1. Member of American Academy of Spine Physicians

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

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

4. WHY SEEK SPECIALIZED CARE OF THE SPINE ?

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

6. WHO NEEDS CARE OF THE SPINE ?

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

8. WHAT CAN GO WRONG WITH THE SPINE?

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

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

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

12. COMMON GROUND Chiropractic Physicians and Neurosurgeons both have extensive training in NeurologyBiomechanicsand Disorders of the Spine

13. WHO NEEDS COOPERATIVE CARE OF THE SPINE ?

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

15. STAGES OF SPINE DISEASE AND THE SPECTRUM OF CARE

16. Early StageEnd Stage Cooperative Spinecare

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

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

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

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

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

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

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

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

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

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

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

28. THE ACADEMY COUNCIL MEMBERS A Brief Introduction

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

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

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

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

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

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

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

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

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

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

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

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

41. Certificate of Membership Certificate of Membership

42. AASP MEMBERS INTEGRATE TO DEVELOP A COOPERATIVE APPROACH

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

44. Members work together to evaluate and treat complicated conditions

45. TRAINING OF THE SPINE PHYSICIAN

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

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

48. CONTINUING EDUCATION FOR SPINE PHYSICIANS

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

50. Chiropractic Physicians and Neurosurgeons can achieve Diplomate Status through the AASP

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

52. THE AMERICAN ACADEMY OF SPINE PHYSICIANS PUBLIC SERVICES

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

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

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

56. Search the Directory By Specialty Specialty Level of Academic Distinction Level of Academic Distinction Location Location

57. THE PUBLICATION “30 Tips for Spine Health”

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

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

60. American Academy of Spine Physicians