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This presentation will focus on the pathophysiology, diagnosis, conservative management, and surgical management of flatback syndrome. We will show several cases and highlight the pros and cons of open and minimally invasive techniques. Learner Objectives: -Accurately describe the pathophysiology of flatback syndrome -Identify open and minimally invasive options for correction -Be able to discuss the benefits, drawbacks and contraindications to open and MIS techniques for correction Faculty Names, Academic Titles, Institution along with their assigned topics: Moderator: Jeffrey Paul Mullin, MD, MBA Associate Program Director Co-Fellowship Director University at Buffalo Buffalo, New York Faculty: Justice Owusu Agyei, MD Chief Resident University at Buffalo Neurosurgery Buffalo, New York Timothy O’Connor, MD Chief Resident Complex Spine Fellow University at Buffalo Neurosurgery Buffalo, New York Robert Starling, MD Fellow University at Buffalo Buffalo, N/A Agenda: 8:00PM Introduction/Learning Objectives - Mullin 8:05PM Definition/Pathophysiology/ Conservative Management Options Starling 8:20PM Open Correction with Case Presentation Agyei 8:35PM Minimally Invasive Correction with Case Presentation O’Connor 8:50PM Question and Answers/ Discussion All Faculty 9:00PM Adjournment