Robert S. Biscup, MD, DO's portrait
Robert S. Biscup, MD, DO
Orthopaedic Spine Surgeon
The Cleveland Clinic Foundation
Naples, FL

About Robert S. Biscup, MD, DO

Appointed to The Cleveland Clinic in 1997, Dr. Biscup is on staff in the Departments of Neurological Surgery and Orthopaedic Surgery, in addition to The Cleveland Clinic Spine Center.

Having practiced orthopaedic spinal surgery since 1985 in the Cleveland area, Dr. Biscup is internationally recognized as a pioneer in the field of spine care and spinal surgery. Dr. Biscup has traveled extensively in the United States and Europe teaching and demonstrating instrumentation and implants that he helped develop.

His surgical practice is limited to spinal surgery and his interests include major reconstructive spinal surgery, failed spine surgery, and minimally invasive spine surgery (including laser microsurgery and laparoscopic fusion surgery).

Dr. Biscup has been very active in the areas of undergraduate and continuing medical education. He is a Clinical Professor of Orthopaedic Surgery at the Ohio University College of Osteopathic Medicine and the former Director of Medical Education and the Fellowship Training Program in Spinal Surgery for orthopaedic and neurosurgeons at The Cleveland Spine and Arthritis Center in Cleveland, Ohio. He is the founder and former president of the American Osteopathic Academy of Orthopaedics Sections on Spinal Surgery, is a fellow of the North American Spine Society, and member of the American Osteopathic Board of Orthopaedic Surgery Association.

Publications

Publications
1. A.D. Steffee, M.D., R.S. Biscup, D.O., and D. J. Sitkowski, P.A.C., Segmental
Spine Plates with Pedicle Screw Fixation. Clinical Orthopaedics and Related
Research 203: 45, 1986.
2. N. Ani, M.D., L. Keppler, M.D., R.S. Biscup, D.O., and A.D. Steffee, M.D.,
Reduction of High-Grade Slips (Grades III-V) with VSP Instrumentation. Report
of a Series of 41 Cases. Spine:16 (6), S302, 1991.
3. J.W. Brantigan, M.D., A.D. Steffee, M.D., L. Keppler, M.D., R.S. Biscup,
D.O., and P. Enker, M.D., Posterior Lumbar Interbody Fusion Technique Using
the Variable Screw Placement Spinal Fixation System. Spine - State of the
Art Reviews: 6 (1), 175, 1992.
4. I.P. Enker, M.D., A.D. Steffee, M.D., L. Keppler, M.D., R.S. Biscup, D.O.,
Treatment of Multilevel Anterior and Retrolisthesis of the Lumbosacral Spine
(Cascading Spine). Lumbar Fusion and Stabilization,Tokyo, Springer Verlag,
1993.
5. P. Enker, M.D., A.D. Steffee, M.D., C. McMillin, Ph.D., L. Keppler, M.D.,
R. Biscup, D.O., S. Miller, D.O. Artificial Disc Replacement: Preliminary Report
with a 3 year minimum follow-up. Spine: 18 (8), 1061, 1993.
6. S.M. Lehmer, M.D., A.D. Steffee, M.D., L. Keppler, M.D., R.S. Biscup, D.O.,
P. Enker, M.D., S.D. Miller, D.O., R.W. Gaines, Jr., M.D., Treatment of L5-S1
Spondyloptosis by Staged L5 Resection with Reduction and Fusion of L4 onto S1
(Gaines Procedure). Spine: 19 (17), 1916, 1994.
7. S.M. Lehmer, M.D., L. Keppler, M.D., R.S. Biscup, D.O., P. Enker, M.D.,
S.D. Miller, D.O., A.D. Steffee, M.D., Posterior Transvertebral Osteotomy for
Adult Thoracolumbar Kyphosis. Spine:19 (18), 2060, 1994.
8. D.R. Sybert, D.O., A.D. Steffee, M.D., L. Keppler, M.D., R.S. Biscup, D.O.,
P. Enker, M.D., Seven-Year Follow-up of Vertebral Excision and Reconstruction
for Malignant Hemangioendothelioma of Bone: Spine: 20 (7), 841, 1995.

9. A.D. Steffee, M.D. & R.S. Biscup, D.O., Metastatic Tumor Resection and Vertebrectomy:
A Posterior Lateral Approach in the Thoracic and Lumbar Spine. Spine-State
of the Art Review: 10 (1), 113, 1996.
10. L. Keppler, M.D., A.D. Steffee, M.D., & R.S. Biscup, D.O., Posterior Lumbar
Interbody Fusion with Variable Screw Placement and Isola Instrumentation.. In
Bridwell K, DeWald R (eds). The Textbook of Spinal Surgery, Philadeplphia,
Lippincott-Raven, 1997.
Professional Presentations
1. October, 1985, Honolulu, Hawaii. Annual Clinical Assembly of Osteopathic
Specialists,: Segmental Spine Plate & Pedicle Screw Fixation for Spinal Disorders
- A New Approach to Spinal Stabilization
2. November, 1986, St. Louis, MO. Annual Clinical Assembly of Osteopathic Specialists:
Interbody Fusion with Internal Fixation for Disorders of the Lumbosacral Spine

