in a number of professional societies including the American Academy of Orthopaedic Surgeons AAOS American Orthopaedic Association AOA Scoliosis Research Society SRS and the Pediatric Orthopedic Society of North America POSNA where he has served on multiple committees and currently chairs the POSNA Publications Committee He also serves as the Deputy Editor for Review Articles for the Journal of Pediatric Orthopaedics He is an active member of the International Perthes Study Group IPSG where he serves as Chair of the Membership Committee He was a POSNA EPOS Traveling Fellow in 2016 He has contributed over 65 peer reviewed scientific articles to the orthopaedic literature as well as numerous chapters to orthopaedic textbooks He has been married to Hallie for 13 years and has two daughters Muriel 6 and Anabel 4 LYNN T STAHELI MD HUMANITARIAN AWARD Dr Lynn Staheli is a Professor Emeritus from the University of Washington He graduated from the University of Utah Medical School with AOA Honor Society membership 1959 and served three years as medical doctor in the United States Air Force 1960 1963 He completed his residency in orthopaedics at the University of Washington 1969 and was one of five to receive the AOA Outstanding Resident Award During his thirty year practice at Seattle Children s Hospital Dr Staheli served Director of Research and Education 1970 1977 and Department Director 1977 1992 The Staheli Chair for Research in Pediatric Orthopaedics was established at Seattle Children s Hospital in Seattle 2002 He also started three annual lectures that still continue to this day Dr Staheli received a Carl Berg Traveling Scholarship 1971 Before POSNA was established he served as President of Pediatric Orthopedic Study Group 1979 He is the Founding Editor 1981 2002 and Editor Emeritus 2002 present of the Journal of Pediatric Orthopedics and Founder of the International Scholarship of Pediatric Orthopaedics 1982 His research talks and publications are credited with changing the management of developmental variations in children and dispelling the myth of the corrective shoe For this contribution he received the first Distinguished Service Award from the American Academy of Pediatrics 1995 Later he received the Distinguished Achievement Award from POSNA 2002 a Merit of Honor Award from the University of Utah 2004 the AACPDM Humanitarian Award 2010 and was the Presidential Guest Speaker at POSNA 2004 Over his career Dr Staheli has taught in 40 countries and has published 85 papers 10 chapters and 18 books Dr Staheli founded Global HELP Organization 2002 and served as Volunteer Director 2002 present Global HELP provides free medical publications and videos worldwide 180 publications and 175 videos in total PDFs are available in up to 35 languages and have been downloaded from Global HELP s website over 22 million times in over 190 countries Global HELP has since added two sub sites Pediatric Orthopaedic Academy POA in English and Spanish and provides free and open access to all materials The organization created and published Clubfoot Ponseti Management 2 5 million PDF downloads 30 000 printed copies available in 31 languages and has contributed to sustainable clubfoot projects in Uganda and Bangladesh 22

EVAN SMITH STEEL LECTURE Evan Smith is the CEO and co founder of The Texas Tribune a pioneering nonprofit nonpartisan digital news organization whose deep coverage of Texas politics and public policy can be found at its website texastribune org in newspapers and on TV and radio stations across the state and in the print and online editions of the Washington Post Since its launch in 2009 the Tribune has won international acclaim and numerous honors including a Peabody Award thirteen national Edward R Murrow Awards from the Radio Television Digital News Association and three general excellence awards from the Online News Association Evan is also the host of Overheard with Evan Smith a weekly half hour interview program that airs on PBS stations around the country Previously he spent nearly 18 years at Texas Monthly including eight years as the magazine s editor and a year as its president and editor in chief Pediatric Orthopaedic Surgery Career Opportunity The Department of Pediatric Orthopaedic Surgery at Joe DiMaggio Children s Hospital is seeking an eighth full time BE BC fellowship trained Pediatric Orthopaedist to join our extremely collegial rapidly expanding practice Subspecialty interest in upper extremity sports oncology or non operative is a strong plus but not required This is an excellent opportunity to join a regional referral tertiary care practice at a large freestanding and full service children s hospital This is an academic style practice with strong subspecialty programs in spinal deformity sports medicine limb deformity tumors and hip surgery Our extensive referral base includes four counties in South Florida population nearly six million and the Caribbean An active transport team provides rotary fixed wing and ground transport regional and international This is a full time employed position with the multi specialty Memorial Physician Group The position offers competitive benefits and a compensation package that is commensurate with training and experience Professional malpractice and medical liability is covered under sovereign immunity About Joe DiMaggio Children s Hospital Joe DiMaggio Children s Hospital opened in 1992 and has grown to be the leading children s hospital in Broward and Palm Beach counties With 226 beds an 84 bed Level II and III NICU 30 bed PICU and 12 bed intermediate care unit Joe DiMaggio Children s Hospital combines leading edge clinical excellence with a child and family friendly environment that emphasizes the Power of Play In addition our team specializes in treating young athletes through our U18 Sports Medicine program Located in the heart of South Florida a region whose quality of life attracts new residents from all over the country and around the world Joe DiMaggio Children s Hospital offers a comprehensive range of healthcare services delivered with kindness dedication and compassion In addition Florida has no state income tax For more information about the division please visit www kidbones net Interested candidates should submit their CV to Michael Jofe MD at mjofe mhs net kidbones net memorialphysician com 23

Super specialized pediatric orthopedic care Akron Children s has established clinics dedicated to Brachial Plexus Palsy Clubfoot Early Onset Scoliosis Neuromuscular Disease Our Department of Pediatric Orthopedics may be known for its multidisciplinary expertise but we really specialize Osteogenesis Imperfecta Skeletal Dysplasia in one thing kids Akron Children s is committed to advancing pediatric orthopedic care through dedicated clinics and many research projects currently in progress It s just one of the many ways we re 100 focused on kids and their unique needs For more information referring physicians can call 330 543 3500 akronchildrens org

2018 POSNA A nnual Meeting PODIUM PRESENTATIONS WEDNESDAY MAY 9 2018 1 00 PM 1 09 PM Introduction and Opening Remarks QUALITY SAFETY AND VALUE Moderator A Noelle Larson MD eModerator Kerwyn Jones MD Presider Brian K Brighton MD Paper 1 1 10 PM 1 14 PM Hospitalist Co management of Pediatric Orthopedic Patients Improves Outcomes and Quality Processes Rita Fleming MD Anjna Melwani MD Matthew Oetgen MD Children s National Health System Washington DC Paper 2 1 15 PM 1 19 PM Operating Room OR Personnel Factors Determine Efficiency for Pediatric Spinal Fusions for Scoliosis Does The Surgeon Influence This Jeffrey Sawyer MD Jacob Hartline BS Vikki Nolan MPH Benjamin Sheffer MD David Spence MD William Warner MD Derek Kelly MD Campbell Clinic Orthopedics Memphis TN Paper 3 1 20 PM 1 24 PM Decision Support Appointment Optimization System Significantly Increases Surgeon Mean Billings and Collections John Crawford MD Russell Zaretzki PhD Knoxville Orthopaedic Clinic Knoxville TN 1 25 PM 1 33 PM Discussion Paper 4 1 34 PM 1 38 PM A Novel Low Cost High Fidelity Surgical Simulation Tool for Pinning Supracondylar Humerus Fractures John Urwin BS Eileen Storey BA Christopher Brusalis BA Christopher Gajewski BA J Todd Lawrence MD PhD Children s Hospital of Philadelphia Philadelphia PA Paper 5 1 39 PM 1 43 PM Treatment Adherence to AAOS Appropriate Use Criteria for Type III Supracondylar Humerus Fractures Among Pediatric Orthopedic Surgeons Elisa Emanuelli BS Ognjen Stevanovic MD Jeffrey Klott MD Mason Uvodich BS Ashley Sherman MA Richard Schwend MD Children s Mercy Hospital Kansas City MS 25

Wednesday May 9 2018 continued Paper 6 1 44 PM 1 48 PM Surgical Treatment of Supracondylar Humerus Fractures in A Free Standing Ambulatory Surgery Center is as Safe Faster and More Cost Effective Than in A Children s Hospital Jeffrey Sawyer MD Victor Hong Timothy Westbrooks BS Carson Rider MD Jiajing Wang Benjamin Sheffer MD Derek Kelly MD David Spence MD Campbell Clinic Orthopedics Memphis TN 1 49 PM 1 57 PM Discussion Paper 7 1 58 PM 2 02 PM Two for One A Change in Hand Positioning During Low Dose Spinal Stereoradiography Allows for Concurrent Reliable Sanders Skeletal Maturity Staging Taylor Jackson Daniel Miller MD Susan Nelson MD Patrick Cahill MD John Jack Flynn MD Children s Hospital of Philadelphia Philadelphia PA Paper 8 2 03 PM 2 07 PM Intraoperative CT Scan Verification of Pedicle Screw Placement in AIS to Prevent Malpositioned Screws A Cost Benefit Analysis Jennifer Bauer MD Jeffrey Moore MD Brian Gibbs BA Rajiv Rangarajan Petya Yorgova MS Geraldine Neiss PhD Kenneth Rogers PhD Peter Gabos MD Suken Shah MD Nemours AI duPont Hospital for Children Wilmington DE Paper 9 2 08 PM 2 12 PM Intraoperative CT Guided Navigation Reduced Return to OR for Screw Malposition Compared to Free Fluoroscopic Techniques for Pediatric Spine Patients A Noelle Larson MD Anthony Stans MD Fady Baky Scott Echternacht BA Todd Milbrandt MD Mayo Clinic Rochester MN 2 13 PM 2 21 PM Paper 10 Discussion 2 22 PM 2 26 PM Telemedicine Utilization in a Pediatric Sports Medicine Clinic Decreased Wait Times and Cost with Increased Satisfaction Alfred Atanda MD Peter Fabricant MD Suken Shah MD Nicholas Slamon MD Alfred I DuPont Hospital for Children Wilmington DE Paper 11 2 27 PM 2 31 PM Venous Thromboembolism in Pediatric Orthopedics Are We Talking About the Same Patients and Risk Factors Benjamin Shore MD MPH FRCSC Samuel Scott Emily Rademacher BS Patricia Miller MS Eric Jordan Cameron Trenor MD Eduardo Novais MD Daniel Hedequist MD James Kasser MD Boston Children s Hospital Boston MA 26

Wednesday M ay 9 2018 Paper 12 2 32 PM 2 36 PM The Addition of Continuous Nerve Blockade to General Anesthesia An Effective Tool to Reduce Pain and Length of Stay in Pediatric Patients Undergoing Orthopedic Surgery Anas Minkara BS Reid Chambers Joel Kolmodin MD John Seif MD Ryan Goodwin MD Cleveland Clinic Cleveland OH 2 37 PM 2 45 PM Discussion TRAUMA Moderator Eric W Edmonds MD eModerator Amy McIntosh MD Presider Todd F Ritzman MD Paper 13 3 07 PM 3 11 PM Is Less More Assessing the Value of Early Clinical and Radiographic Follow up for Operative Supracondylar Humerus Fractures Rachel Thompson MD Elizabeth Walker Hubbard MD Marilyn Elliott Anthony Ian Riccio MD Daniel J Sucato MD MS Texas Scottish Rite Hospital for Children Dallas TX Paper 14 3 12 PM 3 16 PM Lateral Condyle Fractures of the Humerus in Children Does Fixation Type Matter Rekha Ganeshalingam MD Alice Donnan Owain Evans Monsurul Hoq Mark Camp FRCSC Leo Donnan MD Royal Children s Hospital Melbourne Australia Paper 15 3 17 PM 3 21 PM Prophylactic Fixation or Surveillance Predicting Subsequent Displacement of Lateral Humerus Condyle Fracture Wu Chean Lee MBChB Suraya Zainul Abidin MD Yu Heng Kwan BS Kai Yet Lam MD Arjandas Mahadev MD KK Women s and Children s Hospital Singapore Singapore 3 22 PM 3 30 PM Discussion Paper 16 3 31 PM 3 35 PM Infantile Less than 2 years old Supracondylar Humeral Fractures Twice as Common in Females and High Rate of Malunion with Lateral Column Only Fixation Charles Mehlman DO Michael Fisher DO Jaime Denning MD James McCarthy MD MHCM Cincinnati Children s Hospital Cincinnati OH Paper 17 3 36 PM 3 40 PM High Volume Hospitals have Lower Open Reduction Rates for Pediatric Supracondylar Humerus Fractures Brendan Striano BA Divya Talwar MPH John Jack Flynn MD Apurva Shah MBA MD Children s Hospital of Philadelphia Philadelphia PA 27

Wednesday May 9 2018 continued Paper 18 3 41 PM 3 45 PM Utility of Follow Up Radiographs After Pin Removal in Supracondylar Humerus Fractures Natalie Zusman MD Nicole Barney Matthew Halsey MD Scott Yang MD Oregon Health Science University Portland OR 3 46 PM 3 54 PM Discussion Paper 19 3 55 PM 3 59 PM Hospital and Physician Type are Associated with Application of Evidence based Recommendations for Low risk Distal Radius Fractures Treated in Ontario Emergency Departments Tara Baxter MD Andrew Howard MD Mark Camp FRCSC Teresa To PhD Maria Chiu University of Toronto Toronto Ontario Canada Paper 20 4 00 PM 4 04 PM Compartment Syndrome in Pediatric Monteggia Fractures and Equivalents John Kopriva BS John Awowale MD Paul Whiting MD Andrew Livermore MD Alexander Siy BS Ken Noonan MD University of Wisconsin School of Medicine and Public Health Madison WI Paper 21 4 05 PM 4 09 PM The Learning Curve of Pediatric Forearm Fracture Treatment High Early Failure Rate and Rapid Resident Mastery Implications for Training Brett Shannon MD Brian Sullivan BS Dawn LaPorte MD Paul Sponseller MD Johns Hopkins University Baltimore MD 4 10 PM 4 18 PM Discussion Paper 22 4 19 PM 4 23 PM Physeal Fractures of the Distal Femur Is More Surgery Better Alexander Adams BS Mahmoud Abo Elmagd Lawrence Wells MD John Jack Flynn MD Alexandre Arkader MD Children s Hospital of Philadelphia Philadelphia PA Paper 23 4 24 PM 4 28 PM Pediatric Floating Knee A Multicenter Review Jason B Anari MD Benjamin Shore MD MPH FRCSC G Li MD Jaclyn Hill MD Scott Rosenfeld MD Keith Baldwin MD MSPT MPH Children s Hospital of Philadelphia Philadelphia PA Paper 24 4 29 PM 4 33 PM Outcomes of Tibial Shaft Fracture Treatment in Skeletally Mature or Near skeletally Mature Adolescents Casting versus Rigid Intramedullary Nailing Benton Heyworth MD Colyn Watkins MD Emily Rademacher BS Patricia Miller MS Collin May MD Benjamin Shore MD MPH FRCSC Boston Children s Hospital Boston MA 4 34 PM 4 42 PM Discussion 28

Wednesday M ay 9 2018 Paper 25 4 43 PM 4 47 PM Long term Outcomes Following Mid Shaft Clavicle Fractures in Adolescents Does Internal Fixation Improve Outcomes Ishaan Swarup MD Steven Orr MD Kunal Agarwal MS Daniel Green MD John Blanco MD Shevaun Doyle MD Emily Dodwell MD MPH FRCSC Hospital for Special Surgery New York NY Paper 26 4 48 PM 4 52 PM Pediatric Fractures Vitamin D May not Play a Role Selina Poon MD Alexa Karkenny MD Jahn Avarello MD Ashley Burlage MD Rocio Crabb Kelly McNally BS Jacob Schulz MD Sara Merwin MPH Northwell Health New Hyde Park NY Paper 27 4 53 PM 4 57 PM Management of Fasciotomy Incisions after Acute Compartment Syndrome Is Delayed Primary Closure More Feasible in Children Compared to Adults Collin May MD Emily Rademacher BS Eric Jordan Patricia Miller MS Michael Glotzbecker MD Daniel Hedequist MD Donald Bae MD Benjamin Shore MD MPH FRCSC Boston Children s Hospital Boston MA 4 58 PM 5 06 PM Discussion 29

2018 POSNA A nnual Meeting THURSDAY MAY 10 2018 7 30 AM 7 34 AM Welcome and Remarks HAND UPPER EXTREMITY Moderator Christine Ho MD eModerator Roger Cornwall MD Presider Apurva Shah MBA MD Paper 28 7 34 AM 7 38 AM Long term Results of Isolated Latissimus Dorsi Transfer in Brachial Plexus Birth Palsy Andrew Price MD Lauren Santiesteban MD NYU Langone Orthopedics Hospital New York NY Paper 29 7 39 AM 7 43 AM The Mental Health Implications of Obstetric Brachial Plexus Injuries OBPI on Parents Karan Dua MD Catherine Miller Joshua M Abzug MD University of Maryland School of Medicine Baltimore MD Paper 30 7 44 AM 7 48 AM Functional versus Perceived Outcomes in Brachial Plexus Birth Palsy Matthew Topley BS Stephanie Russo MD R Tyler Richardson PhD Elizabeth Rapp Van Roden MS Scott Kozin MD Dan Zlotolow MD James Richards PhD Shriners Hospital for Children Philadelphia PA 7 49 AM 7 57 AM Discussion Paper 31 7 58 AM 8 02 AM Anatomy versus Activity A Comparison of Capitellar Osteochondritis Dissecans in Gymnasts and Baseball Players Philip Wilson MD Paul Tavakolian MD Charles Wyatt NP Meagan Sabatino BA Henry Ellis MD Texas Scottish Rite Hospital for Children Dallas TX Paper 32 8 03 AM 8 07 AM A Matched Quantitative CT Analysis of Three Surgical Approaches for Osteochondral Reconstruction of the Capitellum Peter Fabricant MD Christine Johnson MD Susanne Roberts MD Douglas Mintz MD Robert Hotchkiss MD Aaron Daluiski MD Hospital for Special Surgery New York NY Paper 33 8 08 AM 8 12 AM Quantifying the Location of the Radial Nerve in Children for Intraoperative Use Ena Nielsen BA Lindsay Andras MD David Skaggs MD Children s Hospital Los Angeles Los Angeles CA 8 13 AM 8 21 AM Discussion 30

Thursday Ma y 10 2018 Paper 34 8 22 AM 8 26 AM Treatment of Congenital Brachymetacarpia by Callotaxis with Monoplanar External Fixator in Children Roman Capdevila MD Blanca Reyes Huerta MD Shriners Hospital for Children Mexico City Mexico Paper 35 8 27 AM 8 31 AM Pulling the Trigger What Factors to Consider when Operating on Pediatric Trigger Thumbs Alison Dittmer MD Olivia Grothaus BA Cale Jacobs PhD Ryan Muchow MD Henry Iwinski MD Scott Riley MD Lexington Shriner s Hospital Lexington KY Paper 36 8 32 AM 8 36 AM Suture Osteosynthesis in the Bony Reconstruction of Thumb Polydactyly Kenneth Wong FRCS Ortho Ee Ming Darryl Chew MBBS Christopher Chan MBBS Lam Chuan Teoh FRCS KK Women s and Children s Hospital Singapore Singapore 8 37 AM 8 45 AM Discussion GENERAL INFECTION TUMORS Moderator Lawson Copley MD eModerator Alexandre Arkader MD Presider Pooya Hosseindah MD Paper 37 8 51 AM 8 55 AM The Introduction of a Pre Operative MRI Protocol Significantly Reduces Unplanned Return to the Operating Room in the Treatment of Pediatric Osteoarticular Infections Joseph Khoury MD Branum Gage Griswold BS Shawn R Gilbert MD Evan Sheppard MD Charlie Pitts MD University of Alabama Birmingham Birmingham AL Paper 38 8 56 AM 9 00 AM Risk Assessment of Deep Venous Thrombosis Among Children with Osteomyelitis to Promote Early Recognition and Treatment Lawson Copley MD John Ligon MD Eduardo Lindsay MD Janna Journeycake Shellie Josephs MD Naureen Tareen MPH Chan Hee Jo PhD Children s Health System of Texas Dallas TX Paper 39 9 01 AM 9 05 AM Low Platelet Count At Presentation Predicts Disease Severity VTE and Hospital Outcomes in Children with Musculoskeletal Infection Jonathan Schoenecker MD PhD Tanya Marvi Isaac Thomsen MD Vanderbilt University Medical Center Nashville TN 9 06 AM 9 15 AM Discussion 31

