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Jan 16 - Jan 19, 2026

Spine: Base to Summit 2026

Vail, Colorado

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Location

Grand Hyatt Vail

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Description

Course Description

For three decades, Spine: Base to Summit has been the leading winter spine meeting. This highly interactive CME course is for all surgeons and fellows who include spine surgery in their practice.

Lively discussions in a casual atmosphere cover adult deformity, cervical and lumbar degenerative, trauma, MIS, endoscopy and emerging technologies.

Ample time is provided for attendees to enjoy time on the slopes with their families.

We’ve packed this year’s program with new content that:

  • Is full of take-home points for your OR and practice.

  • Addresses Business & Lifestyle topics that you encounter daily.

  • Highlights changes coming to the field, from AI to AR and more.

Several leading surgeons are joining the faculty, in addition to Dana Jacoby, a national expert on business and financial issues that impact every spine surgeon.

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Map

Grand Hyatt Vail

04.00PM - 04.10PM
Welcome
04.10PM - 05.39PM
Session 1 Cases: Debates, Discussions & Disagreements
04.10PM - 04.10PM
Debate: 84 y/o with central cord syndrome after a fall with near full recovery. To operate or not?
04.10PM - 04.15PM
Dude the patient recovered… Do not operate! …the patient will be fine.
04.15PM - 04.20PM
The risk of progressive neurologic injury is too high. Operate and save the patient!
04.20PM - 04.25PM
Discussion
04.25PM - 04.28PM
Case: Young female, had a C5-6 qne C6-7 ACDF. Now, has pseudarthrosis at both levels and adjacent segment at C4-5. What now?
04.28PM - 04.38PM
Discussion
04.38PM - 04.41PM
Case: L5-S1 isthmic spondy. What’s the hook? Variance in treatment.
04.41PM - 04.51PM
Discussion
04.51PM - 04.54PM
Case: Severe lumbar stenosis above a previous L4-5 fusion. Decompression alone or fusion?
04.54PM - 05.04PM
Discussion
05.04PM - 05.07PM
Case: Disc osteo after lumbar interbody fusion.
05.07PM - 05.17PM
Discussion
05.17PM - 05.22PM
Complications: My Worst Case of the Last Year and What You Can Learn: Lumbar
05.22PM - 05.27PM
Complications: My Worst Case of the Last Year and What You Can Learn: Cervical
05.27PM - 05.33PM
Non-CME Technology Updates: Tech Update #1: Supported by Synergy Spine Solutions
05.33PM - 05.39PM
Non-CME Technology Updates: Tech Update #2: Supported by Johnson & Johnson MedTech
05.39PM - 06.15PM
Session 2: The Lifestyle & Business of Spine
05.39PM - 05.59PM
Breaking the mold: New approaches to spine surgeon pay and 
leadership transition.
05.59PM - 06.15PM
Discussion
06.15PM - 06.15PM
Adjourn
06.15PM - 07.15PM
Welcome Reception with Exhibits
06.35AM - 07.00AM
Non-CME Breakfast Workshop: Supported by Augmedics
07.00AM - 07.18AM
Session 3: Techniques & Technology
07.00AM - 07.05AM
Welcome

07.05AM - 07.13AM
Endoscopy – The Far East vs. the West. Why the difference in adoption? 
Why would I build it into my US practice?
07.13AM - 07.18AM
Discussion

