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The Last Dilemmas 

2026

Thursday 4th & Friday 5th June 2026
Dartington Hall, Devon
Bowermans Nose Devon

The Conference

Dartington Hall
Two Days of Powerful Talks
09:30 am
4th & 5th June 2026

After the renowned success of their previous meetings, Dilemmas in Paediatric Deformity 2012, Dilemmas in Adult Deformity 2014, Dilemmas in Spinal Trauma 2016, Dilemmas in Spinal Tumours 2018, Dilemmas in Spine 2024. The Exeter Medical Spinal unit cordially invites you to the final dilemmas in meeting.

 

We have gathered leading members of the international and domestic spinal surgical community to discuss and debate controversies in the management of surgical spinal problems

 

The meeting is to be held over 2 days (4th & 5th June 2026) at Dartington Hall in Devon, a distinguished centre of learning over the ages.

 

Places at this prestigious event are, as always, severely restricted so please book early to avoid disappointment.

 

The meeting, as in previous years, will be residential with accommodation at Dartington Hall on the Thursday 4th June will be included in the registration fee

The Conference

The Programme - Day 1

Thursday 4th June 2026

0800 - 0950 - Arrival, Registration & Coffee

 

0950 - 1000 - Welcome & House Keeping - Andrew Cottam

 

 

Session 1 - Hitchhikers Guide to the Fallacies

Moderator - Mike Hutton

 

1000 - 1100 - Open Mouth or Open Mind  - Buster Howes


1100 - 1130 - Stability is an Absolute  - Rob Dunn

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1130 - 1200 - Debate: Practice Based Evidence V Evidence Based Practice

                            Peter Robertson (For) V Ashley Cole (Against)

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1200 - 1215 - IONM. What is it good for ? - Jens Chapman

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1215 - 1330 - Luncheon - Great Hall​

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Session 2 - Bonfire of the Vanities

Moderator - Ian Vlok

 

1330 - 1400 - Scepticaemia - Mike Hutton

 

1400 - 1430 - Debate: Access Surgeons

                       Jens Chapman (For) V Vinay Jassani (Against)

 

1430 - 1500 - Heuristics - MIke Grevitt

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1500 - 1545 - Afternoon Tea - Great Hall​

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Session 3 - A Comedy of Errors

Moderator - Patrick Statham

 

1545 - 1615 - Diminishing Returns of Repeat Surgeries - Ian Harding

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1615 - 1630 - Redundant Anulus or Recurrent Disc - Alwyn Jones

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1630 - 1645 - Sagittal Facet Orientation - Does it Matter ? - Peter Robertson

 

1645 - 1700 - Who Needs to go to Theatre Now ? - Ian Vlok

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1700 - 1745 - Virtual Clinic - Peter Robertson & Pat Kiely

 

1800               Drinks Reception - The Garden

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19:30              Dinner - The Great Hall

                       'Life Stories' Special Guest Speaker Brian Moore

                       & Michaels Magical Picture Quiz

                       (Content Warning)

                       Dress Code: Smart Casual

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The Programme - Day 2

 

 

 

Friday 5th June 2026

 

 

 

Session 4  -  Meditations

Moderator - Jens Chapman

 

0900 - 0930    Vanity is the Greatest Seducer of Reason ? - Rob Dunn

 

0930 - 0945    70% ! Can we improve it ? - Ashley Cole

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0945 - 1000    Rule One - Pat Kiely

 

1000 - 1030    Debate: Brains V Bones

                       - Ian Vlok (Brains) & Ian Harding (Bones)

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Session  5 - Darkness at Noon

Moderator - Vinay Jassani

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1030 - 1100    What does a spine surgeon need to know about the bladder - Mo Belal

 

1100 - 1145    Morning Coffee - Great Hall​

 

1145 - 1230   The Tale of the Tail - Patrick Statham

 

1230 - 1300   Debate: Waiting for Sunrise -CES Surgery

                       - Mike Grevitt (Yes) & Ashley Cole (No)

 

1300 - 1315    Optics and Outcomes - Buster Howes

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1315 - 1330    Closing Remarks & Lunch​

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Programme - Day 1

The Programme - Day 1

75

Participants

20

Topics

5

Sessions

14

Speakers
Faculty

Faculty

Proud to bring inspirational speakers from across the world:
 
International
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Professor Jens Chapman - Swedish Neuroscience Institute, Seattle, USA.

Professor Robert Dunn - University of Cape Town, South Africa. 

Mr. Patrick Kiely - Our Lady's Childrens Hospital, Dublin, Ireland.

Professor Ian Vlok - Stellenbosch University, South Africa.

Mr Peter Robertson - Auckland City Hospital, Auckland, New Zealand.

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National

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Mr. Mike Hutton - Exeter Medical. Devon & New Hall Hospital, Dorset.

Mr. Ian Harding - North Bristol NHS Trust, Bristol.

Mr. Patrick Statham - Western General Hospital, Edinburgh.

Mr. Mike Grevitt - Queens Medical Centre, Nottingham.

Mr. Ashley Cole - Sheffield Teaching Hospital, Sheffield.

Mr. Vinay Jassani - University Hospital of North Midlandsl, Stoke.

Mr. Mo Belal - University Hospitals Birmingham.

Major General Buster Howes OBE - Devon.

Mr. Brian Moore - London.

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Supporters

Supporters

Book Now

Book Now

All places include accommodation on the Thursday night the 4th June, a place at the course dinner and internet access at Dartington Hall.

 

Accommodation for those requiring it on Wednesday 3rd June or Friday 5th June can be booked directly with Dartington Hall on 01803-847-000

 

Sadly Now Sold Out.

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