Thursday May 10 2018 continued Paper 40 9 15 AM 9 19 AM The Effect of Antibiotic Timing on Surgical Culture Yield in Pediatric Osteoarticular Infection Michael Van Der Merwe MBChB Katie Rooks MD Haemish Crawford Matthew Boyle FRACS Starship Children s Hospital Auckland New Zealand Paper 41 9 20 AM 9 24 AM Clinical Eevolution of Osteofibrous Dysplasia Should We Worry about Progression to Adamantinoma Georges Basile MD Megan Anderson MD Mark Gebhardt MD Antonio Perez Atayde Emily Rademacher BS Boston Children s Hospital Boston MA Paper 42 9 25 AM 9 29 AM Does Pathologic Fracture Affect Prognosis in Osteosarcoma of the Extremities Megan Anderson MD Mark Gebhardt MD Santiago Lozano Calderon Boston Children s Hospital Boston MA 9 30 AM 9 38 AM Discussion 9 38 AM 9 53 AM DISTINGUISHED ACHIEVEMENT AWARD James W Roach MD 9 54 AM 10 14 AM Break CONCURRENT SESSION I SPINE Moderator Lindsay Andras MD eModerator Nicholas D Fletcher MD Presider Robert Murphy MD Paper 43 10 21 AM 10 25 AM AIS Functional Outcomes their Relationship to LIV Subsequent Spine Surgery and Patient Factors at Average 45 Years after Instrumented Fusion Sarah Lander MD Caroline Thirukumaran Krista Noble BS Ahmed Saleh MD Addisu Mesfin MD Paul Rubery MD James Sanders MD University of Rochester Rochester NY Paper 44 10 26 AM 10 30 AM Continued Deterioration in Pulmonary Function at Minimum 18 year Follow up from Early Thoracic Fusion in Non neuromuscular Scoliosis Daniel Bouton MD Lori Karol MD Kiley Poppino BS Charles E Johnston II MD Texas Scottish Rite Hospital for Children Dallas TX Paper 45 10 31 AM 10 35 AM Intermediate Term Progression of Adolescent Idiopathic Scoliosis Curves after Reaching 40 Degrees W Timothy Ward MD James Roach MD Tanya Kenkre PhD Maria Brooks PhD Patrick Bosch MD Ozgur Dede MD Bryan Rynearson MD Joanne Londino RN Children s Hospital of Pittsburgh of UPMC Pittsburgh PA 32

Thursday Ma y 10 2018 10 36 AM 10 44 AM Discussion Paper 46 10 45 AM 10 49 AM Can Sanders 7 be Utilized as a Stand alone Criterion for Discontinuation of a TLSO in AIS Peter Gabos MD Megan Dempsey Alicia McCarthy NP Kenneth Rogers PhD Abigail Mantica MD Suken Shah MD Nemours A I duPont Hospital for Children Wilmington DE Paper 47 10 50 AM 10 54 AM Risk Factors for Prolonged Narcotic Use Following Adolescent Scoliosis Surgery Scott Yang MD Brian Werner MD Oregon Health Science University Portland OR Paper 48 10 55 AM 10 59 AM 46 Reoperation Rate in Adolescents with Spondylolisthesis Ena Nielsen BA Lindsay Andras MD Nicole Michael BA Sumeet Garg MD Michael Paloski DO Brian Brighton MD Emmanuelle Ferrero Keyvan Mazda Brice Ilharreborde MD David Skaggs MD Children s Hospital Los Angeles Los Angeles CA 11 00 AM 11 08 AM Discussion Paper 49 11 09 AM 11 13 AM Outcome Measurement of Vertebral Body Tethering for Adolescent Idiopathic Scoliosis Daniel Hoernschemeyer MD Nicole Tweedy NP John Worley BA Christopher Loftis MD Dana Duren PhD Christina Holzhauser Sumit Gupta MD Madeline Robertson MD Missouri Orthopedic Institute Columbia MO Paper 50 11 14 AM 11 18 AM 2 Year Outcomes of Anterior Spinal Growth Tethering vs Posterior Spinal Fusion for Scoliosis Flexibility vs Reliability Peter Newton MD Dylan Kluck MD Wataru Saito Burt Yaszay MD Carrie Bartley MA Tracey Bastrom MA Rady Children s Hospital San Diego CA Paper 51 11 19 AM 11 23 AM Pediatric Cervical Spine Clearance A Multi Disciplinary Consensus Statement and Algorithm from the Pediatric Cervical Spine Clearance Working Group Martin Herman MD Jonathan H Phillips MD St Christopher s Hospital for Children Philadelphia PA 11 24 AM 11 32 AM Discussion Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 33

Thursday May 10 2018 continued Paper 52 11 33 AM 11 37 AM Is There an Improvement in Quality of Life with Early Onset Scoliosis Managed with Traditional Growing Rods Converted to Magnetically Controlled Growing Rods Jennifer Bauer MD Petya Yorgova MS Geraldine Neiss PhD Kenneth Rogers PhD Peter Sturm MD Paul Sponseller MD Scott Luhmann MD Jeff Pawelek Suken Shah MD Growing Spine Study Group Nemours Alfred I duPont Hospital for Children Wilmington DE Paper 53 11 38 AM 11 42 AM EDF Casting Preserves Pulmonary Function in Early Onset Scoliosis A Follow up Shyam Kishan MD Cody Shafer MD Kimberly Sundblad Randall Loder MD Riley Hospital for Children Indiana University Indianapolis IN Paper 54 11 43 AM 11 47 AM Magnetically Controlled Growing Rods have a High Rate of Complications and Return to OR Chun Wai Hung Megan Campbell BA Hiroko Matsumoto MA David Roye MD Michael Vitale MD MPH Benjamin Roye MD Columbia University Medical Center New York NY 11 48 AM 11 56 AM Discussion CONCURRENT SESSION II SPORTS Moderator Kevin Shea MD eModerator David Spence MD Presider Jennifer Beck MD Paper 55 10 21 AM 10 25 AM Athletic Activity in Children and Adolescents Decreases with Age A Cross Sectional Study of 2 002 American Youth Peter Fabricant MD Joash Suryavanshi BA Jacob Calcei MD Robert Marx MD Roger Widmann MD Daniel Green MD Hospital for Special Surgery New York NY Paper 56 10 26 AM 10 30 AM Magnetic Resonance Imaging Abnormalities in Asymptomatic Little League Baseball Player s Shoulders Andrew Pennock MD Jerry Dwek MD Emily Levy Philip Stearns John Manning MD M Morgan Dennis BS Amanda Davis Juarez BS Tracey Bastrom MA Kenneth Taylor MD Rady Children s Hospital San Diego CA Paper 57 10 31 AM 10 35 AM Which Factors Increase the Risk of Re Operation After Meniscus Surgery in the Skeletally Immature Neeraj Patel MD Surya Mundluru MD Nicholas Beck MD Theodore Ganley MD The Children s Hospital of Philadelphia Philadelphia PA 10 36 AM 10 44 AM Discussion 34

Thursday Ma y 10 2018 Paper 58 10 45 AM 10 49 AM Risk Factors for Recurrent Patellar Instability in Children and Adolescents Ronen Sever MD Noah Kirschner BA Kristin Twomey MD Regina Hanstein PhD Eric Fornari MD Children s Hospital at Montefiore Bronx NY Paper 59 10 50 AM 10 54 AM Medial Patellofemoral Ligament Reconstruction versus Medial Retinaculum Plication A Comparison Study Eric Davis BS Robert Spang MD Natasha Trentacosta MD Frances Tepolt MD Mininder Kocher MD MPH Boston Children s Hospital Boston MA Paper 60 10 55 AM 10 59 AM Redislocation Rate in Children Undergoing Surgery for Patella Instability with Oosteochondral Defects Should a Concomitant Ligament Reconstruction be Performed Jason Pedowitz BS Eric Edmonds MD Henry G Chambers MD M Morgan Dennis BS Tracey Bastrom MA Andrew Pennock MD Rady Children s Hospital San Diego CA 11 00 AM 11 08 AM Discussion Paper 61 11 09 AM 11 13 AM ACL Growth with Age in the Skeletally Immature An MRI Study Danielle Putur Miguel Pelton MD Niharika Patel MPH Emily Niu MD Children s National Medical Center Washington DC Paper 62 11 14 AM 11 18 AM How Do Race and Insurance Status Affect the Care of Pediatric Anterior Cruciate Ligament Injuries Nakul Talathi BS Joshua Bram BS Neeraj Patel MD Christopher Defrancesco BS Theodore Ganley MD The Children s Hospital of Philadelphia Philadelphia PA Paper 63 11 19 AM 11 23 AM Acute Opioid Consumption Affected by Graft Type Following Adolescent Anterior Cruciate Ligament Reconstruction Jennifer Beck MD Kelly Cline MD Sophia Sangiorgio PhD Rebecka Serpa Kendall Shifflett BS Richard Bowen MD Orthopedic Institute for Children Los Angeles CA 11 24 AM 11 32 AM Paper 64 Discussion 11 33 AM 11 37 AM Allograft Augmentation of Hamstring Anterior Cruciate Ligament Grafts is Associated with Increased Graft Failure Crystal A Perkins MD Michael Busch MD Melissa Christino MD Samuel Willimon MD Children s Healthcare of Atlanta Atlanta GA 35

Thursday May 10 2018 continued Paper 65 11 38 AM 11 42 AM Adolescents with Quadriceps and Patellar Tendon Autografts Exhibit Greater Deficiencies in Drop Jump Landing Biomechanics than Patients with Hamstring Tendon Autografts Nicole Mueske MS Curtis VandenBerg MD James Pace MD Mia Katzel DPT Ricardo Padilla Tishya Wren PhD Children s Hospital Los Angeles Los Angeles CA Paper 66 11 43 AM 11 47 AM Return to Sport and Reoperation Rates in Patients Under the Age of 20 Following Primary Anterior Cruciate Ligament Reconstruction Risk Profile Comparing Three Patient Groups Predicated Upon Skeletal Age Daniel Green MD Frank Cordasco MD Sheena Black MD Meghan Price BS Colleen Wixted BS Michael Heller ATC Lori Asaro PA Joseph Nguyen MPH Hospital for Special Surgery New York NY 11 48 AM 11 56 AM Discussion 36

Thursday Ma y 10 2018 SYMPOSIA PROGRAM POPS Symposium 1 30 PM 3 30 PM Co Chairs Christi Abeln APN B C P N P Colleen Ditro DNP RN CPNP The Safety Health and Wellness of the Orthopaedic Pediatric Patient This 90 minute symposium will involve discussions on the safety health and wellness of the pediatric patient during their orthopaedic care Dr Reid Nichols will discuss the preparation of the orthopaedic patient for surgery from a health and wellness perspective The symposium will end with a discussion from Dr Jessica Peck on how the Advanced Practice Provider can identify possible risk factors for child trafficking and initiate prompt intervention in the orthopaedic clinic Moderator s Christi Abeln APN B C P N P Colleen Ditro DNP RN CPNP 1 30 PM 2 15 PM The Orthopaedic Perspective on the Health and Wellness of the Pediatric Patient L Reid Nichols MD 2 15 PM 2 25 PM Discussion 2 25 PM 3 20 PM Children in Human Trafficking Jessica Peck DNP RN MSN CPNP CP 3 20 PM 3 30 PM Discussion 37

Thursday May 10 2018 continued PRACTICE MANAGEMENT Symposium 1 30 PM 3 30 PM Chair John Lovejoy MD Telemedicine Telemedicine is rapidly becoming a prominent offering for many medical practices At a time when medical costs are rising and the demand for immediate access to medical professionals is increasingly expected by the public telemedicine has been touted as a possible lower cost solution to providing specific types of care directly to patients at their convenience This symposium will start by addressing the definition of telemedicine and then explore how it is utilized by some of the members of POSNA We will explore areas such as the variations in state regulation concerns over billing the ethical issues that can occur and how telemedicine might be best structured into a pediatric orthopaedic practice Moderator s John Lovejoy MD Pooya Hosseinzadeh MD 1 30 PM 1 40 PM Introduction John Lovejoy MD 1 40 PM 1 55 PM Incorporating Telehealth in Your Pediatric Orthopedic Practice Carey Officer 1 55 PM 2 15 PM Telemedicine How to Receive Proper Reimbursement Betty Hovey CCS P CPC CPMA CPCD CPB COC CPC I CDIP Consultant KarenZupko Associates 2 15 PM 2 40 PM Telemedicine When Where and How to Use It Effectively Alfred Atanda Jr MD 2 40 PM 3 00 PM A Review of the Ethics of Telehealth and Telemedicine Wade Shrader MD 3 00 PM 3 15 PM POSNA Telemedicine Survey Results Pooya Hosseinzadeh MD 3 15 PM 3 30 PM Panel Discussion and Q A Philip Wilson MD M Wade Shrader MD Anthony Scaduto MD Michael Albert MD Joseph Gerardi DO Teresa Cappello MD Carey Officer 38

Thursday Ma y 10 2018 RESEARCH Symposium Evidence Based Practice Workshop 1 30 PM 3 30 PM Co Chairs Theodore Ganley MD Corinna Franklin MD Matthew Milewski MD Paul Sponseller MD The Evidence Based Practice and the Research Committees of POSNA have worked collaboratively to present our membership with a combined program Our society s thought leaders will address ways to improve your practice both now and in the future by addressing state of the art evidence based medicine principles and techniques Colleagues will also show how they have applied those principles by briefly presenting their award winning research initiatives that have been funded by POSNA supported grants PERIOD 1 Evidence Based Practice Design and Debate Moderator s Paul Sponseller MD Scott McKay MD 1 30 PM 1 37 PM The Mission What is the Roadmap of Guidelines Appropriate Use Criteria and Performance Measures and How Does that Lead to Value Kevin Shea MD 1 38 PM 1 45 PM A Debate Is Evidence Based Medicine the Enemy of Personalized Medicine or the Path to Quality Value and Safety John Jack Flynn MD 1 46 PM 1 53 PM Study Design Formulating a Translational Research Question Jonathan Schoenecker MD PhD 1 55 PM 2 02 PM Data Collection Can Electronic Capture Systems Help or Hurt Us in Collecting Data Incentivizing Patients and Improving Follow up Keith Baldwin MD MSPT MPH 2 03 PM 2 10 PM Discussion PERIOD 2 POSNA Supported Research Highlights Moderator s Jonathan Schoenecker MD PhD Phillip Nowicki MD 2 11 PM 2 17 PM 2016 Zimmer Biomet Spine Research Grant Lori A Dolan PhD To Brace or Not to Brace Development of an AIS Patient Decision Aid 2 18 PM 2 24 PM 2016 St Giles Award Vidyadhar V Upasani MD The Effects of Intra capsular Pressure on Femoral Head Perfusion A Porcine Model 39

Thursday May 10 2018 continued RESEARCH Symposium Evidence Based Practice Workshop continued 2 25 PM 2 31 PM 2 32 PM 2 38 PM 2 39 PM 2 45 PM 2016 Angela M Kuo Memorial Award Matthew A Halanski MD Non invasive Limb Lengthening Histotripsy Mediated Periosteal Transection in a Rabbit Model 2016 Arthur Huene Memorial Research Award Frances A Farley MD Role of the Hypoxia Signaling Pathway in Spine Development Discussion PERIOD 3 Putting Evidence Into Practice Moderator s Brian Brighton MD Michael Schmitz MD 2 46 PM 2 53 PM Funds What are Funding Opportunities and Funding Needs for Evidence Based Practice Initiatives Sumeet Garg MD 2 54 PM 3 01 PM Levels of Evidence Where are We in 2018 Mininder Kocher MD MPH 3 02 PM 3 09 PM Best Practice Guidelines and Intra operative Neuromuscular Monitoring Michael Vitale MD MPH 3 10 PM 3 30 PM Discussion 40

Thursday Ma y 10 2018 Opioid Epidemic in 2018 Strategies for Pediatric Orthopaedic Patients Symposium 1 30 PM 3 30 PM Co Chairs Harold van Bosse MD Kerwyn Jones MD Prescription Opioids and Children The Best Use to Prevent Misuse While Bringing Pain to Truce This symposium was developed in response to the growing concern of opioid misuse particularly as related to children and teenagers and how to safeguard our patients as best possible while appropriately managing their post operative or injury related pain The goals of the session will be to understand the extent of the opioid epidemic in children including nationwide demographics on the non medical use of prescription opioids by children the physiologic factors that place children at risk for opioid abuse and prescribing practices that may contribute to the problem Physiology of pain and how it can be altered practice strategies and alternatives to opioid pain medications will be discussed as well as possible future directions for POSNA led studies in this field Moderator s Harold van Bosse MD Kerwyn Jones MD 1 30 PM 1 35 PM Welcome Introduction Kerwyn Jones MD Harold van Bosse MD 1 35 PM 1 45 PM Pre Test 1 45 PM 2 15 PM Pain Relief and the Opioid Crisis in the US and Canada David C Ring MD 2 15 PM 2 30 PM Neurobiology of Pain Harold van Bosse MD 2 30 PM 2 45 PM Differences in Opioid Response Metabolism at Different Ages Kerwyn Jones MD 2 45 PM 3 00 PM Recommendations for Outpatient Opioid Prescriptions for Children Teens Susan T Mahan MD MPH 3 00 PM 3 15 PM Alternative Strategies Peri operative Robert H Cho MD Anthony Cooper MD FRCS Non Opioid Outpatient Medications Ellen Raney MD 3 15 PM 3 30 PM Cognitive and Emotional Strategies Ellen Raney MD Question and Answer Panel Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 41

Thursday May 10 2018 continued Children s Orthopaedics in Under Resourced Environments COUR Symposium 1 30 PM 3 30 PM Chair Coleen Sabatini MD MPH We Must Not Forget Caring for Those with Polio and the Emerging Polio Like Syndromes The world is not yet polio free and may never be Places long thought to be free of polio have recently been the site of new polio like syndromes this includes the USA As the generation of surgeons that learned to care for polio has aged beyond their teaching roles younger surgeons are at risk of repeating the mistakes of the past while caring for those with these polio like syndromes especially since the care of polio is no longer taught in our training programs This symposium brings together world experts in polio care who will cover the current state of polio and the polio like syndromes including epidemiology surgical management non operative management and the future of orthopedic care for those with polio and polio like syndromes Moderator s Norgrove Penny MD FRCS C 1 30 PM 1 35 PM Welcome Introductions Coleen Sabatini MD MPH 1 35 PM 2 00 PM Polio and Polio Like Syndromes History Current Epidemiology and Understanding New Conditions Hugh Watts MD 2 00 PM 2 10 PM Acute Flaccid Myelitis The Austin Experience Donald Murphey MD 2 10 PM 2 20 PM Still on the Front Lines Caring for Those with Polio in 2018 Mathew Varghese MBBS MS Lessons Learned What We Must not Forget from Polio as We Now Face Polio like Syndromes 2 20 PM 2 30 PM Upper Extremity Hugh Watts MD 2 30 PM 2 50 PM Lower Extremity Mathew Varghese MBBS MS 2 50 PM 3 00 PM Non Operative Care Sharon K DeMuth MS DPT Caring for Patients in the Future 3 00 PM 3 20 PM Case Discussions and Interactive Session Sharon K DeMuth MS DPT Donald Murphey MD Norgrove Penny MD FRCS C Sanjeev Sabharwal MD MPH Mathew Varghese MBBS MS Hugh Watts MD 3 20 PM 3 30 PM The Future of Polio and the Polio Like Syndromes Sanjeev Sabharwal MD MPH 42

Thursday Ma y 10 2018 PHYSICIAN WELLNESS Symposium 1 30 PM 3 30 PM Spouses are welcome Co Chairs Jennifer Weiss MD to attend this session Henry G Chambers MD The leadership of POSNA has given us an opportunity to begin an incredibly important conversation about physician wellness and compassion for ourselves our colleagues our patients and our families This session will provide an introduction to physician wellness and compassion at all stages of our career Put the oxygen mask on yourself so that you can help others Moderator s Jennifer Weiss MD Henry G Chambers MD 1 30 PM 1 35 PM Welcome and Introduction Jennifer Weiss MD and Henry G Chambers MD 1 35 PM 1 50 PM Physician Burnout Michael J Goldberg MD 1 50 PM 2 10 PM Mindfulness and Tips and Tricks for Conversations about the Toxicity in the Coal Mine Leah Weiss PhD 2 10 PM 2 30 PM Priorities in Different Stages of Career Colin F Moseley MD 2 30 PM 2 45 PM Support Systems Real Life and Virtual What Can We Learn from the Women of Orthopedics Jennifer Weiss MD 2 45 PM 3 00 PM Performance Enhancement John Jack Flynn MD 3 00 PM 3 30 PM Question and Answer Panel Henry G Chambers MD Samara Friedman MD Carrie Baron MD Leah Weiss PhD Michael Goldberg MD 43