07.18AM - 07.35AM
Session 3: Debate: Interbody - L4-5 Degenerative Spondylolisthesis
07.18AM - 07.23AM
I’m Anti-TLIF – here’s why!
07.23AM - 07.28AM
I’m Anti-OLIF/LLIF – here’s why!
07.28AM - 07.30AM
Rebuttal
07.30AM - 07.32AM
Rebuttal
07.32AM - 07.35AM
Discussion
07.35AM - 07.52AM
Session 3: Debate: PEEK vs Titanium
07.35AM - 07.40AM
PEEK = Performance
07.40AM - 07.45AM
Titanium= Metal beats plastic every day of the week.
07.45AM - 07.47AM
Rebuttal
07.47AM - 07.49AM
Rebuttal
07.49AM - 07.52AM
Discussion
07.52AM - 08.38AM
Session 3: Image-Guided Surgery
07.52AM - 08.00AM
Robotics: The next generation systems are coming. What’s on the surgeon’s 
wish list?
08.00AM - 08.08AM
Augmented Reality: Beyond traditional navigation. How AR will transform the OR.
08.08AM - 08.16AM
Image-guided bony resection
08.16AM - 08.26AM
Discussion
08.26AM - 08.38AM
Session 3: Complications: My Worst Case of the Last Year and What You Can Learn
08.26AM - 08.32AM
Case
08.32AM - 08.38AM
Case
08.38AM - 09.34AM
Session 4: Patient Optimization & Protocols
08.38AM - 08.46AM
Diagnosis of metabolic bone disease: What are the limitations of DEXA? Are there other ways to measure bone health?
08.46AM - 08.54AM
Bone health optimization: Screening, pre-treatment, and implementing a metabolic bone health program for better surgical outcomes.
08.54AM - 09.02AM
Malnutrition: The silent killer of patient outcomes.
09.02AM - 09.10AM
Discussion
09.10AM - 09.18AM
Spine ERAS in 2026: How do I implement an evidence-based program?
09.18AM - 09.26AM
Strategies to optimize my outpatient surgery experience: Looking beyond my skill, and understanding the elements of success!
09.26AM - 09.34AM
Discussion
09.34AM - 09.54AM
Session 4: The Lifestyle & Business of Spine
09.34AM - 09.49AM
Peak Performance: Finding your groove at work without sacrificing your personal life.
09.49AM - 09.54AM
Discussion
09.54AM - 10.10AM
Session 4: Video Highlights – Surgical Snippets with Take Home Tips
09.54AM - 10.02AM
MIS TLIF: My efficient and complete disc preparation
10.02AM - 10.10AM
LLIF: Tips and tricks to avoiding subsidence
10.10AM - 10.10AM
Adjourn
04.00PM - 04.10PM
4:00 Après Ski
04.10PM - 04.20PM
Session 5 : My Worst Case in the Last Year and What You Can Learn
04.10PM - 04.14PM
Welcome
04.14PM - 04.20PM
Case
04.20PM - 04.40PM
Session 5 : Non-CME Technology Presentation
04.20PM - 04.40PM
Tech Presentation #1: Supported by Cerapedics
04.40PM - 04.52PM
Cases: Debates, Discussions & Disagreements: Walking Trauma Debate: TLICs 4, L2 burst fracture, neuro intact
04.40PM - 04.44PM
Burst fractures have become an excuse to place perc screws; non-op is the way to go.
04.44PM - 04.48PM
MIS treatment of burst fractures has been a game changer for my patients
04.48PM - 04.52PM
Discussion
04.52PM - 05.16PM
Cases: Debates, Discussions & Disagreements: Management of Subacute Cervical Fractures and Dislocations
04.52PM - 04.55PM
Case: Unilateral facet fracture/dislocation treated non-op, now with pain +/- deformity.
04.55PM - 05.04PM
Discussion
05.04PM - 05.07PM
Case: Type 2 odontoid fracture in the elderly with delayed union
05.07PM - 05.16PM
Discussion
05.16PM - 05.40PM
Cases: Debates, Discussions & Disagreements: To Brace or Not to Brace? “Walking” TL Trauma
05.16PM - 05.19PM
Case: Elderly woman with an osteoporotic TL compression/burst Fx with TL kyphosis
05.19PM - 05.28PM
Discussion
05.28PM - 05.31PM
Case: 75 y/o AS or DISH with TL burst and with intact posterior column
05.31PM - 05.40PM
Discussion
05.40PM - 05.46PM
Session 5 : Non-CME Technology Update
05.40PM - 05.46PM
Tech Update #3: Supported by ATEC
05.46PM - 06.15PM
Session 6: The Emperor of All Maladies: Spine Mets
05.46PM - 05.49PM
Case: 40 y/o female with breast CA and thoracic mets with mild myelopathy
05.49PM - 05.58PM
Discussion
05.58PM - 06.01PM
Case: 60 y/o male with plasmacytoma with thoracic kyphosis
06.01PM - 06.10PM
Discussion

