
Dr. Edward Reece: Leveling Up Spinoplastic Surgery
06/03/24 • 77 min
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.
#PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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.
#PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
Previous Episode

Dr. Bill Kuzon: “Musings on a Serendipitous Surgical Journey” – A “Giants in Plastic Surgery” Interview
In this "Giants in Plastic Surgery" episode of the PRS Global Open Deep Cuts Podcast, Dr. William M. Kuzon discusses his journey to medicine as well as plastic surgery. He explores the nuances of the application process for both, both as his experience as an applicant as well as his previous roles on selection committees, and future directions he hopes it takes. He also discusses his influences, the role of a plastic surgeon in a healthcare team and thoughts about doing research in medicine. A reflective surgeon, Dr. Bill Kuzon inspires with his advice in plastic surgery.
Read a recent classic PRS Global Open article by Dr. Kuzon and co-authors, “Gender-Affirming Vaginoplasty: A Comparison of Algorithms, Surgical Techniques and Management Practices across 17 High-volume Centers in North America and Europe”: https://bit.ly/KuzonMay23
Dr. Bill Kuzon holds the esteemed position of Reed O. Dingman Professor of Surgery within the Section of Plastic Surgery at the University of Michigan. Notably, he served as the Section Head for Plastic Surgery from 2001 to 2012 and spearheaded the Integrated Plastic Surgery Residency Program at Michigan from 2001 to 2009.
His research interests center around skeletal muscle and peripheral nerve physiology in the context of reconstructive surgery, a field in which he has authored over 100 peer-reviewed papers across a broad range of topics. Dr. Kuzon is a sought-after speaker, having delivered keynote lectures at numerous universities and scientific gatherings.
Actively engaged in his professional community, Dr. Kuzon holds memberships in several national specialty societies, including the American Society of Plastic Surgeons (currently serving on the Board of Directors), the Plastic Surgery Educational Foundation (currently serving as the president-elect), The American Association of Plastic Surgeons (currently serving as vice-president), The Plastic Surgery Research Council (currently serving as Historian), the American Society for the Peripheral Nerve (having served as past president), the Michigan Association of Plastic Surgeons (having served as past president), and the American Society of Reconstructive Microsurgery. Additionally, he serves as a Director of the American Board of Plastic Surgery.
Your host, Dr. Vimal Gokani, is a senior Specialty Registrar in plastic surgery in London, England. Your producer & editor, Charlene Kok, is a Year 2 Medical Student in Imperial College London, England, with a keen interest in Plastic Surgery.
#PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #GiantsPlasticSurgery
Next Episode

Dr. Richard Hopper: Leveling Up Complex Pediatric Craniofacial Surgery
In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Richard Hopper discusses his approach to leadership, the evergreen mantras of Joe McCarthy and Joe Gruss, how he manages the operating room, why a metronome is a good analogy for an approach to efficiency, how he developed the innovative surgeries he is most known for (the Lefort 2 ZR and the C3DO), why he prefers to use sharp dissection instead of a Bovie in his dissections, and the importance of discipline and consistency in achieving good outcomes.
Read a classic PRS Global Open abstract by Dr. Hopper and co-authors, “The Use of Periorbital Steroids to Reduce Postoperative Swelling in Fronto-orbital Advancement: An Analysis of Outcomes”: https://bit.ly/GOXPeriorbitalSteroids_Hopper
Dr. Richard Hopper is a Professor of Surgery in the Division of Plastic and reconstructive surgery at the Baylor College of Medicine, and the Medical Director of Plastic Surgery at the Texas Children’s Hospital in Austin, Texas. He completed a residency in Plastic Surgery at the University of Toronto, and then a craniofacial fellowship at New York University. After spending 23 years at the University of Washington in Seattle, he moved to Texas in Feb 2024 to take on the job of building the Plastic Surgery team at the Texas Children's Hospital in Austin. He is the former President of the American Society of Craniofacial Surgery and the International Society of Craniofacial surgery. He is known worldwide as an expert in complex craniofacial surgery including craniosynostosis, midface distraction, and cleft lip and palate care.
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.
#PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp
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