Thursday Ma y 10 2018 YOUNG MEMBER FORUM FOURTH ANNUAL ARABELLA LEET MD YOUNG MEMBER FORUM 5 00 PM 6 30 PM Moderator Martin Herman MD 5 00 PM 5 03 PM Introduction Brief Biography of Arabella Leet Moderator Martin Herman MD SESSION 1 Responsible Economics 5 03 PM 5 10 PM Office Billing Honest and Fruitful Coding Strategies Michael Wolf MD 5 11 PM 5 18 PM Partnering with Industry Avoiding Conflicts Protecting Your Credibility Robert H Cho MD 5 19 PM 5 26 PM Planning Your Financial Future You Are Not as Rich as You Think Mark A Erickson MD 5 27 PM 5 37 PM Q A SESSION 2 Priorities in Practice 5 38 PM 6 03 PM Balancing Your Clinical and Academic Lives What Are the Priorities Round Table Discussion Moderator Martin Herman MD Panelists Craig P Eberson MD Thomas G McPartland MD Mark A Erickson MD Robert H Cho MD SESSION 3 Looking into the Future 6 04 PM 6 09 PM Pediatric Orthopedic Workforce 2030 and Beyond Jeffrey Sawyer MD 6 10 PM 6 20 PM Changing the Face of Pediatric Orthopedics The Importance of Promoting Diversity Corinna C Franklin MD 6 21 PM 6 30 PM Q A 44

2018 POSNA A nnual Meeting FRIDAY MAY 11 2018 7 30 AM 7 34 AM Welcome and Remarks CLINICAL AWARD SESSION Moderator Steven Frick MD eModerator Matthew Dobbs MD Presider Matthew Oetgen MD Paper 67 7 35 AM 7 40 AM Three Dimensional Characterization of Acetabular Deficiency in Patients with Developmental Dysplasia of the Hip DDH Raghav Badrinath MD Megan Jeffords MS James Bomar MPH Syed Ahmed MD Andrew Pennock MD Dennis Wenger MD Vidyadhar Upasani MD Rady Children s Hospital San Diego San Diego CA 7 41 AM 7 46 AM Paper 68 7 47 AM 7 52 AM Disc Degeneration in Unfused Caudal Motion Segments Ten Years Following Surgery for Adolescent Idiopathic Scoliosis Baron Lonner MD Yuan Ren PhD Michelle Marks PT Peter Newton MD Randal Betz MD Amer Samdani MD Karen Chen Harry Shufflebarger MD Suken Shah MD Daniel Lefton MD Hussein Nasser MD Colin Dabrowski BS Mount Sinai Hospital New York NY 7 53 AM 7 58 AM Paper 69 Discussion Discussion 7 59 AM 8 04 AM Outcome of Microsurgery for BPBP Before Versus After 6 Months of Age Results of the Multicenter TOBI Study Andrea Bauer MD Leslie Kalish Peter Waters MD Boston Children s Hospital Boston MA 8 05 AM 8 10 AM Discussion Paper 70 8 11 AM 8 16 AM Displaced Distal Radius Fractures in Children Younger than 11 Years Old A Randomised Controlled Trial Comparing Two Treatment Methods Adriana Hernandez MD Aurelio Martinez MD Hospital Universitario Jose Eleuterio Gonzalez Nuevo Le n Mexico 8 17 AM 8 22 AM Paper 71 Discussion 8 23 AM 8 28 AM A Dedicated Pediatric Spine Deformity Team Significantly Reduces Surgical Time and Cost John Jack Flynn MD Brendan Striano BA Wallis Muhly MD Blair Kraus Wudbhav N Sankar MD Vaidehi Mehta Barbara Dezayas Jeffrey Feldman MD Ron Keren Children s Hospital of Philadelphia Philadelphia PA 45

Friday May 11 2018 continued 8 29 AM 8 34 AM Paper 72 8 35 AM 8 40 AM Non Operative Management of Femoroacetabular Impingement A Prospective Study Andrew Pennock MD James Bomar MPH Kristina Parvanta Vidyadhar Upasani MD Rady Children s Hospital San Diego San Diego CA 8 41 AM 8 46 AM Paper 73 Discussion Discussion 8 47 AM 8 52 AM Anterior Vertebral Body Tethering for the Treatment of Idiopathic Scoliosis Feasibility Outcomes and Complications Firoz Miyanji MD FRCSC Luigi Nasto MD Eva Habib BS Andrea Simmonds MD BC Children s Hospital Vancouver BC Canada 8 53 AM 8 58 AM Discussion Paper 74 8 59 AM 9 04 AM Characterization of Postoperative Pain and Opioid Use in Children with Supracondylar Humerus Fractures Using Automated Mobile Phone Text Messaging Susan Nelson MD Alexander Adams BS Matthew Buczek BS Christopher Anthony MD Apurva Shah MBA MD Children s Hospital of Philadelphia Philadelphia PA 9 05 AM 9 10 AM Paper 75 Discussion 9 11 AM 9 16 AM Internal Brace ACL Repair is Associated with a High Failure Rate in the First Two Years Post Surgery Alexia Gagliardi BA Ariel Kiyomi Daoud Patrick Carry MS Harin Parikh BS Jay Albright MD Children s Hospital Colorado Aurora CO 9 17 AM 9 22 AM Discussion Paper 76 9 23 AM 9 28 AM Standardization of the Surgical Treatment of Uncomplicated Supracondylar Humerus Fractures Using Quality Improvement Methodology to Implement Evidence Based Medicine Jaime Denning MD Setenay Kara PhD Laura Brower MD Nathan Hanlon Sandra Singleton MBA Matthew Frazier Cincinnati Children s Hospital Cincinnati OH 9 29 AM 9 34 AM 9 35 AM 9 50 AM Discussion Break 46

Friday May 1 1 2018 BASIC SCIENCE AWARD SESSION Moderator Jonathan Schoenecker MD PhD eModerator Shawn R Gilbert MD Presider Matthew A Halanski MD Paper 77 9 51 AM 9 55 AM Pediatric OI Patients Can their Bone Samples in a Xenograft Model Translate to New Anabolic Treatments Rachel Surowiec MSc Michelle Caird MD Ken Kozloff PhD University of Michigan Ann Arbor MI Paper 78 9 56 AM 10 00 AM Intraosseous Needle Technique to Wash Out Necrotic Cell Debris from the Femoral Head following Ischemic Osteonecrosis Harry Kim MD Felipe Do Monte Olumide Aruwajoye PhD Texas Scottish Rite Hospital for Children Dallas TX Paper 79 10 01 AM 10 05 AM Mobile Application That Reconstruct 3D Femur from Two Un Calibrated Radiographs Kibeom Youn Moon Seok Park MD PhD Jehee Lee PhD Seoul National University Bundang Hospital Sungnam Gyeonggi Republic of Korea 10 06 AM 10 14 AM Discussion Paper 80 10 15 AM 10 19 AM A Low frequency Missense Variant in SLC39A8 Associated with Severe Idiopathic Scoliosis Matthew Dobbs MD Gabriel Haller PhD Supak Jenkitkasemwong PhD Momchil Nikolov MSc Julia Whittle BS Zachary Upshaw Erin Baschal PhD Carlos Cruchaga PhD Matthew Harms MD Cathleen Raggio MD Jose Morcuende MD Philip Giampietro Nancy Miller MD Carol Wise PhD Mitchell Knutson Christina Gurnett Washington University School of Medicine St Louis MO Paper 81 10 20 AM 10 24 AM Novel Biological Role of Epigenetic MicroRNA in the Etiopathogenesis of Adolescent Idiopathic Scoliosis Jack C Y Cheng MD Wayne Y Lee PhD Jiajun Zhang Tsz Ping Lam MBBS Bobby Kin Wah Ng MD Yong Qiu MD Jian Feng The Chinese University of Hong Kong Hong Kong Hong Kong Paper 82 10 25 AM 10 29 AM Topical Vancomycin Eliminates Staphylococcus Epidermidis in a Chronic Spinal Implant associated Infection Model Chenghao Zhang MD Melissa Karau BS Andre Van Wijnen Thomas Boyce Robin Patel MD A Noelle Larson MD Todd Milbrandt MD Mayo Clinic Rochester MN 10 30 AM 10 38 AM Discussion Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 47

Friday May 11 2018 continued 10 39 AM 10 59 AM PRESIDENTIAL GUEST SPEAKER Michael Millis MD 11 00 AM 11 05 AM 2019 Meeting Highlights 11 06 AM 11 25 AM Presidential Transfer 48

Friday May 1 1 2018 SUBSPECIALTY DAY HIP SUBSPECIALTY DAY 1 30 PM 5 40 PM Chairs Kishore Mulpuri MD and Salil Upasani MD The 2018 POSNA hip subspecialty program will be divided into 3 periods The first period will include 10 podium presentations on a variety of hip related topics The second period will cover case discussions for two controversial topics First we will discuss three treatment options for moderate to severe stable slipped capital femoral epiphysis SCFE followed by three treatment options to address healed residual femoral head deformity in patients with Perthes disease Finally there will be 7 Master s techniques presentations on less commonly performed hip procedures such as the Colonna procedure femoral neck osteotomy for healed SCFE and clinical application of biologics for Perthes disease PERIOD 1 Free Papers Paper 83 1 30 PM 1 34 PM Closed vs Open Reduction in Developmental Dysplasia of the Hip The Effect on Acetabular Remodeling Oussama Abousamra MD David Deliberato DO Satbir Singh BS Kevin Klingele MD Nationwide Children s Hospital Columbus OH Paper 84 1 35 PM 1 39 PM Inter and Intraobserver Reliability of the Radiographic Diagnosis of Avascular Necrosis of the Femoral Head in Developmental Dysplasia of the Hip Emily Schaeffer PhD Wudbhav N Sankar MD Harry Kim MD Simon Kelley MBChB Peter Cundy Charles Price MD Nicholas Clarke FRCS John Wedge MD R IHDI Study Group Kishore Mulpuri MBBS BC Children s Hospital Vancouver British Columbia Canada Paper 85 1 40 PM 1 44 PM Femoral Nerve Palsy in Brace Treatment for Developmental Dysplasia of the Hip Incidence and Outcomes in a Prospective International Cohort Emily Schaeffer PhD Judy Wu BS Nicholas Clarke FRCS Simon Kelley MBChB Nicole Williams R IHDI Study Group Kishore Mulpuri MBBS BC Children s Hospital Vancouver British Columbia Canada 1 45 PM 1 54 PM Discussion 49

Friday May 11 2018 continued Paper 86 1 55 PM 1 59 PM Avascular Necrosis Following Operative Treatment of Unstable Slipped Capital Femoral Epiphysis Fifteen Year Experience with Positional or Open Reduction Craig Louer MD Zachary Meyer MD Samantha Katz Gregory Landers BS Mark Miller MD J Gordon MD Perry Schoenecker MD Jeffrey Nepple MD Washington University School of Medicine St Louis MO Paper 87 2 00 PM 2 04 PM Patients with Sequelae of Slipped Capital Femoral Epiphysis have a Specific Pattern of Cartilage Wear at the Acetabulum and Femoral Head Perajit Eamsobhana MD John Clohisy MD Jeffrey Nepple MD Karla Crook BS James Egan BA Cecilia Pascual Garrido MD Washington University in St Louis St Louis MO Paper 88 2 05 PM 2 09 PM Effect of Skeletal Maturity on Proximal Femoral Deformity After Prophylactic Screw Fixation of the Uninvolved Hip Contralateral to a Unilateral Slipped Capital Femoral Epiphysis Aaron Boyles DO Vedant Kulkarni MD Jacob Carl MD Benjamin Wilson MD Ryan Muchow MD Jennette Boakes MD Anita Bagley PhD Shriners Hospitals for Children Northern California Sacramento CA 2 10 PM 2 19 PM Discussion Paper 89 2 20 PM 2 24 PM Modified Waldenstrom Classification Less than II B Associated with Better Surgical Results in Severe Legg Calve Perthes Disease Charles Mehlman DO Ayesha Yahya DO Junichi Tamai MD Emily Eismann MS Alvin Crawford MD Cincinnati Children s Hospital Medical Center Cincinnati OH Paper 90 2 25 PM 2 29 PM Is Visual Inspection of Perfusion MRI as Reliable as MRI Analysis Software in Estimating Perfusion of the Femoral Head in Children with Legg Calv Perthes Disease Harry Kim MD A Noelle Larson MD Simon Thomas David Neal MD Benjamin Shore MD MPH FRCSC Judson Karlen MD Pablo Castaneda MD David Wilkes MD Molly Dempsey MD Pamela Nurenberg MD Yassine Kanaan MD Tianyi Luo MD Jamie Burgess PhD Chan Hee Jo PhD For the International Perthes Study Group Texas Scottish Rite Hospital for Children Dallas TX Paper 91 2 30 PM 2 34 PM Do Focal Chondral Defects Lead to Worse Outcomes after Periacetabular Osteotomy Michael Hellman MD Jeffrey Nepple MD Cecilia Pascual Garrido MD ANCHOR Study Group John Clohisy MD Washington University in St Louis St Louis MO Paper 92 2 35 PM 2 39 PM Pre operative Mental Health Status is a Significant Predictor of Post operative Outcomes in Adolescents Treated with Hip Preservation Surgery David Podeszwa MD Heather Richard Shelby Parker MA Adriana De La Rocha PhD Texas Scottish Rite Hospital for Children Dallas TX 50

Friday May 1 1 2018 2 40 PM 2 50 PM 2 50 PM 3 10 PM Discussion Break PERIOD 2 Case Discussion 3 10 PM 3 45 PM Moderate to Severe Stable SCFE SCFE Panel In Situ Screw Fixation Osteochondroplasty Jeffrey Nepple MD In Situ Fixation with Combined Osteochondroplasty and Imhauser Osteotomy Kevin E Klingele MD Modified Dunn Procedure Eduardo V Novais MD 3 45 PM 4 20 PM Healed Residual Deformity with Pain Perthes Panel Surgical Dislocation with Osteochondroplasty Wudbhav N Sankar MD Relative Neck Lengthening Young Jo Kim MD PhD Femoral Head Reduction Daniel J Sucato MD MS 4 20 PM 4 30 PM Break PERIOD 3 Master s Techniques 4 30 PM 4 40 PM Shelf Procedure for Perthes William Mackenzie MD 4 40 PM 4 50 PM Pelvic Osteotomies for Bladder Exstrophy Paul Sponseller MD 4 50 PM 5 00 PM Colonna Capsular Arthroplasty Procedure Travis Matheney MD 5 00 PM 5 10 PM Periacetabular Osteotomy Ira Zaltz MD 5 10 PM 5 20 PM Dega Procedure with Closed Tri radiate Vineeta Swaroop MD 5 20 PM 5 30 PM Femoral Neck Osteotomy for Healed SCFE Prasad Gourineni MD 5 30 PM 5 40 PM Clinical Application of Biological Treatments for Perthes Disease Harry Kim MD Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 51

Friday May 11 2018 continued TRAUMA SUBSPECIALTY DAY 1 30 PM 5 40 PM Upper Extremity Challenges and Adolescent Trauma Chairs Brian Scannell MD and Andrew Howard MD The 2018 POSNA Trauma Subspecialty day will cover two main topics in addition to the free paper session The first session will be on Upper Extremity Challenges including the management of supracondylar malunions late presentations of elbow fractures and stiff elbows after trauma The second session will discuss controversial topics involving trauma in the adolescent patient This will include adolescent supracondylar humeral fractures managing growth arrests and treatment of adolescent tibia fractures Both sessions will have case presentations and a panel discussion PERIOD 1 Free Papers Paper 93 1 30 PM 1 34 PM Flexible Intramedullary Nailing of Femoral Shaft Fractures Closed Versus Open Reduction James Beaty MD Derek Kelly MD Spencer Richardson James Dove Benjamin Sheffer MD David Spence MD Jeffrey Sawyer MD William Warner MD Campbell Clinic Orthopedics Germantown TN Paper 94 1 35 PM 1 39 PM Risk Factors for Adverse Radiographic Outcomes after Elastic Intramedullary Nailing of Tibial Shaft Fractures in Children Andrew Pennock MD Jason Pedowitz BS Dell McLaughlin MD Tracey Bastrom MA Nirav Pandya MD Vidyadhar Upasani MD Rady Children s Hospital San Diego CA Paper 95 1 40 PM 1 44 PM Rate of Concurrent Ipsilateral Tibia Shaft and Distal Tibia Fractures in Pediatric Patients Derek Kelly MD Benjamin Sheffer MD Mims Ochsner MD Eric Villarreal BA Jeffrey Sawyer MD William Warner MD James Beaty MD David Spence MD Campbell Clinic Orthopedics Memphis TN 1 45 PM 1 54 PM Discussion Paper 96 1 55 PM 1 59 PM Similar Outcomes following both Operative and Non Operative Treatment of Medial Epicondyle Fractures in Athletes Derek Axibal MD Patrick Carry MS Anne Skelton BS Stephanie Mayer MD Children s Hospital Colorado Aurora CO Paper 97 2 00 PM 2 04 PM The Utility of Intra Operative Arthrogram in the Management of Pediatric Lateral Condyle Fractures of the Humerus John Vorhies MD Shawn Funk MD Marilyn Elliott Anthony Riccio MD Brandon Ramo MD Texas Scottish Rite Hospital for Children Dallas TX 52

Friday May 1 1 2018 Paper 98 2 05 PM 2 09 PM Delayed Unions and Functional Outcomes of Pediatric Lateral Condyle Humerus Fractures A Prospective Study Alexander Nazareth MS Curtis VandenBerg MD Rachel Goldstein MD Nina Lightdale Miric MD Lindsay Andras MD Paul Choi MD James Pace MD David Skaggs MD Children s Hospital Los Angeles Los Angeles CA 2 10 PM 2 19 PM Discussion Paper 99 2 20 AM 2 24 PM Complications after Titanium Elastic Nailing of the Forearm Matthew Abbott MD G Li MD Michelle Caird MD Frances Farley MD University of Michigan Ann Arbor MI Paper 100 2 25 PM 2 29 PM Clinical and Radiographic Comparison of Sugar Tong Splint to Long Arm Cast Immobilization for Unstable Pediatric Forearm Fractures Robert Murphy MD Leah Plumblee MD Brian Sleasman MD William Barfield PhD James Mooney MD Medical University of South Carolina Charleston SC Paper 101 2 30 PM 2 34 PM Long term Outcomes Following Distal Clavicle Fractures in Adolescents Does Internal Fixation Improve Outcomes Ishaan Swarup MD Steven Orr MD Kunal Agarwal MS Peter Fabricant MD Roger Widmann MD David Scher MD Emily Dodwell MD MPH FRCSC Hospital for Special Surgery New York NY Paper 102 2 35 PM 2 39 PM Are Patients Equally Satisfied with Advanced Practice Providers Compared to Surgeons in a Pediatric Fracture Clinic Christine Ho MD Children s Medical Center Dallas TX 2 40 PM 2 50 PM 2 50 PM 3 10 PM Discussion Break PERIOD 2 Upper Extremity Challenges 3 10 PM 3 25 PM Elbows Diagnosed Late in the Fracture Clinic Lateral Condyle Non union Supracondylar Malunion Joshua M Abzug MD 3 25 PM 3 40 PM The Proximal Radioulnar Joint and Its Woes Late presenting Monteggia Fracture Dislocations and Complex Radial Neck Fractures Mark W Camp MD 3 40 PM 3 50 PM Stiff Elbows Hilton Gottschalk MD 53