06.10PM - 06.15PM
Case
06.10PM - 06.10PM
The Day It All Went South: The Case That Has Been Revised So Often It Put My Kids Through 
College…and Med School
Adjourn
07.00AM - 07.50AM
Session 7: Spine Odyssey - 2031: Where Will Our Field Be in The Near Future?
07.00AM - 07.05AM
Welcome
07.05AM - 07.15AM
Artificial Intelligence: AI Live demonstration: Degenerative spondylolisthesis in 2031.
How will our management change?
07.15AM - 07.23AM
Practical ways to integrate AI into my everyday practice and what are the boundaries? What can’t AI do?
07.23AM - 07.31AM
Will AI and big data overtake RCTs as the gold standard in evidence-based care?
07.31AM - 07.38AM
Discussion
07.38AM - 07.50AM
Panel discussion: Strategies to manage patients who are using AI to help navigate their spine care.
07.50AM - 08.26AM
Session 7: Spine Pain is Gain(ing): How Will Emerging “Spine Fellowships” in Pain Management Impact Our Field?
07.50AM - 07.55AM
Spine surgery as we know it is facing an existential threat: We must stand up and own the spine
07.55AM - 08.00AM
The future of spine surgery must involve our collaboration and sharing of the spine field.
08.00AM - 08.05AM
We need to put ourselves in their shoes: What I’ve learned from my pain 
management colleagues
08.05AM - 08.12AM
Discussion
08.12AM - 08.20AM
It’s time to secede! As ortho & neuro spine continue to converge, when will dedicated spine residency training become a reality?
08.20AM - 08.26AM
Discussion
08.26AM - 08.56AM
Session 8: It’s All Deformity Surgery Whether You Like It or Not
08.26AM - 08.32AM
Analyzing the sagittal plane: Software, measurements, parameters, spinal shape & distribution.
08.32AM - 08.40AM
L4-S1 is key for long-term success. Get it right the first time!
08.40AM - 08.48AM
Will patient specific rods enable all surgeons to be good deformity surgeons?
08.48AM - 08.56AM
Discussion
08.56AM - 09.10AM
Session 8: Debate: Big deformity belongs in high volume centers
08.56AM - 09.01AM
- Yes! Be real and know your limits.
09.01AM - 09.06AM
- No! Letting deformity patients go out of my practice is egregious disservice to my community.
09.06AM - 09.10AM
Discussion
09.10AM - 09.56AM
Session 8: The Lifestyle & Business of Spine
09.10AM - 09.30AM
The partnership playbook: Making the most of PE, hospitals, family offices, and strategic allies.
09.30AM - 09.35AM
Discussion
09.35AM - 09.43AM
My technical pearls to minimal blood loss in open spine surgery
09.35AM - 09.35AM
Video Highlights – Surgical Snippets with Take Home Tips
09.43AM - 09.51AM
Robotics in the OR - Setup, workflow, registration, and screw execution.
09.51AM - 09.56AM
Discussion
09.56AM - 10.15AM
Free Papers
09.56AM - 09.58AM
#1
09.58AM - 10.00AM
#2
10.00AM - 10.02AM
#3
10.02AM - 10.04AM
#4
10.04AM - 10.06AM
#5
10.06AM - 10.08AM
#6
10.08AM - 10.10AM
#7
10.10AM - 10.12AM
#8
10.12AM - 10.15AM
Discussion
10.15AM - 10.15AM
Adjourn
04.10PM - 04.15PM
Session 9: Welcome
04.15PM - 04.25PM
Session 9: My Worst Case in the Last Year and What You Can Learn
04.15PM - 04.20PM
Case #1
04.20PM - 04.25PM
Case #2
04.25PM - 04.45PM
Session 9: Non-CME Technology Presentation
Tech Presentation #2: Supported by Medtronic
04.45PM - 05.32PM
Session 9: Cases: Debates, Discussions, and Disagreements - Deformity for Degen Surgeons
04.45PM - 04.48PM
Case: Treating the fractional curve only in adult deformity. Genius or ignorant?
04.48PM - 04.57PM
Discussion
04.57PM - 05.00PM
Case: 70 y/o with adjacent segment disease after a degen. fusion. Is this really a deformity or an expected degeneration?
05.00PM - 05.09PM
Discussion
05.09PM - 05.12PM
Case: Doc fix me, my curve got worse and I want to Heli Ski. Progressive deformity without pain
05.12PM - 05.21PM
Discussion
05.21PM - 05.24PM
Case: Peri operative sacral fracture after ALIF in a patient with osteoporosis.
05.24PM - 05.32PM
Discussion
05.32PM - 05.44PM
Session 9: Non-CME Technology Updates
05.32PM - 05.38PM
Tech Update #4: Supported by Kuros Biosciences
05.38PM - 05.44PM
Tech Update #5: Supported by Carlsmed
05.44PM - 06.15PM
Session 10: The Lifestyle & Business of Spine
05.44PM - 06.00PM
Complication management: Strategies to mitigate the anxiety and shame we feel as surgeons when things go awry.
06.00PM - 06.05PM
Discussion
06.05PM - 06.10PM
Case
06.05PM - 06.05PM
The Day It All Went South: The Case That Has Been Revised so Often It Put My Kids Through College…
and Med School
06.10PM - 06.15PM
Case
Adjourn
07.00AM - 07.05AM
Session 11: Motion is Lotion: Progress and Pitfalls in Motion Preservation Surgery
07.00AM - 07.05AM
Welcome
07.05AM - 07.18AM
Session 11: Cervical
07.05AM - 07.13AM
What are the long-term consequences of expanding indications
for cervical arthroplasty?
07.13AM - 07.18AM
Discussion
07.18AM - 07.33AM
Session 11: Debate: Multilevel DDD with stenosis – What’s the future?
07.18AM - 07.23AM
Multilevel (3+) CDR
07.23AM - 07.28AM
Multilevel ACDF
07.28AM - 07.33AM
Discussion
07.33AM - 07.46AM
Session 11: Lumbar Arthroplasty: Have We Been Looking at the Wrong Side? Replace the Facets Not the Disc.
07.33AM - 07.41AM
Who is the ideal patient for lumbar facet arthroplasty? …Assuming they exist.
07.41AM - 07.46AM
Discussion

