In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Edward Reece discussed the details of spinoplastic surgery - what exactly it is, why it's needed, the indications for this type of surgery, the technical details of harvesting pedicled posterior iliac crest bone grafts for spinal fusion, how to avoid damaging retroperitoneal structures, other pedicle bone graft options like scapula, rib, and occipital skull, potential future advancements such as innervated vascularized free bone-muscle-bone flaps, drain management in these patients, the pitfalls to avoid, and what type of car you should consider. Dr. Reece is joined by Dr. Max Shout (PGY6) and Dr. Niki Van Spronsen (PGY4), Casey Martinez (a fourth year medical student), and Caroline Onstott, PA-C.

Read a recent classic PRS Global Open article by Dr. Reece and co-authors, "Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery": https://bit.ly/ReeceGOX_Spinoplastic

Dr. Edward Reece is the chair of the Division of Plastic Surgery at the Mayo Clinic in Scottsdale, Arizona. He trained in Plastic Surgery at the University of Texas Southwestern Medical Center, and in Hand and Microsurgery at the University of Texas San Antonio. While in private practice in Phoenix, he received an MBA from Arizona State University and then went on to serve as the division chief of adult plastic surgery at Baylor College of Medicine in Houston. He returned to Arizona to become chair of plastic surgery at the Mayo Clinic in Scottsdale in 2022. Dr. Reece has a broad, mostly reconstructive, practice in sarcoma reconstruction, breast reconstruction and hand surgery, and is a pioneer of spinoplastic reconstruction, where he works with spine surgeons to improve outcomes of spinal fusions.

Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Assistant Professor of Surgery at the University of Texas Southwestern Medical Center in Dallas.

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