Friday May 11 2018 continued Case Presentation and Panel Discussion Andrew Howard MD 3 50 PM 4 20 PM 4 20 PM 4 30 PM Break PERIOD 3 Trauma in the Adolescent 4 30 PM 4 40 PM Adolescent Supracondylar Humerus Fractures Brian Scannell MD 4 40 PM 4 50 PM Managing Growth Arrests A Frame Surgeon s Perspective Simon P Kelley FRCS 4 50 PM 5 05 PM The Adolescent Tibia Nails Frames or Casts Brian Brighton MD and Christopher Iobst MD 5 05 PM 5 20 PM Case Presentations and Panel Discussion Christopher D Souder MD LOWER EXTREMITY NEUROMUSCULAR SUBSPECIALTY DAY 1 30 PM 5 40 PM Chairs M Wade Shrader MD and Emily Dodwell MD MPH FRCSC The lower extremity neuromuscular subspecialty program covers a range of clinically relevant and in some cases controversial topics Our afternoon starts with the neuromuscular section a debate on hip resection versus total hip arthroplasty for painful degenerative hips in cerebral palsy We will then explore models for transitioning care for young adults with cerebral palsy and how to perform gait analysis without a gait lab followed by a Master Technique session on the management of pelvic obliquity The lower extremity section starts with another debate lengthening vs shortening for a 5cm leg length discrepancy We will review the most meaningful pediatric lower extremity literature published this past year and review the newest biologic treatments for pediatric orthopedic conditions This will be followed by a Master Technique session on the management of congenital vertical talus PERIOD 1 Neuromuscular 1 30 PM Welcome M Wade Shrader MD 1 30 PM 1 45 PM Salvage Debate in GMFCS IV V Hips Hip Resection vs Arthroplasty M Wade Shrader MD vs David M Scher MD 1 45 PM 2 00 PM Audience Discussion 2 00 PM 2 10 PM Models for Transition David P Roye MD 2 10 PM 2 20 PM Master Technique Management of Pelvic Obliquity Kirk W Dabney MD MHDS 54

Friday May 1 1 2018 2 20 PM 2 30 PM Gait Analysis without a Lab Vedant A Kulkarni MD 2 30 PM 2 40 PM Q A 2 40 PM 3 00 PM Break PERIOD 2 Free Papers Paper 103 3 00 PM 3 04 PM Assessing Health Related Quality of Life HRQoL in Cerebral Palsy CP Following Scoliosis Surgery Is the CPCHILD Measuring What We Want Firoz Miyanji MD FRCSC Luigi Nasto MD Tracey Bastrom MA Paul Sponseller MD Suken Shah MD Amer Samdani MD Michelle Marks PT Unni Narayanan MBBS MSc FRCSC Peter Newton MD BC Children s Hospital Vancouver British Columbia Canada Paper 104 3 05 PM 3 09 PM Does Planned Pain Management Enhance the Peri Operative Experience in Children Undergoing Lower Extremity Orthopedic Surgery Francisco Valencia MD Peter Lichtenthal MD Helen Chan MD Olivia Valencia BA University of Arizona Tucson AZ Paper 105 3 10 PM 3 14 PM Incidence of Pediatric Venous Thromboembolism After Elective Spine and Lower Extremity Surgery in Children with Neuromuscular Complex Chronic Conditions Do We Need Prophylaxis Benjamin Shore MD MPH FRCSC Matt Hall PhD Travis Matheney MD Brian Snyder MD Cameron Trenor MD Michael Glotzbecker MD Jay Berry Boston Children s Hospital Boston MA 3 15 PM 3 24 PM Discussion Paper 106 3 25 PM 3 29 PM First Metatarsal Longitudinal Epiphyseal Bracket and Pre axial Polydactyly of the Foot Anna Acosta MD Viviana Bompadre PhD Vincent Mosca MD Seattle Children s Hospital Seattle WA Paper 107 3 30 PM 3 34 PM Morphology and Outcome in Congenital Fibular Deficiency Associated Clubfoot Stephan Zmugg MD John Birch MD FRCSC Isabel Hernandez BA Shelby Parker MA Chan Hee Jo PhD Texas Scottish Rite Hospital for Children Dallas TX Paper 108 3 35 PM 3 39 PM How Effective is Surgery for Pes Planovalgus in Ambulatory Children with Cerebral Palsy Multi segment Foot Motion Analysis Physical Examination and Radiographic Changes Nickolas Nahm MD Sue Sohrweide Roy Wervey BS Michael Schwartz PhD Tom Novacheck MD Gillette Children s Specialty Healthcare St Paul MN 55

Friday May 11 2018 continued 3 40 PM 3 49 PM Discussion Paper 109 3 50 PM 3 54 PM Amputation Outcomes in Congenital Pseudarthrosis of the Tibia David Westberry MD Ashley Carpenter BS Jocelyn Tisch BS J Michael Wattenbarger MD Shriners Hospital for Children Greenville SC Paper 110 3 55 PM 3 59 PM Congenital Pseudarthrosis of the Tibia Results at Skeletal Maturity of Treatment by the Charnley Williams Method Charles E Johnston II MD Dustin Singer BA Texas Scottish Rite Hospital Dallas TX Paper 111 4 00 PM 4 04 PM Outcomes of Anterior Distal Femoral Hemiepiphysiodesis in Children with Musculoskeletal Disorders Robert Kay MD Alexander Nazareth MS Michael Gyorfi BS Susan Rethlefsen PT Benjamin Wiseley MD Ken Noonan MD Children s Hospital Los Angeles Los Angeles CA Paper 112 4 05 PM 4 09 PM Gait Analysis Parameters and Physical Activity Measures Pre and Post Operatively in Youth with Cerebral Palsy Undergoing Single Event Multilevel Surgery Julieanne Sees DO Nancy Lennon PT Kristen Nicholson PhD Chris Church PT Freeman Miller MD Nemours Alfred I duPont Hospital for Children Wilmington DE 4 10 PM 4 20 PM 4 20 PM 4 30 PM Discussion Break PERIOD 3 Lower Extremity 4 30 PM 4 45 PM Growth Modulation vs Lengthening for Projected 5 cm LLD Roger F Widmann MD vs Christopher Iobst MD 4 45 PM 5 00 PM Audience Discussion 5 00 PM 5 10 PM Most Meaningful Literature in Lower Extremity 2016 17 Emily Dodwell MD MPH FRCSC 5 10 PM 5 20 PM New Biological Treatments for Pediatric Ortho Conditions Klane K White MD 5 20 PM 5 30 PM Master Technique Management of CVT Matthew B Dobbs MD 5 30 PM 5 40 PM Q A Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 56

Friday May 1 1 2018 UPPER EXTREMITY SUBSPECIALTY DAY 1 30 PM 5 40 PM Chairs Christine Ho MD and Apurva Shah MBA MD Learn from the Masters Surgical techniques for treatment of neonatal brachial plexus palsy injury and congenital hand deformity will be discussed by world class experts with special attention to How I Do It Case presentations will enhance discussion of nerve and muscle transfers open shoulder reduction osteotomies cleft hand radial dysplasia and macrodactyly PERIOD 1 Masters Techniques in Brachial Plexus Birth Injury Moderator Roger Cornwall MD 1 30 PM 1 40 PM Technique Presentation 1 Spinal Accessory Nerve Transfer Including Technical Pearls for Posterior Approach Peter M Waters MD 1 40 PM 1 50 PM Technique Presentation 2 Uncommon Nerve Transfers Scott Kozin MD 1 50 PM 1 55 PM Q A 1 55 PM 2 05 PM Technique Presentation 3 Open Reduction and Tendon Transfers of the Dislocated Shoulder Christopher Stutz MD 2 05 PM 2 15 PM Technique Presentation 4 Glenoid Anteversion Osteotomy Sevan Hopyan MD 2 15 PM 2 20 PM Q A 2 20 PM 2 40 PM Cases with Panel Members 2 40 PM 3 00 PM Break PERIOD 2 Free Papers Paper 113 3 00 PM 3 04 PM Postoperative Loss of Midline Function in Brachial Plexus Birth Palsy Dustin Greenhill MD Arianna Trionfo MD Frederick Ramsey PhD Scott Kozin MD Dan Zlotolow MD Shriner s Hospital Philadelphia Philadelphia PA Paper 114 3 05 PM 3 09 PM Results of Modified Outerbridge Kashiwagi Procedure for Elbow Flexion Contractures in Brachial Plexus Birth Palsy Andrew Price MD Herbert Valencia RN John Grossman NYU Langone Orthopedic Hospital New York NY Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 57

Friday May 11 2018 continued Paper 115 3 10 PM 3 14 PM The Incidence and Comorbidities Associated with Neonatal Brachial Plexus Palsy in the United States Are We Improving Paul Navo MPH Ram Alluri MD Gabriel Bouz BA Milan Stevanovic Alidad Ghiassi MD Nina Lightdale Miric MD Keck School of Medicine of the University of Southern California Los Angeles CA 3 15 PM 3 24 PM Discussion Paper 116 3 25 PM 3 29 PM Body Mass Index Does not Affect Cast Index but Increases Risk of Complication Associated with Treatment of Distal Forearm Fractures Geoffrey Marano MD Denver Burton BS Xuan Qiu MD Jacob Schulz MD Jaime Gomez MD Regina Hanstein PhD Norman Otsuka MD Children s Hospital at Montefiore Bronx NY Paper 117 3 30 PM 3 34 PM Childhood Obesity Associated with Different Patterns of Upper Extremity Physeal Fractures Derek Nhan BS Walter Klyce BA Adam Margalit MD Paul Sponseller MD Rushyuan Lee MD Johns Hopkins Bloomberg Children s Center Baltimore MD Paper 118 3 35 PM 3 39 PM What Caregivers Want Immobilization Preferences for Pediatric Buckle Fractures of the Wrist Brendan Williams MD Sarah Molinari MPH Robert Matthias MD Sarah Offley MD Laurel Blakemore MD Noel Palumbo BS University of Florida Gainesville FL 3 40 PM 3 49 PM Discussion Paper 119 3 50 PM 3 54 PM Can We Estimate the Amount of Malrotation in Supracondylar Humerus Fractures After CRPP Christine Ho MD Pooja Prabhakar William Pierce Karen Standefer BS Texas Scottish Rite Hospital for Children Dallas TX Paper 120 3 55 PM 3 59 PM Predictors of Non operative Treatment Failure in Pediatric Lateral Condyle Fractures of the Humerus Daniel Bland MD M Morgan Dennis BS Andrew Tennant Pennock MD Vidyadhar Vinayak Upasani MD Burt Yaszay MD Eric William Edmonds MD Rady Children s Hospital San Diego San Diego CA Paper 121 4 00 PM 4 04 PM Trends in the Patient Reported Outcomes Instrument System PROMIS after Percutaneous Pinning of Supracondylar Humerus Fractures in Pediatric Patients Lindley Wall MD Brian Kelly MD Pooya Hosseinzadeh MD Lauren Davis MPH Mark Miller MD J Gordon MD Perry Schoenecker MD Scott Luhmann MD Matthew Dobbs MD Charles Goldfarb MD Jeffrey Nepple MD Washington University School of Medicine St Louis MO 58

Friday May 1 1 2018 Paper 122 4 05 PM 4 09 PM Transphyseal Humeral Separations What Can We Learn Arun Hariharan MD Christine Ho MD Andrea Bauer MD Charles Mehlman DO Nathan O Hara Paul Sponseller MD Joshua M Abzug MD University of Maryland School of Medicine Baltimore MD 4 10 PM 4 20 PM 4 20 PM 4 30 PM Discussion Break PERIOD 3 Master Techniques in Congenital Hand Deformity Moderator Joshua M Abzug MD Radial Dysplasia 4 30 PM 4 40 PM Technique Presentation 1 Vikki Transfer Scott Oishi MD FACS 4 40 PM 4 50 PM Technique Presentation 2 Lengthening Centralization Charles A Goldfarb MD Cleft Hand 4 50 PM 5 00 PM Technique Presentation 3 Miura Terry Light MD 5 00 PM 5 10 PM Technique Presentation 4 Snow Littler Michelle A James MD Macrodactyly 5 10 PM 5 20 PM Technique Presentation 5 Debulking Ray Resection Scott Oishi MD FACS 5 20 PM 5 40 PM Q A and Case Presentations 59

Friday May 11 2018 continued SPINE SUBSPECIALTY DAY 1 30 PM 5 40 PM Chairs Matthew Oetgen MD and Lindsay Andras MD The POSNA 2018 spine specialty program is designed to update surgeons on current cutting edge topics and provide tips and tricks on a range of issues related to adolescent idiopathic scoliosis The first session is entitled Cutting Edge Debates and will feature pro and con debates on subjects including the efficacy of Schroth physical therapy optimal use of braces the role of surgical techniques and technology such as anterior spinal tethering Ponte osteotomies and magnetic controlled growing rods The second session entitled Top 3 in 5 is a new format which will feature three tips for treating a variety of common issues encountered in in AIS Topics addressed will include choosing implant positions leveling the shoulders optimizing OR teams managing neuromonitoring changes treating the draining spine and more PERIOD 1 Cutting Edge Debates Moderator Lindsay Andras MD 1 30 PM 1 40 PM Schroth PT Affect on Curve Progression Pro Brian G Smith MD vs Con Nicholas D Fletcher MD 1 40 PM 1 45 PM 1 45 PM 1 55 PM TLSO all the Time vs Night Time Bracing Only Amy McIntosh MD vs Stefan Parent MD 1 55 PM 2 00 PM 2 00 PM 2 10 PM Discussion Tether vs Selective PSF for Young Lenke 1 Patrick J Cahill MD vs Brandon Ramo MD 2 10 PM 2 15 PM 2 15 PM 2 25 PM Discussion Discussion Pontes for Everyone vs Selective Use Suken A Shah MD vs Daniel J Sucato MD MS 2 25 PM 2 30 PM Discussion 2 30 PM 2 40 PM MCGR for Everyone vs TGR in Some Cases Laurel Blakemore MD vs Charles E Johnston II MD 2 40 PM 3 00 PM Break Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 60

Friday May 1 1 2018 PERIOD 2 Top 3 in 5 for AIS Moderator Matthew Oetgen MD Idiopathic Scoliosis Preoperative Planning 3 00 PM 3 05 PM Choosing Implant Positions A Noelle Larson MD 3 05 PM 3 10 PM Leveling the Shoulders Michael Vitale MD MPH 3 10 PM 3 15 PM Choosing LIV Robert H Cho MD 3 15 PM 3 23 PM Discussion Idiopathic Scoliosis Intraoperative 3 23 PM 3 28 PM Optimizing OR Team John Jack Flynn MD 3 28 PM 3 33 PM Peri operative Blood Management Strategies Matthew A Halanski MD 3 33 PM 3 38 PM Improving Surgical Efficiency with Power David Skaggs MD 3 38 PM 3 46 PM Discussion Idiopathic Scoliosis Complications 3 46 PM 3 51 PM Neuromonitoring Changes Checklists and Beyond Lindsay Andras MD 3 51 PM 3 56 PM The Draining Spine Michael P Glotzbecker MD 3 56 PM 4 01 PM Junctional Issues Ron El Hawary MD 4 01 PM 4 10 PM 4 10 PM 4 20 PM Discussion Break PERIOD 3 Free Papers Paper 123 4 20 PM 4 24 PM Biplanar Imaging Unlocks 3D Deformity in a 30 Year Follow up Cohort of AIS Patients Michael Yaszemski MD Chenghao Zhang MD David Polly MD Clayton Cowl A Noelle Larson MD Mayo Clinic Rochester MN Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 61

Friday May 11 2018 continued Paper 124 4 25 PM 4 29 PM A Novel 3D Parameter Can Guide Concave Rod Contour for the Correction of Lost Kyphosis in Adolescent Idiopathic Scoliosis Peter Newton MD Dylan Kluck MD Thomas Sullivan MD Megan Jeffords MS Tracey Bastrom MA Fredrick Reighard MPH Burt Yaszay MD Rady Children s Hospital San Diego CA Paper 125 4 30 PM 4 34 PM Dedicated Spine Nurses and Scrub Technicians Improve Outcomes and Efficiency of Surgery for Adolescent Idiopathic Scoliosis Rajan Murgai BS Ena Nielsen BA Lindsay Andras MD Hazel Gould David Skaggs MD Children s Hospital Los Angeles Los Angeles CA 4 35 PM 4 44 PM Discussion Paper 126 4 45 PM 4 49 PM Minimally Invasive Versus Standard Surgery in Idiopathic Scoliosis Patients A Comparative Study Vishal Sarwahi MBBS Romain Dayer MD Charlotte Launay MD Stephen Wendolowski BS Jesse Galina BS Yungtai Lo PhD Terry Amaral MD Cohen Children s Medical Center New Hyde Park NY Paper 127 4 50 AM 4 54 PM The Lumbosacral Takeoff Angle LSTOA Can Be Used to Predict Residual Lumbar Cobb in Selective Thoracic Fusions Keith Bachmann MD Edwin Lu BS Wendy Novicoff PhD Peter Newton MD Mark Abel MD University of Virginia Charlottesville VA Paper 128 4 55 PM 4 59 PM Clinical Outcomes of Surgically Treated High grade Spondylolisthesis and their Relation to Spinal Deformity Study Group SDSG Classification Daniel Bouton MD Daniel J Sucato MD MS Texas Scottish Rite Hospital for Children Dallas TX 5 00 PM 5 09 PM Discussion Paper 129 5 10 PM 5 14 PM Positive Predictors of Success in EDF Casting The Role of Traction Shyam Kishan MD Cody Shafer MD Kimberly Sundblad Randall Loder MD Riley Hospital for Children Indiana University Indianapolis IN Paper 130 5 15 PM 5 19 PM Comparison of Deformity Correction and Complications with Growth friendly and Early Primary Posterior Spinal Fusion in 8 11 Year Old Children with Dcoliosis Jaime Gomez MD Regina Hanstein PhD Jacob Schulz MD Tricia St Hilaire MPH Klane K White MD Ron El Hawary MD Sumeet Garg MD Patrick Cahill MD Michael Vitale MD MPH Gregory Redding MD Children s Hospital at Montefiore Bronx NY 62

Friday May 1 1 2018 Paper 131 5 20 PM 5 24 PM Unplanned Return to OR for EOS Children A Comprehensive Evaluation of all Diagnoses and Instrumentation Strategies Jason B Anari MD Patrick Cahill MD Michael Vitale MD MPH John Smith MD Jaime Gomez MD Keith Baldwin MD MSPT MPH John Jack Flynn MD Children s Hospital of Philadelphia Philadelphia PA Paper 132 5 25 PM 5 29 PM Growth Guidance Constructs with Pedicle Screws SHILLA Results in 1 5th of Normal T1 S1 Growth Alexander Nazareth MS David Skaggs MD Stefan Parent MD Suken Shah MD James Sanders MD Lindsay Andras MD Growing Spine Study Group Children s Hospital Los Angeles Los Angeles CA 5 30 PM 5 40 PM Discussion SPORTS SUBSPECIALTY DAY 1 30 PM 5 40 PM Chairs Benton E Heyworth MD and Jennifer M Weiss MD The 2018 POSNA sports medicine subspecialty program will cover three main topics 1 pediatric ACL injuries 2 controversial fractures in young athletes and 3 QSVI in pediatric sports medicine The first session will be divided up into two aspects central to the topic of pediatric and adolescent ACL injury management Firstly six different new techniques in the treatment of ACL injuries will be reviewed followed by pitfalls and complications specific to treatment of ACL injury in this younger population of athletes The second session will explore the literature indications and techniques for the treatment of fractures common to pediatric athletes but which have controversial and or variable treatment approaches The third session will briefly review the history and future of QSVI initiatives as they relate to pediatric sports medicine as a subspecialty and within the larger spheres of pediatric orthopaedics sports medicine and general orthopaedics PERIOD 1A New Techniques in Pediatric ACL Management 1 30 PM 1 36 PM Suture Based ACL Repair Jay Albright MD 1 38 PM 1 44 PM Bridge Enhanced ACL Repair Yi Meng Yen MD 1 46 PM 1 52 PM Quad Tendon ACL Reconstruction James Lee Pace MD 1 54 PM 2 00 PM ALL Reconstruction ACL Reconstruction Theodore Ganley MD 2 02 PM 2 08 PM Iliotibial Band ACL Reconstruction Melissa Ann Christino MD 2 10 PM 2 16 PM All Epiphyseal Reconstruction J Todd Lawrence MD PhD 2 16 PM 2 22 PM Q A Entire ACL Panel 63 Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use

