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Rex A.W. Marco, MD

Associate Professor of Orthopedic Surgery, Academic Institute
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

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

Decreased radiation exposure using pulsed fluoroscopy and a detachable pedicle marker and probe to place pedicle screws: a comparison to current fluoroscopy techniques and CT navigation
Marco, RAW, Curry, MC, Mujezinovic, F & Linton, J 2020, Spine Deformity, vol. 8, no. 3, pp. 405-411.

At-Risk Tackling Techniques in American Football
Stockwell, DW, Blalock, R, Podell, K & Marco, RAW 2020, , Orthopaedic Journal of Sports Medicine, vol. 8, no. 2.

Cervicothoracic approach: Manubriotomy and sternotomy
Miller, K, Blackmon, SH & Marco, RAW 2018, . in Spinal Tumor Surgery: A Case-Based Approach. Springer International Publishing, pp. 57-68.

Generation of patient-derived tumor xenografts from percutaneous tumor biopsies in children with bone sarcomas
Rainusso, N, Cleveland, H, Hernandez, JA, Quintanilla, NM, Hicks, J, Vasudevan, S, Marco, RAW, Allen-Rhoades, W, Wang, LL & Yustein, JT 2019, , Pediatric Blood and Cancer, vol. 66, no. 4, e27579.

Radiologic analysis of C2 to predict safe placement of pedicle screws
Marco, RAW, Phelps, CI, Kuo, RC, Zhuge, W, Howard, CW, Kushwaha, VP & Bernstein, DT 2018, , International Journal of Spine Surgery, vol. 12, no. 1, pp. 30-36.

A novel muscle-sparing high thoracotomy for upper thoracic spine resection and reconstruction
Bernstein, DT, Zhuge, W, Blackmon, SH & Marco, RAW 2017, , European Spine Journal, pp. 1-8.

Case Report: Angiosarcoma in the Upper Extremity Related to a Nonfunctioning Arteriovenous Fistula
Gale, AL, Marco, RAW, Liberman, SR, Zavlin, D & Echo, A 2017, , Hand, vol. 12, no. 5, pp. NP132-NP135.

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, RAW, Deviren, V, Uribe, J & Mundis, GM 2015, , European Spine Journal, vol. 24, pp. 427-432.

Case Report: En Bloc Resection of Pancoast Tumor with Adjuvant Aortic Endograft and Chemoradiation
Lu, T, Fischer, UM, Marco, RA, Naoum, JJ, Reardon, MJ, Lumsden, AB, Blackmon, SH & Davies, M 2015, , Methodist DeBakey cardiovascular journal, vol. 11, no. 2, pp. 140-144.

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.

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.

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.

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.

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.

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.

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.

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

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

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.