3. November, 1988, San Antonio, Texas. Challenge of the Lumbar Spine: Posterior
Lumbar Interbody Fusion & Internal Stabilization 4. February, 1989,
4. Lutheran Medical Center, Cleveland, OH. First Annual International Spine
Seminar and Workshop: Basic Pedicle Screw Technique; Interbody Fusion & Internal
Stabilization
5. August, 1989, Lutheran Medical Center, Cleveland, OH. Automated Percutaneous
Discectomy: Program Chairman & Presenter
6. February, 1990, Lutheran Medical Center, Cleveland, OH. Second Annual International
Spine Seminar and Workshop: Basic Pedicle Screw Technique; Interbody Fusion
& Internal Stabilization.; Program Director
7. October, 1990, Los Angeles, California. Annual Clinical Assembly of Osteopathic
Specialists: Program and Workshop Chairman; Basic Pedicle Screw Technique and
Interbody Fusion and Internal Stabilization.
8. August, 1990, Fifth Annual Meeting of the North American Spine Society:
Scientific Exhibit: An Artificial Disc A.D. Steffee, L. Keppler, M.D., R.S.
Biscup, D.O.
9. August, 1990, Fifth Annual Meeting of the North American Spine Society:
Scientific Exhibit: Vertebral Body Replacement for Tumor Resection A.D. Steffee,
M.D., L. Keppler, M.D., R.S. Biscup, D.O.
10. August, 1990, Fifth Annual Meeting of the North American Spine Society:
Scientific Exhibit: Closing Wedge Osteotomy for the Reduction of Thoracolumbar
Kyphosis A.D. Steffee, M.D., L. Keppler, M.D., R.S. Biscup, D.O.
11. February, 1991, Lutheran Medical Center, Cleveland, OH. Third Annual International
Spine Seminar and Workshop: Program Director; Basic Pedicle Screw Technique
and Interbody Fusion and Internal Stabilization
12. April, 1991, Vienna, Austria. Annual Austrian Orthopedic Society Meeting:
Reconstructive Spinal Surgery of the Lumbar Spine using VSP and ISOLA Instrumentation;
Workshop Director, Lumbar Reconstructive Spinal Surgery
13. May, 1991, SRS/NASS Pedicle Fixation Course: Scientific Exhibit: Treatment
of Multilevel Anterior and Retrolisthesis of the Lumbosacral Spine (Cascading
Spine) I.P. Enker, M.D., A.D. Steffee, M.D., L. Keppler, M.D., R.S. Biscup,
D.O., J.W. Brantigan, M.D.
14. August, 1991, Keystone, Colorado. Sixth Annual Meeting of the North American
Spine Society: Treatment of Multilevel Anterior and Retrolisthesis of the Lumbosacral
Spine (Cascading Spine) I.P. Enker, M.D., A.D. Steffee, M.D., L. Keppler, M.D.,
R.S. Biscup, D.O., J.W. Brantigan, M.D.
15. August, 1991, Keystone, Colorado. Sixth Annual Meeting of the North American
Spine Society: Total Posterior Vertebrectomy and Vertebral Body Replacement.
J.M. Cochran, D.O., L. Keppler, M.D., R.S. Biscup, D.O., J.W. Brantigan, M.D.,
I.P. Enker, M.D.
16. August, 1991, Keystone, Colorado. Sixth Annual Meeting of the North American
Spine Society: Hypersensitivity Reactions to Stainless Steel Spinal Implants.
B.T. Vest, M.D., L. Keppler, M.D., R.S. Biscup, D.O., J.W. Brantigan, M.D.,
I.P. Enker, M.D.
17. September, 1991, Montreal, Canada. Sixth International Symposium on Limb
Salvage: Scientific Exhibit, Reconstruction of Post-Traumatic Bone Defects of
the Upper and Lower Extremities I.P. Enker, M.D., A.D. Steffee, M.D., L. Keppler,
M.D., R.S. Biscup, D.O., J.W. Brantigan, M.D.
18. November, 1991, Paris, France. Annual Nexus Spine Symposium: Workshop Director
on Lumbar Spinal Reconstructive Surgery
19. February, 1992, Lutheran Medical Center, Cleveland, OH. Fourth Annual International
Spine Seminar and Workshop: Program Director & Presenter
20. April, 1992, Athens, OH. Annual Continuing Medical Education Conference,
Ohio University College of Osteopathic Medicine: Current Concepts Review - Biomechanical
and Biochemical Aspects of Lumbar Spine Disorders
21. April, 1992, Saalfelden, Austria. Annual Austrian Comesa Orthopedic Meeting:
Reconstructive Spinal Surgery using Carbon Cage Prosthesis; Workshop Director,
Reconstructive Spinal Surgery with Carbon Cage Prosthesis
22. April, 1992, Bern, Switzerland. Department of Orthopedic Surgery, Inselspital
Hospital, University of Bern: Treatment of Lumbar Spinal Disorders with VSP
Spinal Instrumentation and Carbon Implants
23. April, 1992, Marseilles, France: Indications, Technique, and Complications
Associated with Lumbar Spinal Reconstructive Surgery
24. June, 1992, Cincinnati, OH. Ohio Osteopathic Association Annual Meeting:
Current Approaches to Lumbar Spine Disorders - Diagnostic Imaging, and Surgical
Treatment
25. June, 1992, Lutheran Medical Center, Cleveland, OH. The Sports and Industrial
Athlete, Part I. Upper Extremities: Program Director; Cervical and Thoracic
Spine Injuries
26. July, 1992, , Boston, Massachusetts. Seventh Annual Meeting of the North
American Spine Society: Posterior Transvertebral Osteotomy for Adult Thoracolumbar
Kyphosis S.M. Lehmer, M.D., L. Keppler, M.D., R.S. Biscup, D.O., P. Enker, M.D.,
S.D. Miller, D.O., A.D. Steffee, M.D.
27. July, 1992, Boston, Massachusetts. Seventh Annual Meeting of the North
American Spine Society: Artificial Disc Replacement: Preliminary Report with
a Two-Year Minimum Follow-up. P. Enker, M.D., L. Keppler, M.D., R.S. Biscup,
D.O., S.D. Miller, D.O., A.D. Steffee, M.D., C. McMillin, Ph.D.
28. July, 1992, Boston, Massachusetts. Seventh Annual Meeting of the North
American Spine Society: Fibrin Adhesive as an Adjunct to Dural Repair. J. Cochran,
D.O., D. Sitkowski, PA-C, L. Keppler, M.D., R.S. Biscup, D.O., P. Enker, M.D.,
S.D. Miller, D.O., A.D. Steffee, M.D.
29. July, 1992, Boston, Massachusetts. Seventh Annual Meeting of the North
American Spine Society: Treatment of Spondyloptosis by Staged Resection and
Fusion (Gaines Procedure). S. Lehmer, M.D., L. Keppler, M.D., R.S. Biscup, D.O.,
P. Enker, M.D., S.D. Miller, D.O., A.D. Steffee, M.D., R.W. Gaines, Jr., M.D.