Friday May 11 2018 continued PERIOD 1B Pitfalls Complications in Pediatric ACL Management 2 24 PM 2 30 PM Growth Disturbance after ACL Reconstruction Peter D Fabricant MD 2 30 PM 2 40 PM Arthrofibrosis after ACL Reconstruction Mininder Kocher MD MPH 2 40 PM 3 00 PM Break PERIOD 2A Controversial Fractures in Adolescent Athletes 3 00 PM 3 08 PM Medial Epicondyle Eric W Edmonds MD 3 10 PM 3 18 PM Ischial Tuberosity Andrew T Pennock MD 3 20 PM 3 28 PM Midshaft Clavicle Nirav Kiritkumar Pandya MD 3 30 PM 3 38 PM Jones Fx 5th MT Henry B Ellis MD 3 40 PM 3 48 PM Type 2 Tibial Spine Stephanie W Mayer MD 3 50 PM 3 58 PM Lateral Malleolus SER 2 Dennis E Kramer MD PERIOD 2B 4 00 PM 4 10 PM QSVI in Sports Medicine Where Are We Heading and How Can We Do It Right Kevin Shea MD 4 10 PM 4 20 PM Break PERIOD 3 Free Papers Paper 133 4 20 PM 4 24 PM Outcomes of Medial Patellar Tendon Transfer with Proximal Realignment in Young Skeletally Immature Children with Patellar Instability Jeffrey Nepple MD Samantha Katz Lauren Davis MPH Perry Schoenecker MD Scott Luhmann MD Washington University School of Medicine St Louis MO Paper 134 4 25 PM 4 29 PM The Role of Hemiepiphysiodesis and Guided Growth in the Treatment of Lateral Patellar Instability in Pediatric and Adolescent Patients Ryan Fallon Eric Davis BS Mininder Kocher MD MPH Benton Heyworth MD Boston Children s Hospital Boston MA 64

Friday May 1 1 2018 Paper 135 4 30 PM 4 34 PM The Role of Abnormal Tibiofemoral Rotation in Pediatric and Adolescent Patellar Instability David Bernholt MD Joseph Lamplot MD Eric Eutsler MD Jeffrey Nepple MD Washington University School of Medicine St Louis MO 4 35 PM 4 44 PM Discussion Paper 136 4 45 PM 4 49 PM A Retrospective Review of the Evaluation and Management of Discoid Meniscus in the Pediatric Population Catherine Logan Frances Tepolt MD Mininder Kocher MD MPH Boston Children s Hospital Boston MA Paper 137 4 50 PM 4 54 PM The Sensitivity and Specificity of Pre Operative History Physical Examination and Magnetic Resonance Imaging to Predict Articular Cartilage Injuries in Symptomatic Discoid Lateral Meniscus Nirav Pandya MD Brian Lau MD UCSF Benioff Children s Hospital Oakland CA Paper 138 4 55 PM 4 59 PM Is the Incidence of Pediatric Stress Fractures on the Rise Trends in New York State from 2000 to 2015 Neeraj Patel MD David Mai MD Austin Ramme MD Mara Karamitopoulos MD Pablo Castaneda MD Alice Chu MD NYU Langone Medical Center New York NY 5 00 PM 5 09 PM Discussion Paper 139 5 10 PM 5 14 PM Outcomes of ACL Reconstruction Ipsilateral and Contralateral Failure Using Biologic Augmentation in the Adolescent Patient Paul Fleissner MD Crystal Clinic Orthopaedic Center Akron OH Paper 140 5 15 PM 5 19 PM Comparison of Bone Tendon Bone Versus Hamstring Autografts for Anterior Cruciate Ligament ACL Reconstruction in the Adolescent Population Nirav Pandya MD UCSF Benioff Children s Hospital Oakland Oakland CA Paper 141 5 20 PM 5 24 PM All Epiphyseal Anterior Cruciate Ligament Reconstruction does not Increase the Risk of Complications Compared to Pediatric Transphyseal Reconstruction Neeraj Patel MD Christopher Defrancesco BS Nakul Talathi BS Joshua Bram BS Theodore Ganley MD The Children s Hospital of Philadelphia Philadelphia PA Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 65

Friday May 11 2018 continued Paper 142 5 25 PM 5 29 PM Dynamic Functional Deficits Continue 9 Months After Adolescent Anterior Cruciate Ligament Reconstruction Jennifer Beck MD Kelly E Cline MD Jay I Semel DPT Rebecka Serpa Kendall Anne Shifflett BS Edward Ebramzadeh PhD Richard E Bowen MD Orthopedic Institute for Children Los Angeles CA 5 30 PM 5 40 PM Discussion POSNA CLOSING NIGHT AT AUSTIN CITY LIMITS LIVE Location 310 Willie Nelson Blvd Austin Date May 11 2018 Time 7 30 PM 11 00 PM 7 30 pm 8 00 9 30 pm 8 45 9 15 pm 9 30 10 30 pm 10 30 11 00 pm Doors open Courtesy of Austin City Limits Live Dinner Country and Western line dancing instruction Asleep at the Wheel Country and Western line dancing The Friday closing event will be at ACL Live at the Moody Theater which is only four blocks from the JW Marriott Austin City Limits Live at The Moody Theater ACL Live is a state of the art 2 750 person capacity live music venue that hosts approximately 100 concerts a year It serves as the permanent home for the taping of the acclaimed KLRU TV produced PBS series Austin City Limits the longest running music series in American television history Dinner will be provided by Terry Black s BBQ recognized by Texas Monthly as one of the state s top 50 BBQ restaurants Nine time Grammy winner Ray Benson and Asleep at the Wheel will be your entertainment for the evening Attire Texas Semiformal coat no tie jeans and boots Women s Texas Semiformal Cocktail Dress boots optional Get ready to eat and two step the night away Included with attendee registration Accompanying Persons must be registered to attend Ticket includes dinner entertainment and two drink tickets A ticket will be provided with your registration badge for this event Your ticket is required for entry to ACL and will be exchanged at the event for your two drink tickets 66

2018 POSNA A nnual Meeting SATURDAY MAY 12 2018 8 00 AM 8 05 AM Welcome and Remarks QSVI Award Paper Presented by Peter Armstrong MD Trauma Paper Award Best Paper Awards FOOT ANKLE Moderator Derek Kelly MD eModerator Natasha O Malley MD Presider Jennifer Laine MD Paper 143 8 06 AM 8 10 AM Duration of Brace Wear in Clubfoot Treatment A Prospective Randomized Trial Multicenter Trial Matthew Dobbs MD Steven Frick MD Vincent Mosca MD Ellen Raney MD Joel Lerman MD Vishwas Talwalkar MD Christina Gurnett Washington University School of Medicine St Louis MO Paper 144 8 11 AM 8 15 AM Ponseti Clubfoot Bracing 8 Hours Each Night Will Result in Success B Stephens Richards III MD Shawne Faulks RN Kevin Felton Texas Scottish Rite Hospital for Children Dallas TX Paper 145 8 16 AM 8 20 AM Patient Reported Outcomes of the Ponseti Method for Untreated Idiopathic Clubfeet in Nepalese Patients Treated Between 1 to 5 Years of Age at a Minimum of 10 Years Follow up Bibek Banskota MBBS Prakash Yadav MPH Tarun Rajbhandari MS Om Shrestha Divya Talwar MPH Ashok Banskota David Spiegel MD The Children s Hospital of Philadelphia Philadelphia PA 8 21 AM 8 30 AM Discussion Paper 146 8 30 AM 8 34 AM Plantar Pressures in Patients with Symptomatic Flexible Flatfoot How are They Different than Adolescents with Asymptomatic Flatfoot Kirsten Tulchin Francis PhD Anthony Riccio MD Ashley Erdman BS Texas Scottish Rite Hospital for Children Dallas TX Paper 147 8 35 AM 8 39 AM Growth Modulation of Juvenile Hallux Valgus in Skeletally Immature Children Ming Hung Chiang MD Kuan Wen Wu MD Ting Ming Wang MD Ken Kuo MD National Taiwan University Hospital Taipei Taiwan Paper 148 8 40 AM 8 44 AM Posterior Ankle Impingement The Most Under diagnosed Treatable Cause of Posterior Ankle Pain in Pediatric and Adolescent Patients Indranil Kushare MD Sachin Allahabadi MD Lee Haruno BS Ifeoma Inneh Texas Children s Hospital Houston TX 8 45 AM 8 53 AM Discussion 67

Saturday May 12 2018 continued HIP Moderator Ernest Sink MD eModerator Eduardo Novais MD Presider Megan Gresh MD Paper 149 8 59 AM 9 03 AM Changes of Contrast Enhancement and Diffusion in Legg Calv Perthes Hips and Optimal Timing of Evaluation Won Joon Yoo MD Chang Ho Shin Jung Eun Cheon MD Tae Joon Cho In Choi MD Seoul National University Children s Hospital Seoul Republic of Korea Paper 150 9 04 AM 9 08 AM A Pilot Study to Assess Dynamic Deformation of the Femoral Head During Weight Bearing in Perthes Disease Anthony Cooper MD FRCS Ryan Lohre MD Alexander Aarvold Harpreet Chhina MSc Angela Eugenio David Wilson PhD Chris Reilly MD Kishore Mulpuri MBBS BC Children s Hospital Vancouver British Columbia Canada Paper 151 9 09 AM 9 13 AM Validity of Selected Patient Reported Outcomes Measurement Information System PROMIS Measures in Patients with Legg Calv Perthes Disease Joshua Hyman MD Hiroko Matsumoto MA Anas Minkara BS Fay Callejo MPH Rebecca Dieckmann BS Hitesh Shah Wudbhav N Sankar MD Paul Choi MD Jennifer Laine MD Joseph Janicki MD Mihir Thacker MD Tim Schrader MD Derek Kelly MD Charles Mehlman DO Scott Rosenfeld MD Harry Kim MD Columbia University Medical Center New York NY 9 14 AM 9 22 AM Discussion Paper 152 9 23 AM 9 27 AM Childhood Obesity and Failure of the Proximal Femoral Physis A Nationwide Population based Cohort of Children Demonstrating Evidence for Causality Between Childhood Obesity and Slipped Capital Femoral Epiphysis Daniel Perry FRCS Ortho Steven Lane Steve Turner Alder Hey Children s Hospital Liverpool UK United Kingdom Paper 153 9 28 AM 9 32 AM Reliability and Accuracy of the Peritubercle Epiphyseal Edema Sign on MRI and Peritubercle Lucency Sign on Radiographs for the Early Diagnosis of Slipped Capital Femoral Epiphysis Daniel Maranho MD Sarah Bixby MD Patricia Miller MS Eduardo Novais MD Boston Childrens Hospital Boston MA Paper 154 9 33 AM 9 37 AM Improved Clinical Outcomes Better Radiographic Correction and Lower Complications after the Modified Dunn Procedure in Comparison to In situ Pinning with Subsequent Proximal Femoral Osteotomy in Severe Stable SCFE Eduardo Novais MD Young Jo Kim MD PhD Daniel Maranho MD Michael Millis MD Patrick Carry MS Courtney O Donnell MD Boston Childrens Hospital and Colorado Childrens Hospital Boston MA and Denver CO 68

Saturday May 9 38 AM 9 46 AM 12 2018 Discussion 9 47 AM 10 07 AM Break Paper 155 10 08 AM 10 12 AM Relative Femoral Neck Lengthening for the Treatment of Complex Proximal Femoral Deformities Deformity Correction Complications Clinical Outcomes and Osteoarthritis Progression Perry Schoenecker MD Cecilia Pascual Garrido MD Perajit Eamsobhana MD Jeffrey Nepple MD Karla Crook BS James Egan BA John Clohisy MD Washington University in St Louis St Louis MO Paper 156 10 13 AM 10 17 AM Proximal Femur Guided Growth for Spastic Hip Displacement in Cerebral Palsy Children 5 Years Results Weichun Lee MD Wen E Yang MD Hsuan Kai Kao MD Chia Hsieh Chang MD Chang Gung Memorial Hospital Taipei Taiwan Paper 157 10 18 AM 10 22 AM Growth and Remodelling of the Femoral Neck after in situ Fixation with a Growing Screw Construct Ashlee Dobbe FRCSC David Little MD MBBS FRACS PhD Oliver Birke MD Paul Gibbons Westmead Children s Hospital Westmead New South Wales Australia 10 23 AM 10 31 AM Discussion Paper 158 10 32 AM 10 36 AM 3D Ultrasound in the Management of Developmental Dysplasia of the Hip Niamul Quader Emily Schaeffer PhD Kishore Mulpuri MBBS Anthony Cooper MD FRCS Antony Hodgson PhD Rafeef Abugharbieh PhD BC Children s Hospital Vancouver British Columbia Canada Paper 159 10 37 AM 10 41 AM Influence of Prior Hip Salvage Surgery on Outcomes after Total Hip Arthroplasty in Young Patients Jaiben George MBBS Evan Miller BA Carlos Higuera Rueda MD Thomas Kuivila MD Michael Mont MD Ryan Goodwin MD Cleveland Clinic Cleveland OH Paper 160 10 42 AM 10 46 AM Shape of the Hip Joint in Avascular Necrosis to Predict Outcome Virginie Pollet MD Joshua Bonsel MSc Jan Waarsing Ralph Sakkers Erasmus Medical Center Sophia Children s Hospital Rotterdam Netherlands 10 47 AM 10 55 AM Discussion 69

Saturday May 12 2018 continued CONGENITAL SYNDROMES NEUROMUSCULAR LOWER EXTREMITY Moderator Ellen Raney MD eModerator Klane K White MD Presider Vinitha Shenava MD Paper 161 11 01 AM 11 05 AM Planned Fibular Non Union for the Treatment of Genu Varum in Achondroplasia Results Through Skeletal Maturity Dennis Weiner MD Gabriel Mirhaidari BS Melanie Morscher BS Michael Gothard MS David Jonah MA Mark Adamczyk MD Akron Children s Hospital Akron OH Paper 162 11 06 AM 11 10 AM Is Growth Modulation Effective in Skeletal Dysplasia William Mackenzie MD Amit Nemade MS Mihir Thacker MD Kenneth Rogers PhD Colleen Ditro NP A I duPont Hospital for Children Wilmington DE Paper 163 11 11 AM 11 15 AM The Relationship of the Femoral Head and Acetabulum in Congenital Femoral Deficiency David Feldman MD Murteza Kazim Dror Paley MD FRCSC Aaron Huser DO Juan Loaiza BS Paley Institute West Palm Beach FL 11 16 AM 11 24 AM Discussion Paper 164 11 25 AM 11 29 AM MRI of the Spine in Idiopathic Toe Walking Is There A Role Collin May MD Clarissa Cheng Brian Yang BA Susan Mahan MD Samantha Spencer MD James Kasser MD Benjamin Shore MD MPH FRCSC Boston Children s Hospital Boston MA Paper 165 11 30 AM 11 34 AM Best Predicting Future Growth Paley Age Based Compared to PHV Determined Multipliers James Sanders MD Lauren Karbach MD Xueya Cai PhD Shan Gao MS Raymond Liu MD Daniel Cooperman MD University of Rochester Rochester NY Paper 166 11 35 AM 11 39 AM Timing of Epiphysiodesis to Correct Leg Length Discrepancy A Comparison of Prediction Methods John Birch MD FRCSC Marina Makarov Taylor Jackson Connor Smith MD Chan Hee Jo PhD Texas Scottish Rite Hospital for Children Dallas TX 11 40 AM 11 48 AM Discussion 70

Saturday May 12 2018 Paper 167 11 49 AM 11 53 AM Long term Outcomes over 10 Years after Femoral Derotation Osteotomy in Ambulatory Children with Cerebral Palsy Cho Seong Hee Ki Hyuk Sung MD Chin Youb Chung MD Joohee Cho PhD Gyeonghee Cho Moon Seok Park MD Seoul National University Bundang Hospital Sungnam Gyeonggi Republic of Korea Paper 168 11 54 AM 11 58 AM Predicting Complications After Hip Reconstructive Surgery in Non Ambulatory Children with Cerebral Palsy Eric Davis BS Patricia Miller MS Jodie Shea Travis Matheney MD Laurie Glader MD Brian Snyder MD Benjamin Shore MD MPH FRCSC Boston Children s Hospital Boston MA Paper 169 11 59 AM 12 03 PM Hip Status and Long term Functional Outcomes in Spina Bifida Rachel Thompson MD Joanna Foley NP Luciano Dias MD Vineeta Swaroop MD Ann Robert H Lurie Childrens Hospital of Chicago Chicago IL 12 04 PM 12 12 PM Discussion 71

2018 POSNA A nnual Meeting PAPER POSTERS Poster 1 Anti interleukin 6 Therapy Tocilizumab Improves Chronic Hip Synovitis and Bone Healing in a Piglet Model of Ischemic Osteonecrosis of the Femoral Head Harry Kim MD Olumide Aruwajoye PhD Thomas Mitchell Michael Kutschke BS Vishal Gokani BS Naga Suresh Adapala MBBS Texas Scottish Rite Hospital for Children Dallas TX Poster 2 Organ System Anomalies Associated with Congenital Scoliosis A Retrospective Study of 310 Cases Ryan Furdock Brian Kelly MD Scott Luhmann MD Washington University School of Medicine St Louis MO Poster 3 Validation Study of the Thumb Ossification Composite Index TOCI in Idiopathic Scoliosis A Stage to Stage Correlation with Classic Tanner Whitehouse and Sander s Simplified Skeletal Maturity System SSMS Alec Hung MD Simon Chow PhD Wai Wang Chau MSc Tsz Ping Lam MBBS Bobby Ng MD Jack Cheng MD Chinese University of Hong Kong Shatin Hong Kong Poster 4 Economic Burden of Pediatric Musculoskeletal Infection Jonathan Schoenecker MD Ryan Koehler MD Keith Baldwin MD MSPT MPH Joshua Murphy MD Lawson Copley MD Vidyadhar Upasani MD Vanderbilt Nashville TN Poster 5 Gram Stain is Not Clinically Relevant in Management of Pediatric Septic Arthritis Joshua Bram BS Keith Baldwin MD MSPT MPH Todd Blumberg MD Children s Hospital of Philadelphia Philadelphia PA Poster 6 Autologous Chondrocyte Implantation as Treatment for Unsalvageable Osteochondritis Dissecans 10 to 25 year Follow Up Kevin Shea MD James Carey MD Haris Vasiliadis MD Carl Lindahl Lars Peterson MD Anders Lindahl MD St Luke s Hospital Boise ID Indicates those faculty presentations in which the FDA has not cleared the drug and or medical device for the use described ie the drug or medical device is being discussed for an off label use 72

Paper Posters Poster 7 Major Complications following Surgical Correction of Spine Deformity in 253 Patients with Cerebral Palsy Burt Yaszay MD Carrie Bartley MA Paul Sponseller MD Patrick Cahill MD Suken Shah MD Firoz Miyanji MD FRCSC Amer Samdani MD Mark Abel MD Peter Newton MD Rady Children s Hospital San Diego CA Poster 8 Comparison of the Results of Primary versus Repeat Hamstrings Surgical Lengthening in Cerebral Palsy Mauro de Morais Filho MD Francesco Blumetti MD Catia Kawamura PT Marcelo Matias MD Marcelo Fujino Jose Augusto Lopes MSc Daniella Neves AACD S o Paulo SP Brazil Poster 9 Addition of Dexmedetomidine and Aprepitant to a Multimodal Postoperative Pain Regimen Reduces Narcotic Requirements Emesis and Length of Stay in Treating Adolescent Idiopathic Scoliosis Andrew Tice MD Heather Kent Dong Phuong Tran MS Chan Hee Jo PhD Brandon Ramo MD Texas Scottish Rite Hospital Dallas TX Poster 10 Are We Getting Value for Our Research Money Impact of POSNA Grants on Scholarly Productivity and Future Funding Success Derek Nhan BS Jonathan Schoenecker MD Paul Sponseller MD Johns Hopkins Bloomberg Children s Center Baltimore MD Poster 11 The Effectiveness of Intrathecal Morphine Compared to Oral Methadone for Postoperative Pain Control after Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Benjamin Martin MD Matthew Oetgen MD Shannon Kelly MD Jeffrey Hanway MD Sophie Pestieau MD Jessica Cronin MBA Karen Thomson Children s National Health System Washington DC Poster 12 Challenge Accepted Results of the 2016 POSNA Quality Safety and Value Initiative QSVI Challenge Lindsay Stephenson MD Daniel Miller MD Patrick Cahill MD Joseph Janicki MD Paul Choi MD POSNA Rosemont IL Poster 13 Women in Leadership How Does POSNA Rate Jennifer Weiss MD Lisa Cannada MD Sharul Saxena Kaiser Permanente Los Angeles CA Poster 14 Publication Outcomes of POSNA Abstracts A Comparison of Awarded and Non awarded Submissions Kushal Khera Emily Schaeffer PhD Neha Kodali Kishore Mulpuri MBBS BC Children s Hospital Vancouver British Columbia Canada 73