07.46AM - 08.00AM
Session 11: Panel Discussion
07.46AM - 08.00AM
Cervical & lumbar arthroplasty revisions: Revision of fusion to arthroplasty, and revision of multilevel arthroplasty to long construct fusion.
08.00AM - 08.18AM
Session 12: Special Lecture
08.00AM - 08.18AM
Tips from my 8-hour major deformity case that can help you in your next 2-hour adult degen. case
08.18AM - 09.08AM
Session 12: What’s New and Why it Matters to Your Practice
08.18AM - 08.26AM
Is pelvic fixation enough? When and why to include SI joint fusion in thoracolumbar deformity.
08.26AM - 08.34AM
Rethinking the workhorse: Can ACDF outcomes be improved?
08.34AM - 08.42AM
Which SPECT is better at identifying back pain generators: CT, MRI, or neither?
08.42AM - 08.48AM
Discussion
08.48AM - 09.08AM
Panel Discussion: Spine surgeons in the US perform unnecessary spine surgeries. Do we?
09.08AM - 09.30AM
Session 12: Great Talks! (They just didn’t fit anywhere else)
09.08AM - 09.13AM
When I’ll do surgery on 80 (or 90) year-olds.
09.13AM - 09.18AM
Arthroplasty and insurance: Understanding the pressure points
09.18AM - 09.23AM
How direct spinal cord monitoring has changed IMSCT surgery.
09.23AM - 09.30AM
Discussion
09.30AM - 10.00AM
Session 12: Have I Got a Story for You! The Case That’ll Never Be Forgotten
09.30AM - 09.36AM
Case
09.36AM - 09.42AM
Case
09.42AM - 09.48AM
Case
09.48AM - 09.54AM
Case
09.54AM - 10.00AM
Summation
Adjourn
Event POLLS
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