99th MDG: Backbone of DoD spine surgery Published Sept. 7, 2018 By Airman 1st Class Andrew D. Sarver 99th Air Base Wing Public Affairs NELLIS AIR FORCE BASE, Nev. -- The 99th Medical Group successfully completed its first set of orthopedic spine surgeries after bringing two highly-specialized spine surgeons to the unit Aug. 20. As one of the more limited Air Force Medical Service specialties, orthopedic spine surgery has only three authorized surgeons in the entire Department of Defense, two of whom are now on the team at Nellis Air Force Base, Nevada. Having worked together for over a decade at other bases, Col. (Dr.) Edward Anderson and Maj. (Dr.) Bryan Lawson, 99th MDG orthopedic spine surgeons, bring a combined three decades of surgical experience to the operating table. The newly arrived surgeons will have their work cut our for them, but their shared experiences will not only benefit their patients, but also the nurses and technicians who haven't had exposure to the complexities of orthopedic spine surgery. “We understood that we had a significant amount of spine surgery cases that were being referred to physicians downtown,” said Col. (Dr.) Kim Pietszak, 99th MDG chief of the medical staff. “After doing the math it became pretty apparent to us that we should be providing this care inside of our facility." Pietszak said the benefits of performing complex surgeries in the orthopedic spine clinic go far beyond the operating room because with each surgery performed, there is a great deal of preparation that also goes into it. From the medical technicians, nurses admitting the patient, to the medical logisticians acquiring the proper equipment and supplies and each surgery brings with it an opportunity for the expeditionary medics to hone their skills in preparation for deployment in support of global operations. Pietszak said this [orthopedic] clinic is a big win for the Air Force and for the patients receiving care from the medical group. “Half the battle when performing surgery is having a good team,” said Lawson. “There’s so much the institution is capable of providing, but what can almost dwarf all of that is when you’re starting to build a team and how the interaction with your colleagues is. Thankfully, it’s something that has already been sorted out for Dr. Anderson and I over a course of years from working together.” As the clinic grows, the surgeons will have the ability to increase the care coordination for all eligible beneficiaries for the services offered at the medical center. This means more focus on individual medical readiness of all Airmen with spinal instability or deformity as well as an opportunity to increase the quality of care delivered to their families, retirees and other eligible patients of the Veterans Administration. This also gives other orthopedic surgeons here, who aren’t traditionally spine surgeons, the ability to scrub-in, or assist, on a spine case and learn some of the skill sets from Dr. Anderson and Dr. Lawson. "The long-term goal is to provide the full complement of spine care at Nellis," said Lawson. "I think we have to start with procedures that are fairly straightforward. When you're setting up a complex spine program, you want to grow this in a deliberate way in order to continue to deliver safe care." While developing a robust spine program may take some time, the orthopedic spine clinic is just a small piece to a bigger plan that will make Nellis' 99th MDG a more robust medical center and the backbone of DoD spine surgery.