Paper Posters continued Poster 15 Patient Reported SRS 24 Outcomes Scores after Surgery for Adolescent Idiopathic Scoliosis Have Improved Tracey Bastrom MA Peter Newton MD Harms Study Group Rady Children s Hospital San Diego CA Poster 16 Building the Case for Optimal Prophylaxis for Growth Friendly Surgery for Non idiopathic Scoliosis Using Vancomycin and Aminoglycosides Anas Minkara BS Hiroko Matsumoto MA Michael Glotzbecker MD Jack Flynn MD John Smith MD Amer Samdani MD Lisa Saiman MPH Michael Vitale MD Children s Spine Study Group Columbia University Medical Center New York NY Poster 17 Changes in Pediatric Spine Surgery Patterns Over the Last 10 Years Among ABOS Part II Candidates Ena Nielsen BA Lindsay Andras MD Pooya Hosseinzadeh MD Megan Mignemi MD Jack Flynn MD Stephen Albanese MD David Skaggs MD Children s Hospital Los Angeles Los Angeles CA Poster 18 Weight Gain Following ACL Reconstruction in Pediatric and Adolescent Patients Elle Macalpine Divya Talwar MPH Eileen Storey BA John Todd Lawrence MD The Children s Hospital of Philadelphia Philadelphia PA Poster 19 Unplanned Return to the Operating Room for Pediatric Diaphyseal Femoral Fractures Jigar Gandhi Mahmoud Abo Elmagd Alexandre Arkader MD Jack Flynn MD The Children s Hospital of Philadelphia Philadelphia PA 74

2018 POSNA A nnual Meeting ePOSTERS ePoster 1 Scoliosis within the 22q11 2 Deletion Syndrome Jelle Homans MD Vyaas Baldew BS Tom Schlosser MD Moyo Kruyt MD Rene Castelein MD University Medical Center Utrecht Utrecht The Netherlands ePoster 2 Effectiveness of the Ponseti Method in Treating Foot Deformities in Children with Arthrogryposis Reid Nichols MD Chris Church PT Zafir Ahmed Nancy Lennon PT John Henley PhD Daveda Taylor DPT Maureen Donohoe DPT Kathryn Fazio PA C Freeman Miller MD Nemours duPont Hospital for Children Wilmington DE ePoster 3 Comparison of the Acetabular Osteotomies for Developmental Dysplasia of the Hip Using Patient Specific 3 D Printed Pelvic Models Jason Caffrey Megan Jeffords MS Christine Farnsworth MS Vidyadhar Upasani MD Rady Children s Hospital San Diego San Diego CA ePoster 4 Open Reduction and Internal Fixation for Osteochondritis Dissecans of the Femoral Head in Patients with Legg Calve Perthes Disease Perry Schoenecker MD Joseph Lamplot MD Cecilia Pascual Garrido MD Jeffrey Nepple MD John Clohisy MD Washington University in Saint Louis School of Medicine St Louis MO ePoster 5 Radiation Exposure in the Young Adult Hip Patient Does Low dose Computed Tomography Reduce Radiation Exposure Adequately Alvin Su MD Travis Hillen MD Eric Eutsler MD Asheesh Bedi MD James Ross MD Christopher Larson MD John Clohisy MD Jeffrey Nepple MD Washington University School of Medicine St Louis MO ePoster 6 Characterization of the Optimal Reduction Maneuver During Simulated Periacetabular Osteotomy Jeffrey Nepple MD James Ross MD Asheesh Bedi MD Sean Akers John Clohisy MD Washington University School of Medicine St Louis MO ePoster 7 Pediatric Lyme Arthritis of the Hip A Systematic Review and Meta Analysis Aristides Cruz MD Jason Anari MD Jose Ramirez MD Wudbhav Sankar MD Keith Baldwin MD MSPT MPH The Children s Hospital of Philadelphia Philadelphia PA 75

ePosters continued ePoster 8 Pigmented Villonodular Synovitis in Children and Adolescents Samuel Willimon MD Michael Busch MD Tim Schrader MD Crystal Perkins MD Children s Healthcare of Atlanta Atlanta GA ePoster 9 Epidemiology and Surgical Trends of Pediatric Patellar Dislocations A 16 year Review of Cases in New York State Alice Chu MD Shalen Kouk MD John Begly MD David Mai MD June Chanyasulkit MD NYU Langone Orthopedic Hospital New York NY ePoster 10 3D Knee Trochlear Morphology by Magnetic Resonance Imaging Normal versus Patella Instability in Pediatric Patients Andrew Pennock MD Aileen Chang MD Josh Doan MS James Bomar MPH Eric Edmonds MD Rady Children s Hospital San Diego San Diego CA ePoster 11 Outcomes Following Hemiepiphysiodesis in Patients with Idiopathic Genu Valgum Using Physeal Staples Versus Tension Band Plating A Systematic Review Derrick Knapik MD James Buschbach BA Sanjeev Sabharwal MD Raymond Liu MD Rainbow Babies and Children s Hospital Cleveland OH ePoster 12 Perceptions and Attitudes Towards Children with Orthopaedic Devices Angela Eugenio Harpreet Chhina MSc Anthony Cooper MD FRCS BC Children s Hospital Vancouver British Columbia Canada ePoster 13 Most Patients are Not Back to Normal Activities One Month Following Eight Plates Hulaimatu Jalloh BA David Skaggs MD Peter Stevens MD Stephanie Holmes MD Victoria Heagy BS Lindsay Andras MD Children s Hospital Los Angeles Los Angeles CA ePoster 14 Risk Factors Associated with Patellar Cartilage Damage in Children and Adolescents with Patellar Instability Rebecca Greenstein Hee K Kim Paul Horn Neil Rajdev BA Shital Parikh MD Cincinnati Children s Hospital Medical Center Cincinnati OH ePoster 15 The Use of Medical Scribes in Ambulatory Pediatric Orthopaedic Surgery Practice Melissa Bent MD Jen Birstler BS Steven Wheeler BS Ken J Noonan MD University of Wisconsin Madison Madison WI ePoster 16 Minimal Clinically Important Difference MCID for CPCHILD Questionnaire following Scoliosis Surgery in Cerebral Palsy CP Firoz Miyanji MD FRCSC Luigi Nasto MD Paul Sponseller MD Tracey Bastrom MA Suken Shah MD Amer Samdani MD Michelle Marks PT Burt Yaszay MD Unni Narayanan MBBS Peter Newton MD BC Children s Hospital Vancouver British Columbia Canada 76

ePosters ePoster 17 Do all Patients with Cerebral Palsy Require Postoperative Intensive Care Admission After Posterior Spinal Fusion Jaysson Brooks MD Burt Yaszay MD Tracey Bastrom MA Carrie Bartley MA Paul Sponseller MD Suken Shah MD Amer Samdani MD Patrick Cahill MD Firoz Miyanji MD FRCSC Peter Newton MD Harms Study Group Rady Children s Hospital San Diego CA ePoster 18 Differences in Caregiver Perspective on Quality of Life of Children with Cerebral Palsy Emily Schaeffer PhD Maria Juricic PT Stacey Miller PT Judy Wu BS Kishore Mulpuri MBBS BC Children s Hospital Vancouver British Columbia Canada ePoster 19 Rectus Femoris Transfer versus Resection in Patients with Cerebral Palsy with Stiff Knee Gait Julieanne Sees DO Kathleen Maguire MD Freeman Miller MD Kenneth Rogers PhD Chris Church PT Geovanny Oleas Santill n John Henley PhD Nancy Lennon PT AI duPont Hospital for Children Wilmington DE ePoster 20 Comparison of Pediatric PROMIS CATs between Parent Proxy and Patient Report Populations with Upper Extremity Fractures Charles Goldfarb MD Ryan Calfee MD Ugochi Okoroafor MD William Gerull BS Jason Guattery MS Washington University School of Medicine St Louis MO ePoster 21 Financial Analysis of Closed Femur Fractures in 3 to 6 Year olds Treated with Immediate Spica Casting versus Intramedullary Fixation Robert Lewis MD Omar Hariri Marilyn Elliott BS Chan Hee Jo PhD Anthony Riccio MD Brandon Ramo MD Children s Medical Center of Dallas Dallas TX ePoster 22 Delayed Outpatient Surgical Management of Pediatric Supracondylar Humerus Fractures Efficacy Safety and Cost Analysis Ryan Neeley DO Satbir Singh BS Allan Beebe MD Christopher Iobst MD Kevin Klingele MD Nationwide Children s Hospital Columbus OH ePoster 23 Improving Access to Pediatric Orthopedic Expertise Using an Asynchronous eConsult System Kevin Smit MD Youjin Chang MD Ken Kontio FRCSC Sasha Carsen MD Children s Hospital of Eastern Ontario Ottawa Canada ePoster 24 Efficiency and Safety When is the Best Time to Valve a Plaster Cast Sam Steiner MD Kirollos Gendi MD Matthew Halanski MD Ken Noonan MD University of Wisconsin UWSMPH Madison WI 77

ePosters continued ePoster 25 Utilization of Electronic Medical Records EMR Registries to Improve ACL Outcomes Patient Compliance and Lower Complications A Quality Improvement Project Kristina Parvanta Jacob Parker BS Andrew Pennock MD Rady Children s Hospital San Diego CA ePoster 26 High Mismatch Between Sanders and Risser Staging in Adolescent Idiopathic Scoliosis Are We Guiding Treatment Using the Wrong Classification Benjamin Roye MD Anas Minkara BS Hiroko Matsumoto MA Nicole Bainton NP Masashi Tanaka MD Fay Callejo MPH Justin Kung Christopher Deallie BS David Roye MD Michael Vitale MD Columbia University Medical Center New York NY ePoster 27 How Much will my Child s Operation Cost Availability of Consumer Prices from US Hospitals for a Common Pediatric Orthopaedic Surgical Procedure Allison Racimo MS Nakul Talathi BS Nicole Zelenski MD Lawrence Wells MD Apurva Shah MD The Children s Hospital of Philadelphia Philadelphia PA ePoster 28 An Enhanced Weight Based Cefazolin Prophylaxis Bundle Reduces Surgical Site Infections Following Pediatric Spine Fusion Ryan Goodwin MD Ritika Coelho MD David Gurd MD Thomas Kuivila MD Charles Foster Cleveland Clinic Cleveland OH ePoster 29 Do We Need Post Operative Chest Radiographs Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Shawn Gilbert MD Gerald McGwin PhD Robert Esposito BS Michael Conklin MD University of Alabama Birmingham Birmingham AL ePoster 30 Transitional Care for Pediatric to Adult Special Needs Patients Philip Nowicki MD John Herring MD Helen DeVos Children s Hospital Grand Rapids MI ePoster 31 Establishing a Faculty Funded Research Center Improves Research Productivity Robin Baschal BA Patrick Carry MS Erin Baschal PhD Mark Erickson MD James Carollo PhD Nancy Miller MD Children s Hospital Colorado Aurora CO ePoster 32 Predictors of Cost for Posterior Spine Fusion Surgery in Adolescent Idiopathic Scoliosis William Shaughnessy MD Fady Baky Todd Milbrandt MD Scott Echternacht BA Hilal Maradit Kremers MD Jeanine Ransom Dirk Larson Anthony Stans MD A Noelle Larson MD Mayo Clinic Rochester MN 78

ePosters ePoster 33 Standardizing Peri operative Care of Supracondylar Humerus Fracture Saves Cost and Improves Trainees Educational Experience Alvin Su MD Mark Lee MD Connecticut Children s Medical Center University of Connecticut Hartfort CT ePoster 34 How Do I Dispose of my Opioid Medication Christopher Iobst MD Satbir Singh BS Julie Samora MD Nationwide Children s Hospital Columbus OH ePoster 35 The Cost of Physiologic Referrals to a Pediatric Orthopaedic Clinic Christopher Loftis MD John Worley BA Daniel Hoernschemeyer MD Sumit Gupta MD University of Missouri Columbia MO ePoster 36 High Scores on PROMIS Depression Scale Independently Correlated with Pain Scores in a Pediatric Orthopedic Population Insights Gained from a Patient Reported Outcome PRO Program Zhaomin Xu MD Judith Baumhauer MD P Cook MD James Sanders MD Natasha O Malley FRCS Ortho University of Rochester Medical Center Rochester NY ePoster 37 Quality of Casting Pediatric Tibial Shaft Fractures Resident versus Resident with Experienced Assistants Brandi Woo BS Tracey Bastrom MA Morgan Dennis BS Andrew Pennock MD Vidyadhar Upasani MD Eric Edmonds MD Rady Children s Hospital San Diego CA ePoster 38 Analysis of Cost and Variability in the Surgical Treatment of Adolescent Idiopathic Scoliosis Leads to Opportunities for Cost Savings Suken Shah MD Rajiv Rangarajan Kenneth Rogers PhD Peter Gabos MD William Mackenzie MD Nemours Alfred I duPont Hospital for Children Wilmington DE ePoster 39 Improvement of Pulmonary Function Measured by Patient Reported Outcomes in Patients with Non Idiopathic Scoliosis after Growth Friendly Instrumentation Anas Minkara BS Hiroko Matsumoto MA Fay Callejo MPH Benjamin Roye MD David Roye MD Michael Vitale MD Columbia University Medical Center New York NY ePoster 40 Short Term HRQoL Results in MCGR and TGR Patients Divergent from Long Term EOSQ Results in TGR Graduates Charles Johnston MD Dong Phuong Tran MS Texas Scottish Rite Hospital for Children Dallas TX 79

ePosters continued ePoster 41 Patients Perceptions of Breast Asymmetry Improve after Spinal Fusion for AIS Megan Mignemi MD Amy McIntosh MD Texas Scottish Rite Hospital for Children Dallas TX ePoster 42 Don t You Wish You Had Fused to the Pelvis the First Time A Comparison of Reoperation Rate and Correction of Pelvic Obliquity Ena Nielsen BA Lindsay Andras MD Laura Bellaire MD Nicholas Fletcher MD Anas Minkara BS Michael Vitale MD Michael Troy BS Michael Glotzbecker MD David Skaggs MD Children s Hospital Los Angeles Los Angeles CA ePoster 43 African American Race is Associated with Increased Allogenic Blood Transfusion in Pediatric Scoliosis Surgery Robert Lark MD Kwadwo Owusu Akyaw MD Keila Maher Mary Cooter Allison Ross Brad Taicher DO Duke University Medical Center Durham NC ePoster 44 Does Decreased Surgical Stress Really Improve the Psychosocial Health of EOS Patients A Comparison of TGR and MCGR Patients Reveals Disappointing Results Cihan Aslan MD Z Deniz Olgun MD G khan Ayik MD Remzi Karaokur Seniz Ozusta Gokhan Demirkiran MD Fatih Unal MD Muharrem Yazici MD Hacettepe University Ankara Turkey ePoster 45 Spinopelvic Alignment Affects Health related Quality of Life HRQoL for Patients with Early Onset Scoliosis Jaime Gomez MD Jacob Schulz MD Ozren Kubat MD Jen Hurry MSc Alexandra Soroceanu MD Tara Flynn Mayra Tovar MD Regina Hanstein PhD Virginie Lafage PhD Frank Schwab MD John Smith MD David Skaggs MD Ron El Hawary MD Children s Hospital at Montefiore Bronx NY ePoster 46 Evaluating the Use of Cross links in Posterior Spinal Fusion in Cerebral Palsy Patients Do they Affect Radiological Correction Revision Infections and Implant Failures Mohammad Usmani MSc Suken Shah MD Burt Yaszay MD Amer Samdani MD Patrick Cahill MD Peter Newton MD Michelle Marks PT Paul Sponseller MD Johns Hopkins University School of Medicine Baltimore MD ePoster 47 Outcomes of Growing Rods for Severe Early Onset Scoliosis A Matched Comparative Study with Typical Early Onset Scoliosis Ilkka Helenius MD Hanna Oksanen RN Anna McClung RN Jeff Pawelek Muharrem Yazici MD Paul Sponseller MD John Emans MD Francisco Perez Grueso MD George Thompson MD Charles Johnston MD Suken Shah MD Behrooz Akbarnia MD Growing Spine Study Group Turku Children s Hospital Turku Finland ePoster 48 The Rate and Risk of Curve Progression in Moderate AIS Following Skeletal Maturity Firoz Miyanji MD FRCSC Tracey Bastrom MA Amer Samdani MD Suken Shah MD Baron Lonner MD Randal Betz MD Peter Newton MD BC Children s Hospital Vancouver British Columbia Canada 80

ePosters ePoster 49 Compliance with Scoliosis Specific Exercises in Adolescent Idiopathic Scoliosis Leads to Lower Risk of Curve Progression and Surgery Anas Minkara BS Amelia Lindgren MD Kelly Grimes DPT Fay Callejo MPH Alexandra Khaleel MA Prachi Bakarania DPT Hagit Berdishevsky PT Hiroko Matsumoto MA Benjamin Roye MD David Roye MD Ahmad Bayomy MD Michael Vitale MD Columbia University Medical Center New York NY ePoster 50 Reducing Acute Post Operative Spine Infections What We Have Done to Make this a Zero Event Amanda Whitaker MD Crystal Seilhamer FNP C Pamela Horn NP Juan Mendoza BS Laura Gill MD Walter Samora MD Jan Klamar MD Allan Beebe MD Nationwide Children s Hospital Columbus OH ePoster 51 Pelvic Fixation in Cerebral Palsy Scoliosis Differences Evident at 5 Year Follow Up Oussama Abousamra MD Brian Sullivan BS Amer Samdani MD Burt Yaszay MD Patrick Cahill MD Peter Newton MD Paul Sponseller MD Johns Hopkins Hospital Baltimore MD ePoster 52 Size Matters Which Adolescent Patients are Most Likely to Require Surgical Decompression for Lumbar Disk Herniation Amy McIntosh MD Marcel Wiley MD Mohammed Khaleel MD Texas Scottish Rite Hospital for Children Dallas TX ePoster 53 Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis AIS Patients Natalya Sarkisova BS Joshua Yang BA David Skaggs MD Tracy Zaslow MD Bianca Edison MD Paul Choi MD Vernon Tolo MD Lindsay Andras MD Children s Hospital Los Angeles Los Angeles CA ePoster 54 Curve Rigidity is More Important than Curve Magnitude in Predicting Outcomes of Neuromuscular Spinal Deformity Surgery Ena Nielsen BA David Skaggs MD Tracy Kovach MD Lindsay Andras MD Children s Hospital Los Angeles Los Angeles CA ePoster 55 Turning the Lights On for Surgeons Does It Improve Efficiency and Decrease Cost in the Operating Room for AIS Surgery Daniel Sucato MD Kaitlyn Brown MS Heather Caine BS Dong Phuong Tran MS Texas Scottish Rite Hospital for Children Dallas TX ePoster 56 Development of Consensus Based Best Practice Guidelines for Perioperative Management of Blood Loss in Patients Undergoing Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Nicholas Fletcher MD Michelle Marks PT Jahangir Asghar MD Steven Hwang MD Paul Sponseller MD Peter Newton MD Emory University Atlanta GA 81

ePosters continued ePoster 57 High Satisfaction in AIS Patients on Accelerated Discharge Protocol Joshua Yang BA David Skaggs MD Priscella Chan Gabriela Villamor BA Paul Choi MD Vernon Tolo MD Catherine Kissinger RN Alison Lehman PA C Lindsay Andras MD Children s Hospital Los Angeles Los Angeles CA ePoster 58 Three Dimensional Analysis of the Sagittal Profile in Surgically Treated Lenke 5 Adolescent Idiopathic Scoliosis Peter Newton MD Kaiying Shen MD Burt Yaszay MD Madeline Cross MPH Megan Jeffords MS Carrie Bartley MA Tracey Bastrom MA Vidyadhar Upasani MD Rady Children s Hospital San Diego CA ePoster 59 A Novel Wound Closure Method in Nonidiopathic Scoliosis Significantly Reduces the Risk of Wound Complications Michael Vitale MD Thomas Imahiyerobo MD Anas Minkara BS Hiroko Matsumoto MA Fay Callejo MPH June Ha Benjamin Roye MD David Roye MD Columbia University Medical Center New York NY ePoster 60 VEPTR Treatment of Early Onset Scoliosis EOS in Children without Rib Abnormalities Long Term Results of a Prospective Multicenter Study Ron El Hawary MD Kevin Morash MD Muayad Kadhim MD Michael Vitale MD John Smith MD Amer Samdani MD Jack Flynn MD Children s Spine Study Group Children s Hospital of Philadelphia Philadelphia PA ePoster 61 Are There Any Associations Between Back Pain and Adolescent Idiopathic Scoliosis with the Possibility of an Underlying Pathology Norman Ramirez Lluch MD Gerardo Olivella MPH Hospital La Concepcion San German Puerto Rico ePoster 62 Reduced Physical Activity in Adolescents with Idiopathic Scoliosis Treated with Spinal Bracing Compared to Normal Controls Todd Milbrandt MD Swati Chopra PhD A Noelle Larson MD Joline Brandenburg MD Christine Huyber Vickie Treder Kenton Kaufman PhD Mayo Clinic Rochester MN ePoster 63 Functional Motion and Balance Improve after Posterior Spinal Fusion in AIS Robert Lark MD Camille Guzel BA Abigail Schmitt MS Robert Fitch MD Timothy Sell PT Benjamin Alman MD Duke University Medical Center Durham NC ePoster 64 Neuromonitoring for AIS A 20 Year Analysis of AIS Patient Incidence of Critical Changes and Predictive Factors to Define Patients at Risk Daniel Sucato MD Kiley Poppino BS Alec Thoveson Steven Sparagana MD Patricia Rampy MS Ali Parsa MD Texas Scottish Rite Hospital for Children Dallas TX 82

