Rex A.W. Marco, MD

Associate Professor of Orthopedic Surgery, Institute for Academic Medicine
Houston Methodist
Weill Cornell Medical College


Dr. Marco's mission is to provide his patients with compassionate and comprehensive care with the best possible outcomes. Through his years of experience, he has developed relationships with some of the finest physicians and health care professionals in their fields. He has assembled an elite multidisciplinary oncology team to comprehensively treat his patients with bone and soft tissue tumors including adult and pediatric radiation and medical oncologists, surgical oncologists, pathologists and reconstructive surgeons. Dr. Marco also has a similarly impressive team of physical therapists and physical medicine/rehabilitation specialists for his patients with disorders of the spine.

Dr. Marco is a leading surgical expert in the treatment of patients with complex spinal disorders and musculoskeletal tumors. He is credited with more than 130 presentations and medical journal and textbook publications.

An avid snowboarder, Dr. Marco volunteers for USSA as a team physician for the US Ski and Snowboard Teams.

Education & Training

, Rush Presbyterian-Saint Luke's Hospital
, UCSD Medical Center
, University of California at Los Angeles School of Medicine

Radiographic outcomes of anterior column realignment for adult sagittal plane deformity: a multicenter analysis
Turner, JD, Akbarnia, BA, Eastlack, RK, Bagheri, R, Nguyen, S, Pimenta, L, Marco, R, Deviren, V, Uribe, J & Mundis, GM 2015, European Spine Journal, vol 24, pp. 427-432. DOI:

Three dimensional model for surgical planning in resection of thoracic tumors
Kim, MP, Ta, AH, Ellsworth, WA, Marco, RA, Gaur, P & Miller, JS 2015, International Journal of Surgery Case Reports, vol 16, pp. 127-129. DOI:

Use of kyphoplasty versus 360-degree fusion for unstable thoracolumbar burst fractures: Using minimally invasive techniques in trauma
Woodruff, R & Marco, RAW 2013, Seminars in Spine Surgery, vol 25, no. 3, pp. 176-181. DOI:

Prolonged bed rest as adjuvant therapy after complex reconstructive spine surgery
Marco, RAW, Stuckey, RM & Holloway, SP 2012, Clinical Orthopaedics and Related Research, vol 470, no. 6, pp. 1658-1667. DOI:

En bloc excisions of chordomas in the cervical spine: Review of five consecutive cases with more than 4-year follow-up
Hsieh, PC, Gallia, GL, Sciubba, DM, Bydon, A, Marco, RAW, Rhines, L, Wolinsky, JP & Gokaslan, ZL 2011, Spine, vol 36, no. 24. DOI:

Bizarre parosteal osteochondromatous proliferation (Nora's lesion) with translocation t(1;17)(q32;q21): A case report and role of cytogenetic studies on diagnosis
Kuruvilla, S, Marco, R, Raymond, AK, Alyaa, AI & Tatevian, N 2011, Annals of Clinical and Laboratory Science, vol 41, no. 3, pp. 285-287.

Chondrosarcoma of the mobile spine and sacrum
Marco, RAW & Stuckey, RM 2011, Sarcoma, vol 2011, 274281. DOI:

Thoracolumbar burst fractures treated with posterior decompression and pedicle screw instrumentation supplemented with balloon-assisted vertebroplasty and calcium phosphate reconstruction: Surgical technique
Marco, RAW, Meyer, BC & Kushwaha, VP 2010, Journal of Bone and Joint Surgery - Series A, vol 92, no. SUPPL. 1 PART 1, pp. 67-76. DOI:

Thoracolumbar burst fractures treated with posterior decompression and pedicle screw instrumentation supplemented with balloon-assisted vertebroplasty and calcium phosphate reconstruction
Marco, RAW & Kushwaha, VP 2009, Journal of Bone and Joint Surgery - Series A, vol 91, no. 1, pp. 20-28. DOI:

Supercharged internal hemipelvectomy that enhances flap perfusion and decreases wound-healing complications
Gordley, K, Marco, R & Klebuc, M 2008, Orthopedics, vol 31, no. 12.

The treatment of primary and metastatic renal cell carcinoma (RCC) with image-guided stereotactic body radiation therapy (SBRT)
Teh, BS, Bloch, C, Doh, L, Richardson, S, Chiang, S, Yeh, P, Gonzalez, M, Lunn, W, Marco, R, Jac, J, Paulino, AC, Lu, HH, Butler, EB & Amato, RJ 2007, Biomedical Imaging and Intervention Journal, vol 3, no. 1, e6. DOI:

Characterization of graft subsidence in anterior cervical discectomy and fusion with rigid anterior plate fixation.
Samartzis, D, Marco, RAW, Jenis, LG, Khanna, N, Banco, RJ, Goldberg, EJ & An, HS 2007, American journal of orthopedics (Belle Mead, N.J.), vol 36, no. 8, pp. 421-427.

Delayed presentation of cervical ligamentous instability without radiologic evidence
Shah, VM & Marco, RA 2007, Spine, vol 32, no. 5. DOI:

Osteochondroma of the sacrum: A case report and review of the literature
Samartzis, D & Marco, RAW 2006, Spine, vol 31, no. 13. DOI:

Multilevel en bloc spondylectomy and chest wall excision via a simultaneous anterior and posterior approach for Ewing sarcoma
Samartzis, D, Marco, RAW, Benjamin, R, Vaporciyan, A & Rhines, LD 2005, Spine, vol 30, no. 7, pp. 831-837. DOI:

Ewing's sarcoma of the mobile spine
Marco, RAW, Gentry, JB, Rhines, LD, Lewis, VO, Wolinski, JP, Jaffe, N & Gokaslan, ZL 2005, Spine, vol 30, no. 7, pp. 769-773. DOI:

The Effect of Compressive Axial Preload on the Flexibility of the Thoracolumbar Spine
Tawackoli, W, Marco, R & Liebschner, MAK 2004, Spine, vol 29, no. 9, pp. 988-993. DOI:

Radiotherapy in the management of giant cell tumor of bone
Caudell, JJ, Ballo, MT, Zagars, GK, Lewis, VO, Weber, KL, Lin, PP, Marco, RA, El-Naggar, AK, Benjamin, RS & Yasko, AW 2003, International Journal of Radiation Oncology Biology Physics, vol 57, no. 1, pp. 158-165. DOI:

a4 integrin increases anoikis of human osteosarcoma cells
Marco, RAW, Díaz-Montero, CM, Wygant, JN, Kleinerman, ES & McIntyre, BW 2003, Journal of Cellular Biochemistry, vol 88, no. 5, pp. 1038-1047. DOI:

Total cervical spondylectomy for primary osteogenic sarcoma. Case report and description of operative technique
Cohen, ZR, Fourney, DR, Marco, RA, Rhines, LD & Gokaslan, ZL 2002, Journal of Neurosurgery, vol 97, no. 3 SUPPL. pp. 386-392.