ePosters ePoster 65 Occipital Plate Cervical Spine Fixation in the Pediatric Population Daniel Hedequist MD Lara Cohen BS Brian Yang BA Michael Troy BS Leah DeWitt BA Lawrence Karlin MD Brian Snyder MD John Emans MD Michael Hresko MD Michael Glotzbecker MD Boston Children s Hospital Boston MA ePoster 66 Two AIS Spine Surgeries on the Same Day by the Same Surgeon Is Performance and Outcome the Same for the Second Patient Lorena Floccari MD Daniel Sucato MD Kiley Poppino BS Surya Mundluru MD Amy McIntosh MD Karl Rathjen MD Texas Scottish Rite Hospital for Children Dallas TX ePoster 67 Evaluating the Volume Value Relationship in Adolescent Idiopathic Scoliosis Sergio Navarro BS Anthony Egger MD Prem Ramkumar MD Ryan Goodwin MD Cleveland Clinic Foundation Cleveland OH ePoster 68 Comparison of EOSQ 24 and SRS 22 Scores in Congenital Scoliosis Ying Li MD Michelle Burke BA Joel Gagnier PhD Michelle Caird MD Matthew Abbott MD Frances Farley MD C S Mott Children s Hospital University of Michigan Ann Arbor MI ePoster 69 Planned Staged Surgery for Severe Pediatric Spinal Deformity Does Not Reduce Complications Within 90 Days of Surgery A Prospective Matched Cohort Study Sumeet Garg MD Nikki Bloch BA Patrick Carry MS Mark Erickson MD Patrick Cahill MD Amer Samdani MD Burt Yaszay MD Lawrence Lenke MD Brenda Sides MA Munish Gupta MD Children s Hospital Colorado Aurora CO ePoster 70 The Impact of Spinal Deformity Surgery on PROMIS Scores in Adolescent Idiopathic Scoliosis Patients Early Outcomes Nichelle Enata ATC Kirsten Brouillet BA Brian Kelly MD Munish Gupta MD Keith Bridwell MD Scott Luhmann MD Washington University School of Medicine St Louis MO ePoster 71 Translaminar C2 Screw Fixation in the Pediatric Population Brian Yang BA Michael Glotzbecker MD Michael Troy BS Daniel Hedequist MD Boston Children s Hospital Boston MA ePoster 72 In Patients with Cerebral Palsy Intrathecal Baclofen Correlates with Increased Scoliosis Progression Prior to Posterior Spinal Fusion but not Scoliosis or Proximal Junctional Kyphosis Progression after Posterior Spinal Fusion Matthew Halanski MD Anatoliy Nechyporenko BS Laura Lins ATC Scott Hetzel MS Ken Noonan MD University of Wisconsin School of Medicine and Public Health Madison WI 83

ePosters continued ePoster 73 Minimally Invasive Surgery in Neuromuscular Scoliosis A Superior Approach for Severely Impaired Patients Vishal Sarwahi MBBS Stephen Wendolowski BS Jesse Galina BS Francisco Laplaza MD Yungtai Lo PhD Terry Amaral MD Cohen Children s Medical Center New Hyde Park NY ePoster 74 Risser 0 AIS Patients Is There a Difference in Brace Effectiveness Between Lumbar and Thoracic Curves John Vorhies MD Lori Karol MD Daniel Sucato MD Donald Virostek Lesley Butler MPH Kiley Poppino BS John Herring MD Texas Scottish Rite Hospital for Children Dallas TX ePoster 75 Fusion Into the Lumbar Spine in Adolescent Idiopathic Scoliosis The Implications of Disc Disease and Alterations in Lumbar Motion Michelle Marks PT Tracey Bastrom MA Baron Lonner MD Maty Petcharaporn BS Yuan Ren PhD Hussein Nasser MD Amer Samdani MD Peter Newton MD Setting Scoliosis Straight San Diego CA ePoster 76 Middle Tract Pedicle Stimulation to Ascertain Pedicle Screw Placement Ignacio Sanpera Trigueros MD Luis Miguel Rodrigalvarez PhD Jesus Burgos Flores Hospital Universitari Son Esases Palma de Mallorca Spain ePoster 77 The Discriminate Ability of the Pediatric Adolescent Shoulder Survey PASS Tracey Bastrom MA Andrew Pennock MD Eric Edmonds MD Rady Children s Hospital San Diego CA ePoster 78 Using the Medial and Lateral Humeral Lines to Guide Intraoperative Fixation of Distal Humerus Physeal Separations Andrew Chou BS Ho Yin Wong MBBS Sumanth Gera MBBS Arjandas Mahadev FRCS KK Women s and Children s Hospital Singapore Singapore ePoster 79 The AOSpine Thoracolumbar TL Spine Injury Classification System Is It Useful In the Pediatric Spine Trauma Population Daniel Hedequist MD Michael Glotzbecker MD Andrew Mo MD Children s Hospital Boston Boston MA ePoster 80 The Effect of the Type of Screw Fixation used in the Treatment of Slipped Capital Femoral Epiphysis Katie Rooks MD Tyler Rudolph MBChB Michael Van Der Merwe MBChB Haemish Crawford Starship Children s Hospital Auckland New Zealand 84

WELCOME TO AUSTIN EXPLORE AUSTIN While visiting Austin take advantage of several distinct entertainment districts offering about 200 live music venues There are many great restaurants shops and local attractions walking distance of the Marriott Visit austintexas org 6street com raineystreetbars com 2ndstreetdistrict com RESTAURANTS Fareground located across from the JW Marriott Cooper s Old Time Pit Bar B Que Austin next to hotel Terry Black s Barbecue Matt s El Rancho Maudie s Jacoby s Second Bar Kitchen across from hotel ENTERTAINMENT DISTRICTS South Congress Rainey Street 2nd Street Warehouse District West 6th Street East 6th Street East of IH 35 South Lamar LIVE MUSIC Saxon Pub Elephant Room The Continental Club Stubb s Cedar Street Courtyard Broken Spoke Texas style Honky Tonk MUSEUMS Bullock Texas State History Museum Lyndon Baines Johnson Library and Museum Blanton Museum of Art Texas State Capitol SHOPPING The Domain upscale and mainstream retail and restaurants in outdoor setting South Congress Ave individual shops 2nd Street District boutiques and shops in Downtown San Marcos Premium Outlets 35 minute drive to San Marcos TX Western Wear Allens Boots Cavender s Boot City 85

Convention Center District Restaurant Guide MAP RESTAURANT ADDRESS E14 III Forks D 111 Lavaca St 474 1776 3forks com Steakhouse K9 1886 Bakery Caf Driskill Hotel B L D Annie s Caf and Bar 604 Brazos St 391 7066 1886cafeandbakery com Bakery C13 La Condesa American F12 La Traviata L D Mediterranean C14 Lamberts BBQ G9 G13 F9 B L D Athenian Bar Grill L D 319 Congress Ave Ste c150 600 Congress Ave PHONE WEBSITE 472 1884 anniescafebar com 474 7775 athenianbargrill com CUISINE Austin Taco Project Hilton D 500 E Fourth St The Backspace L D 507 San Jacinto Blvd 474 9899 thebackspace austin com Banger s Sausage House N18 Beer Garden B L D 79 Rainey St 386 1656 bangersaustin com American E14 206 Colorado St 382 5557 barchiaustin com Sushi K11 I10 H9 F13 F15 G13 J14 K11 F13 Bar Chi L D LN BD Riley s Irish Pub 682 2739 austintacoproject com MAP RESTAURANT New Texan Italian WEBSITE CUISINE Asian 400A W Second St 499 0300 lacondesaaustin com Mexican 314 N Congress Ave 479 8131 latraviata net Italian 401 W Second St 494 1500 lambertsaustin com Barbecue H13 Le Caf Crepe B L D 200 San Jacinto Blvd 480 0084 cafecrepeofaustin com French C14 Leaf 419 W Second St 474 5323 leafsalad com American 419 Colorado St 271 2474 lonesomedoveaustin com New Texan Asian L D L D LN L D F11 Lonesome Dove I13 Mai Thai L D 207 San Jacinto Blvd 482 8244 maithaiaustin com E14 Mama Fu s 100 Colorado St 637 6774 mamafus com Asian F12 Manuel s 310 Congress Ave 472 7555 manuels com Mexican Max s Wine Dive E D 207 San Jacinto Blvd L D LD 204 E Sixth St 494 1335 bdrileys com Irish Bob s Steak and Chop E D 301 Lavaca St 222 2627 bobs steakandchop com Steakhouse I13 904 0111 maxswinedive com austin American The Bonneville 202 W Cesar Chavez St 428 4643 thebonnevilleaustin com New American J16 Micheladas L D 333 E Second St 320 0300 micheladasaustin com Mexican Burger Bar JW Marriott 110 E Second St 608 4822 burgerbaraustin com Burgers L12 Moonshine 303 Red River St 236 9599 moonshinegrill com American Cafe Blue 340 E Second St 428 5796 cafebluetx com Seafood I10 Old Pecan Street Caf L D 504B Trinity St 478 2491 oldpecanstcafe com American J10 Old School Bar Grill L D 401 E Sixth St 722 6351 oldschoolaustin com American Osteria Pronto JW Marriott 110 E Second St 608 4490 oseriaprontoaustin com Italian P F Chang s China Bistro L D 201 San Jacinto Blvd 457 8300 pfchangs com Asian I10 Parkside D LN 301 E Sixth St 474 9898 parkside austin com American E12 P ch D LN 208 W Fourth St 495 9669 pecheaustin com French Pelon s Tex Mex 802 Red River St 243 7874 pelonsaustin com Mexican 114 W Seventh St 474 6300 perryssteakhouse com Seafood Steak Piranha Killer Sushi L D 207 San Jacinto Blvd Ste 202 473 8775 piranhakillersushi com Asian RA Sushi E 117 W Fourth St Ste 300 726 2130 rasushi com Asian 303 Colorado St 379 2906 redashitalia com Italian B L D LN D LD L D Cannon and Belle Hilton D The Capital Grille E L D 500 E Fourth St 493 4900 cannonandbelle com American G13 117 W Fourth St 322 2005 thecapitalgrille com Steakhouse I14 201 Brazos St 473 3712 cedardooraustin com American I11 B L D LN Champions Sports Bar 300 E Fourth St 473 0450 championsaustin com American J10 Chez Nous L D 510 Neches St 473 2413 cheznousaustin com French K8 F11 Chinatown L D 107 W Fifth St 637 8888 chinatown downtown com Asian F8 Cooper s Old Time Pit Bar B 217 Congress Ave G13 Que E L D LN 474 4227 coopersbbqaustin com Barbecue G13 Corner JW Marriott 110 E Second St 608 4488 cornerrestaurantaustin com New Texan G13 Counter 3 Five VII E 315 Congress Ave 291 3327 counter3fivevii com New American F15 238 W Second St Ste 13 472 9463 cruawinebar com locations_austin New American H10 The Driskill Grill D 604 Brazos St 391 7162 driskillgrill com New Texan M10 Easy Tiger L D LN 709 E Sixth St 614 4972 easytigeraustin com German 301 E Fifth St 472 1860 eddiev com Seafood Steak B L D L D D Cru A Wine Bar D Eddie V s Steakhouse D LN 85 Rainey St M20 Emmer Rye B D 51 Rainey St Ste 110 366 5530 emmerandrye com 200 E Sixth St 735 1144 eurekarestaurantgroup com American H10 Eureka L D LN 474 2776 elnaranjo restaurant com I14 M18 El Naranjo D F12 L D L D B L D L D Perry s Steakhouse Grille L D L D F12 Red Ash D Roaring Fork InterContinental SFA 701 Congress Ave 583 0000 roaringfork com Southwestern 428 5442 russianhouseofaustin com Russian 107 W Sixth St 477 7884 ruthschris austin com Steakhouse 415 Colorado St 394 8000 searsucker com American Second Bar Kitchen L D LN 200 Congress Ave 827 2750 congressaustin com New American Slake Cafe B L 120 E 7th Str 476 0060 slakecafe com American Bakery 500 W Sixth St 580 9990 sophiasaustin com Italian 310 E Fifth St 391 2333 stellasanjac com New Texan 801 Red River St 480 8341 stubbsaustin com Barbecue 300 Colorado St 495 6504 sullivansteakhouse com Steakhouse G13 Swift s Attic E L D LN 315 Congress Ave 482 8200 swiftsattic com American H12 Taco Shack B L 402 Brazos St 473 0101 tacoshack com Mexican 258 W Second St 477 1001 tavernabylombardi com Italian 542 3660 traceaustin com American L D F10 E11 Mexican New American F13 G8 Russian House L D LN Ruth s Chris Steak House D Searsucker D E12 Fad Irish Pub L D LN 457 0172 fadoirishpub com austin Irish C11 Fixe Austin s Southern House 500 W Fifth St D 888 9133 austinfixe com New American I11 I13 Fleming s Prime Steakhouse 320 E Second St D 457 1500 flemingssteakhouse com Steakhouse 472 0220 fogodechao com South American Fogo de Chao L D 214 W Fourth St 309 E Third St 307 E 5th St G8 I11 D10 Sophia s D I13 PHONE 275 0852 koriente com H13 Cedar Door I 11 ADDRESS 621 E Seventh St Koriente L D L7 E13 Stella San Jac Westin B L D Stubb s BBQ L D LN Sullivan s Steak House L D 98 San Jacinto Blvd 300 1948 forthrightcafe com American 407 Colorado St 494 6916 hotdogscoldbeer com American 73 Rainey St 480 2255 grajmahalaustin com Indian E14 L17 Geraldine s Hotel Van Zandt 605 Davis St B D LN 476 4755 geraldonesaustin com New American D14 Trace at the W Hotel 200 Lavaca St D9 Gloria s 833 6400 gloriasrestaurants com Mexican 98 San Jacinto Blvd 685 8300 triorestaurantaustin com New American I 14 117 San Jacinto Gus s Fried Chicken L D Blvd 474 4877 gusfriedchicken com Chicken TRIO The Four Seasons H15 Austin L D E12 400 Colorado St 482 9000 trulucks com Seafood Steak 301 San Jacinto Blvd 815 2100 unclejulios com Mexican 301 San Jacinto Blvd 457 8325 vinceyoungsteakhouse com Steakhouse H14 Forthright B L F11 Frank B L D LN M20 G Raj Mahal D LN 300 W Sixth St L D I9 Iron Cactus L D LN 606 Trinity St 472 9240 ironcactus com Mexican K14 Iron Works L D 100 Red River St 478 4855 ironworksbbq com Barbecue D13 Jo s Hot Coffee 242 W Second St 469 9003 joscoffee com Coffee House BLD Taverna Ristorante B L D L D LN Truluck s D H13 Uncle Julio s L D H12 L Lunch D Dinner LN Late Night 5 14 15 25 26 50 Music Wheelchair Accessible E Elevator Vince Young Steak House D Key B Breakfast Area code is 512 for all phone numbers 86

BRAZOS ST SAN ANTONIO ST H I J TRINITY ST G K L M N O P 15TH ST 2 14TH ST F SAN JACINTO ST E CONGRESS AVE D LAVACA ST C 15TH ST GUADALUPE ST 16TH ST RIO GRANDE AVE B 1 A 14TH ST T Texas State Capitol Building NECHES ST TRINITY ST BRANCH ST SABINE ST RED RIVER ST COLORADO ST LAVACA ST GUADALUPE ST SAN ANTONIO ST NUECES ST BRAZOS ST JW MARRIOTT HOTEL WEST AVE CONGRESS AVE 11 Palm Park 2 STREET DISTRICT 12 4TH ST 13 2ND ST CESAR CHAVEZ ST E CESAR CHAVEZ ST DRISKILL ST WILLOW ST DAVIS ST RAINEY STREET DISTRICT CONGRESS AVE Auditorium Shores RAINEY ST PALMER EVENTS CENTER LONG CENTER FOR THE PERFORMING ARTS 19 HOLLY ST 35 RIV AVE ERS IDE 20 HASKELL ST 21 DR FESTIV AL BE ACH R TO SOUTH CONGRESS SOCO DISTRICT MILAM PL MUSIC LN SOUTH AUSTIN DISTRICT ACADEMY DR 87 14 15 16 17 18 GARDEN ST CLERMONT AVE BARTON SPRINGS RD BOULDIN CANTERBURY ST TAYLOR ST RIVER ST EAST AVE ke S 1ST ST Lady Bird La NAVASOTA ST 2ND ST nd 5TH ST ATTAYAC ST AUSTIN CONVENTION CENTER WALLER ST ACL LIVE AT THE MOODY THEATER 3RD ST SAN MARCOS ST 3RD ST 10 Brush Square AUSTIN VISITOR CENTER 9 4TH ST 6TH ST D NAVASOTA ST Republic Park 8TH ST 7TH ST MEDINA ST WAREHOUSE DISTRICT 5TH ST 8 6TH ST 9TH ST RED RIVER DISTRICT EAST AUSTIN 6th STREET 35 DISTRICT DISTRICT 7 7TH ST 9TH ST 9TH ST WALLER ST 8TH ST 10TH ST SAN MARCOS ST MARKET DISTRICT 10TH ST LYDIA ST 9TH ST 10TH ST CONGRESS CORRIDOR Wooldridge Park 11TH ST 5 6 JUNIPER ST 11TH ST 10TH ST 6TH ST T HS 12T 12TH ST 11TH ST 7TH ST 4 Waterloo Park 12TH ST Duncan Park 3 HS 13T 13TH ST

EXHIBITOR LISTING AquaCast Liner AquaCast Liner manufactures a complete line of waterproof cast padding and liners used in fracture care replacing the old WL Gore Procel and PANTALOON products Our newly remodeled Hipster protective liner used for hip and shoulder spicas femur fractures and other body casts makes application quicker and easier reduces skin excoriation and improves patient satisfaction while lowering overall costs simultaneously Stop by our table to review the new design and also see why pediatric orthopaedic surgeons and non operating doctors prefer our easier to apply rolls over the Gore Procel Biogen Through cutting edge science Biogen discovers develops and delivers to patients worldwide therapies for the treatment of neurodegenerative and rare diseases Children s Hospital of Los Angeles The mission of Children s Hospital Los Angeles is to create hope and build healthier futures Founded in 1901 CHLA is the top ranked children s hospital in California and among the top 10 in the nation according to the prestigious U S News World Report Honor Roll of children s hospitals for 2017 18 The hospital is home to The Saban Research Institute and is one of the few freestanding pediatric hospitals where scientific inquiry is combined with clinical care devoted exclusively to children Children s Hospital Los Angeles is a premier teaching hospital and has been affiliated with the Keck School of Medicine of the University of Southern California since 1932 CURE International We are a non profit organization that operates charitable hospitals and programs in 29 countries worldwide where patients experience the life changing message of God s love for them receiving surgical treatment regardless of gender religion or ethnicity CURE s efforts are focused on providing medical care to children suffering primarily from orthopedic and neurological conditions DIERS DIERS Medical Systems is an innovative company offering a radiationfree system for assessment of the spine and trunk Using surface topography the DIERS formetric system can provide a 3 D reconstruction of the spine as a static measurement or while the spine is in motion The addition of lower extremity video analysis and foot pressure measurements from the integrated treadmill turns the spine system into a fully functional compact gait lab The DIERS formetric system provides reliable outcomes data for clinicians who treat patients with scoliosis kyphosis neuromuscular disorders gait abnormalities or sports injuries 88

EXHIBITOR LISTING CONTINUED DePuy Synthes Companies DePuy Synthes Companies part of the Johnson Johnson family of companies provides the most comprehensive orthopaedic and neurological solutions in the world The company offers an unparalleled breadth of products services programs and research and development capabilities DePuy Synthes Companies solutions in the specialties of joint reconstruction trauma neurological craniomaxillofacial spinal surgery and sports medicine are designed to advance patient care while delivering clinical and economic value to health care systems worldwide EOS Imaging EOS imaging designs develops and markets advanced imaging and image based solutions for musculoskeletal pathologies and orthopedic surgical care The EOS platform connects imaging to care by adding value along the entire patient care pathway from diagnosis to follow up Low dose and Micro Dose EOS exams provide full body stereo radiographic images in weight bearing positions The biplanar images are acquired simultaneously in less than 20 seconds without magnification The accompanying sterEOS workstation generates patient specific 3D models calculates over 100 clinical parameters and offers customizable patient reports EOS imaging also provides 3D Services and 3D surgical planning solutions for spine hip and knee Global Help Global HELP creates distributes and compiles free relevant non commercial healthcare information that prioritizes affordable and effective healthcare solutions and promotes sustainability The organization s long term goal is to create sustainable improvement in healthcare throughout the world by helping people help themselves Globus Medical Globus Medical Inc is a leading musculoskeletal solutions company and is driving significant technological advancements across a complete suite of spinal products Founded in 2003 Globus single minded focus on advancing spinal surgery has made it the fastest growing company in the history of orthopedics Globus is driven to utilize superior engineering and technology to achieve pain free active lives for all patients with spinal disorders Implanet Implanet is a global company with a singular focus to provide novel solutions to complex spinal pathologies through the use of the JAZZ polyester band system The JAZZ Band Frame hybrid approach for complex deformity correction has been shown to reduce implant volume decrease surgical cost and reduce blood loss and OR time while demonstrating significant improvement in Sagittal Balance JAZZ Lock is the first and only rodless band fixation device JAZZ Lock allows for rapid posterior fixation of spinal fractures is a low profile tension band for top of construct protection and provides additional fixation options in compromised bone 89

EXHIBITOR LISTING CONTINUED International Hip Dysplasia Institute The International Hip Dysplasia Institute IHDI is a not for profit effort to improve the health and quality of life for those afflicted with hip dysplasia The IHDI is supported by the Arnold Palmer Hospital Foundation in Orlando Florida with major sponsorship from Dan Whitney Larry the Cable Guy and his wife Cara With this combined effort we have joined forces with several noted medical centers around the world to promote prevention diagnosis and treatment of hip dysplasia Inion Inion is a medical device company focused on the development and commercialization of innovative biodegradable and bioactive implants for Spinal Specialty Orthopaedic and Craniomaxillofacial applications Inion s proprietary blending technology enables application specific implants which have custom fit capabilities for patients that do not interfere with imaging Integrity Surgical Sales Integrity surgical sales is the premier surgical distribution company in Texas Louisiana and Mississippi We are a surgical product distributor serving the medical and surgical community representing the Manufacturers Alafair Biosciences Inc who develops cross linked polysaccharide hydrogel films for the post surgical complication of adhesion or tethering between opposing tissue surfaces Leica Microsystems is a manufacturer of optical microscopes equipment for the preparation of microscopic specimens and related products There are ten plants in eight countries with distribution partners in over 100 countries Leica Microsystems has been thriving for the past 19 years Leica Surgical Microscopes and 7D surgical Leading the way in image guided surgeries JCO The Journal of Children s Orthopaedics JCO is the official journal of the European Paediatric Orthopaedic Society EPOS and is published by The British Editorial Society of Bone Joint Surgery It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders JCO publishes high quality peer reviewed articles that focus on clinical practice diagnosis and treatment of disorders unique to paediatric orthopaedics as well as on basic and applied research JCO is open access and is abstracted indexed in PubMed with full text in PubMed Central Google Scholar SCOPUS and Web of Science and is included in the Early Sources Citation Index ESCI 90

EXHIBITOR LISTING CONTINUED K2M K2M Group Holdings Inc is a global leader of complex spine and minimally invasive solutions focused on achieving three dimensional Total Body Balance Since its inception K2M has designed developed and commercialized innovative complex spine and minimally invasive spine technologies and techniques used by spine surgeons to treat some of the most complicated spinal pathologies K2M has leveraged these core competencies into Balance ACS a platform of products services and research to help surgeons achieve three dimensional spinal balance across the axial coronal and sagittal planes with the goal of supporting the full continuum of care to facilitate quality patient outcomes The Balance ACS platform in combination with the Company s technologies techniques and leadership in the 3D printing of spinal devices enable K2M to compete favorably in the global spinal surgery market Medtronic As a global leader in medical technology services and solutions Medtronic improves the lives and health of millions of people each year We use our deep clinical therapeutic and economic expertise to address the complex challenges faced by healthcare systems today Let s take healthcare Further Together Visit our booth to learn more about our innovative solutions Merete Technologies Inc Merete is Innovation Our stated aim is to discover and react to market demands at any time As a manufacturer the health and the mobility of the patient is top priority We offer an increasing product portfolio for foot and ankle surgery the treatment of major bone defects in oncology as well as trauma hip revision and pediatric implants Our latest innovation for simpler and faster guided growth and growth arrest is PediatrOS FlexTack and RigidTack These novel staples correct leg length discrepancies and angular deformities through improved temporary epiphysiodesis Merete s PediatrOS staples offer a safer and more effective alternative for your patients NuVasive Inc NuVasive is transforming spine surgery and beyond with minimally invasive procedurally integrated solutions designed to deliver reproducible and clinically proven surgical outcomes The Company s portfolio includes access instruments implantable hardware biologics software systems for surgical planning navigation and imaging solutions magnetically adjustable implant systems for spine and orthopedics and intraoperative monitoring service offerings OrthoPediatrics Corp Founded in 2006 OrthoPediatrics is an orthopedic company focused exclusively on providing a comprehensive product offering to the pediatric orthopedic market to improve the lives of children with orthopedic conditions OrthoPediatrics currently markets 24 surgical systems that serve three of the largest categories within the pediatric orthopedic market This offering spans trauma deformity scoliosis and sports medicine other procedures OrthoPediatrics global sales organization is focused exclusively on pediatric orthopedics and distributes its products in the United States and 35 countries outside the United States 91

EXHIBITOR LISTING CONTINUED Pega Medical For more than two decades Pega Medical has been offering innovative deformity correction solutions Pega s family of IM Nails Fassier Duval Telescopic Rod SLIM and GAP Endo Exo Medullary Systems are specifically designed for small bones often seen with metabolic and genetic disease Additional products such as the Hinge Plate and the Free Gliding SCFE Screw complete our portfolio of growth modulating orthopedic devices For limb deformity and length discrepancy the Paley s Osteotomy System offers unique instrumentation for complex procedures Our latest innovation The LolliPOP modular hip plating system completes a portfolio of forward thinking technologies developed in collaboration with expert orthopedic surgeons from POSNA and from around the world Rubin Institute for Advanced Orthopaedics Rubin Institute for Advanced Orthopedics RIAO is home to some of the world s most renowned orthopedic surgeons and offers state of the art treatment in a variety of orthopedic services for children and adults The Institute hosts an annual CME accredited course in limb deformity correction and lengthening Clinical and research fellowship opportunities are available The Multiplier and Bone Ninja apps were developed here The RIAO is located in Baltimore Maryland USA Setting Scoliosis Straight Setting Scoliosis Straight is a not for profit charitable foundation that was established in 2008 Its purpose is to conduct fundraising efforts in support of the Harms Study Group with a goal to further support and advance techniques in the treatment of spinal deformities in children and adolescents Spineart Spineart is one of the fastest growing privately held spine companies with a leading position in the European market and representation in more than 46 countries worldwide Spineart established its US presence in 2009 providing to distributors hospitals and surgeons a unique offer Sterile packed barcoded implants and a compact set philosophy Spineart introduced clinically validated technologies in Minimally Invasive Surgery Motion Preservation Fusion Biologics and Fractures Treatment Stryker Spine Our Spine division offers a comprehensive portfolio for orthopaedic and neurosurgeons specializing in the surgical treatment of spinal pathologies Our continually expanding portfolio features complete procedural solutions for the spine spanning from the occiput to the pelvis including a full suite of LITe Less Invasive Technology procedures such as the LITe TLIF LITe LIF and LITe ALIF By teaming up with our sister divisions we have been able to add navigation and power capabilities to many of our spinal fixation systems including Serrato Xia 3 Xia 4 5 and ES2 We recently launched our first 3D printed porous titanium interbody devices the Tritanium PL TL and Tritanium C Cages These cages are manufactured using Stryker s proprietary Tritanium In Growth Technology a novel highly porous titanium material designed for bone in growth and biological fixation We plan to expand the use of this unique technology over the next few years 92

EXHIBITOR LISTING CONTINUED Ultragenyx Ultragenyx Pharmaceutical Inc is a clinical stage biopharmaceutical company in Novato California founded in 2010 by Emil Kakkis MD PhD committed to bringing to market novel products for the treatment of rare and ultra rare diseases with a focus on serious debilitating genetic diseases Our focus is on improving the lives of patients around the world who have no approved therapies for their diseases through transforming good science into great medicine for rare diseases WishBone WishBone Medical is a Warsaw Indiana based pediatric orthopedic company focused globally on the unmet needs of children suffering from orthopedic issues Our commitment is to provide anatomically appropriate innovative implants and instruments in sterile packed single use disposable kits to surgeons and their patients who are still growing Because KIDS are not just little adults Wolters Kluwer Wolters Kluwer Health is a leading global provider of information and point of care solutions for the healthcare industry Our solutions are designed to help professionals build clinical competency and improve practice so that healthcare organizations can succeed in value based care delivery models Product solutions include Lippincott Ovid and UpToDate Wright Medical Wright Medical Group N V is a global medical device company focused on Extremities and Biologics We deliver innovative value added solutions improving quality of life for patients worldwide We are a recognized leader of surgical solutions for the upper extremities shoulder elbow wrist and hand lower extremities foot and ankle and biologics markets three of the fastest growing segments in orthopaedics Zimmer Biomet Zimmer Biomet Spine is a leader in restoring mobility alleviating pain and improving the quality of life for patients around the world by delivering surgeons a comprehensive portfolio of quality spine technologies and procedural innovation best in class training and unparalleled service via a network of responsive team members and sales professionals 93

POSNA ANTITRUST POLICY It shall be the policy of the Pediatric Orthopaedic Society of North America POSNA to be in strict compliance with all Federal and State Antitrust laws rules and regulations Therefore These policies and procedures apply to all membership board committee and all meetings attended by representatives of the POSNA Discussions at POSNA meetings often cover a broad range of topics pertinent to the interests or concerns of orthopaedic surgeons As a general rule except as noted below discussions at POSNA meetings can address topics without raising antitrust concerns if the discussions are kept scrupulously free of even the suggestion of private regulation of the profession However a number of topics that might be and have been discussed at POSNA meetings may raise significant complex antitrust concerns These include Membership admissions rejections restrictions and terminations Method of provision and sale of POSNA products and services to non members Restrictions in the selection and requirements for exhibitors at the POSNA Annual Meeting or in CME activities Collecting and distributing certain orthopaedic practice information particularly involving practice charges and costs Obtaining and distributing orthopaedic industry price and cost information Professional certification programs Group buying and selling and Inclusions or exclusion of other medical societies in organizational activities or offerings When these and related topics are discussed the convener or members of the POSNA group should seek counsel from its General Counsel POSNA urges its Board committees and other groups not to participate in discussions that may give the appearance of or constitute an agreement that would violate the antitrust laws Notwithstanding this reliance it is the responsibility of each POSNA Board or committee member to avoid raising improper subjects for discussion This policy has been prepared to ensure that POSNA members and other participants in POSNA meetings are aware of this obligation The Do Not s and Do s presented below highlight only the most basic antitrust principles POSNA members and others participating in POSNA meetings should consult with the General Counsel in all cases involving specific questions interpretations or advice regarding antitrust matters Do Nots 1 Do not in fact or appearance discuss or exchange information regarding a Individual company prices price changes price differentials mark ups discounts allowances credit terms etc or any other data that may bear on price such as costs production capacity inventories sales etc b Raising lowering or stabilizing orthopaedic prices or fees c What constitutes a fair profit or margin level d The availability of products or services or e The allocation of markets territories or patients 2 Do not suggest or imply that POSNA members should or should not deal with certain other persons or companies 3 Do not foster unfair practices regarding advertising standardization certification or accreditation 4 Do not discuss or exchange information regarding the above matters during social gatherings incidental to POSNA sponsored meetings 5 Do not make oral or written statements on important issues on behalf of POSNA without appropriate authority to do so 94

POSNA ANTITRUST POLICY CONTINUED The Do s 1 Do adhere to prepared agenda for all POSNA meetings It is generally permissible for agendas to include discussions of such varied topics as professional economic trends advances and problems in relevant technology or research various aspects of the science and art of management and relationships with local state or federal governments 2 Do object whenever meeting summaries do not accurately reflect the matters that occurred 3 Do consult with General Counsel on all antitrust questions relating to discussions at POSNA meetings 4 Do object to and do not participate in any discussions or meeting activities that you believe violate the antitrust laws dissociate yourself from any such discussions or activities and leave any meeting in which they continue Special Guidelines for Collecting and Distributing Information The collection and distribution of information regarding business practices is a traditional function of associations and is well recognized under the law as appropriate legal and consistent with the antitrust laws However if conducted improperly such information gathering and distributing activities might be viewed as facilitating an express or implied agreement among association members to adhere to the same business practices For this reason special general guidelines have developed over time regarding association s reporting on information collected from and disseminated to members Any exceptions to these general guidelines should be made only after discussion with General Counsel These general guidelines include 1 Member participation in a statistical reporting program is voluntary A statistical reporting program should be conducted without coercion or penalty Non members should be allowed to participate in a statistical reporting program if eligible however if a fee is involved non members may be charged a reasonably higher fee than members 2 Information should be collected via a written instrument that clearly sets forth what is being requested 3 The data that is collected should be about past transactions or activities particularly if the survey deals with prices and price terms including charges costs wages benefits discounts etc it should be historic i e more than three months old 4 The data should be collected by either POSNA or an independent third party not connected with any one member 5 Data on individual orthopaedic surgeons should be kept confidential 6 There should be a sufficient number of participants to prevent specific responses or data from being attributable to any one respondent As a general rule there should be at least five respondents reporting data upon which any statistic or item is based and no individual s data should represent more than 25 on a weighted average of that statistic or item 7 Composite aggregate data should be available to all participants both members and non members The data may be categorized e g geographically and ranges and averages may be used No member should be given access to the raw data Disclosure of individual data could serve to promote uniformity and reduce competition 8 As a general rule there should be no discussion or agreement as to how members and non members should adjust plan or carry out their practices based on the results of the survey Each member should analyze the data and make business decisions independently 95

2018 RESEARCH GRANT and AWARD WINNERS 2018 KUO MEMORIAL RESEARCH AWARD Brandon A Ramo MD Health Related Quality of Life Outcomes in Patients with Early Onset Scoliosis 2018 HUENE MEMORIAL RESEARCH AWARD Benjamin Roye MD Bracing for AIS What Makes the Difference Examining the Reciprocity of Quality Duration 2018 ST GILES RESEARCH AWARD Anthony Cooper MD FRCS A Prospective Study to Assess Dynamic Deformation of the Femoral Head During Weight Bearing in Perthes Disease 2018 POSNA CLINICAL TRIALS RESEARCH GRANT Freeman Miller MD Hip Surveillance in Children with CP Developing POSNA Wide Consensus 2018 POSNA REGISTRY GRANT Harry K W Kim MD Prospective International Multi centered Registry of Legg Calve Perthes Disease 2018 POSNA DIRECTED RESEARCH GRANTS Heather Kowalski MD The Design Validation of a Wire Navigation Simulator for Pediatric Supracondylar Humerus Fractures Pooya Hosseinzadeh MD Outcomes of Operative and Non operative Treatment of Displaced Proximal Humerus Fractures in Adolescents Prospective Multicenter Study 2018 POSNA BASIC SCIENCE RESEARCH GRANTS Jay Albright MD Prevention of Post Traumatic Osteoarthritis in an Animal Model with Post traumatic Injection of a Chondroprotective Agent Raymond W Liu MD Risk of Distal Femoral Physeal Arrest Following Intramedullary Rod Removal Fat Grafting 96

2018 RESEARCH GRANT and AWARD WINNERS CONTINUED 2018 POSNA CLINICAL RESEARCH GRANTS Daniel J Sucato MD Functionalth and Gait Outcomes of Hip Preservation Surgery in Adolescents with Femoroacetabular Impingement Acetabular Dysplasia at 5 to 10 Year Follow up 15 Annual International Lindsay M Andras MD Pediatric Orthopaedic Prospective Randomized Study Comparing Functional Bracing vs Hip Spica Cast in Pediatric Femur Fractures Symposium Presented by POSNA and AAOS 2018 POSNA START UP RESEARCH GRANTS Brian G Smith MD Guiding Scoliosis Evaluation with a Humeral Head Ossification Algorithm November 27 December 1 2018 Orlando Courtney O Donnell FL MD Utilization of Laser Doppler Flowmetry for Dynamic Assessment of Femoral Head perfusion to Predict the Osteonecrosis Rate Following Modified Dunn Procedure Save the Date Joshua Hyman MD Evaluating the Role of Patellar Realignment in Patients with CP 2018 POSNA ZIMMER BIOMET SPINE RESEARCHorthopaedics GRANT Explore all areas of pediatric John G Birch MD Immerse yourself in this exciting and interactive four day program alongside hundreds Determination of the Incidence Nature of Lumbosacropelvic Deformity in Presumed Idiopathic pediatric orthopaedic professionals from around world Discover new insights Scoliosis Using a NovelofTechnique of MR Sequence Workstation 3Dthe Reconstruction and technology and learn how to integrate best practices and new techniques into your care of children and adolescents From fundamental fracture care to advanced surgical reconstruction our renowned international faculty share their Donald S Bae MD Course Director expertise in every subspecialty field of pediatric orthopaedics 15th Annual International Pediatric Orthopaedic Symposium Craft your own IPOS adventure with over 40 breakout sessions featuring Focused lectures and engaging case discussions Surgical skills demonstrations Hands on technical workshops Industry sponsored satellite sessions on cutting edge techniques Presented by POSNA and AAOS IT S BACK November 27 December 1 2018 One Day Fundamentals in Pediatric Orthopaedics Orlando FL review course prepares you for the 2019 This one day intensive Practice Profiled Recertification Exam in Pediatric Orthopaedic Surgery and is a sound review of the essentials of pediatric orthopaedics Save the Date Learn moreExplore at ipos posna org all areas of pediatric orthopaedics Immerse yourself in this exciting and interactive four day program alongside hundreds of pediatric orthopaedic professionals 97 from around the world Discover new insights and technology and learn how to integrate best practices and new techniques into your care of children and adolescents From fundamental fracture care to

NOTES 98

NOTES 99

NOTES 100

ORTHOPEDICS LEADERS IN PEDIATRIC ORTHOPEDIC EDUCATION RESEARCH AND TREATMENT Texas Children s Hospital Orthopedic Surgery is focused on delivering cutting edge care for children now and for generations to come Our experts provide care for the full spectrum of pediatric musculoskeletal conditions offering the best of modern day treatment options and looking to the future through advanced research and the education of tomorrow s providers Our facilities span the entire Greater Houston area including six community health centers a 3 000 square foot sports performance gym at Texas Children s Hospital West Campus and the Human Performance Center for Motion and Gait Analysis at Texas Children s Hospital The Woodlands Our team of 21 pediatric orthopedic surgeons Sees over 38 000 outpatient clinic visits Performs over 2 600 OR cases Trains 3 pediatric orthopedic surgery fellows and 2 pediatric orthopedic physician assistant fellows Learn more at texaschildrens org orthopedics 2018 Texas Children s Hospital All rights reserved PEDSUR256_021218

FUTURE ANNUAL MEETINGS May 15 18 2019 Charlotte North Carolina NEW for 2019 Video Abstract Submission May 13 16 2020 San Diego California May 11 15 2021 Dallas Texas FUTURE IPOS MEETINGS November 27 December 1 2018 Orlando FL December 10 14 2019 Lake Buena Vista FL December 8 12 2020 Orlando FL ATTENDEE Wi Fi NETWORK Username JWMarriott_Conference Password POSNA2018