30. August, 1992, Lutheran Medical Center, Cleveland, OH. , Sports and Industrial
Injuries, Part II: Advances in Operative Treatment of Lumbar Spine Injuries
- The Uses and Abuses of Technology
31. February, 1993, Annual Meeting of the American Academy of Orthopaedic Surgeons.
Paper presentation: Vertebral Body Replacement, P. Enker, M.D., L. Keppler,
M.D., R.S. Biscup, D.O., J. Cochran, D.O., S.D. Miller, D.O., A.D. Steffee,
M.D.
32. February, 1993, Annual Meeting of the American Academy of Orthopaedic Surgeons.
Paper presentation: Artificial Disc Replacement: Preliminary Report with a Minimum
Two-Year Follow-up, P. Enker, M.D., L. Keppler, M.D., R.S. Biscup, D.O., S.D.
Miller, D.O., A.D. Steffee, M.D.
33. February, 1993, Lutheran Medical Center, Cleveland, OH. Fifth Annual International
Advanced Spine Seminar and Workshop: Program Director & Presenter
34. April, 1993, Saalfelden, Austria. Annual Austrian Comesa Orthopedic Meeting:
Preoperative Assessment and Planning, Techniques, and Complications of Lumbar
Spinal Reconstructive Surgery: Update with Clinical Case Presentations
35. May, 1993, Kansas City, Missouri. Surgical Management of Spinal Deformity
and Mechanical Insufficiency: Surgical Management of Degenerative Spinal Disorders

36. May, 1993, Kansas City, Missouri. Surgical Management of Spinal Deformity
and Mechanical Insufficiency: Spondylolisthesis: Preoperative planning, surgical
techniques, and postoperative management
37. May, 1993, Kansas City, Missouri. Surgical Management of Spinal Deformity
and Mechanical Insufficiency: Surgical Management of Fractures, Tumors, and
Infections of the Thoracolumbar Spine.
38. October, 1993, Chicago, Il. Annual Clinical Assembly of Osteopathic Specialists:
Spinal Fractures: Classification, Surgical Treatment, and Outcome
39. February, 1994, Vienna, Austria. International SICOT Trainees Meeting:
Segmental Spine Reconstruction of the Lumbar Spine; The Importance of Segmental
Spinal Balance
40. May, 1994, Cleveland, OH. 13th District Osteopathic Academy of Medicine
Seminar: New Developments in the Surgical Management of Spinal Disorders.
41. September, 1994, San Francisco, California. Third Annual Current Isuues
of Magnetic Resonance Imaging in Orthopedics and Sports Medicine: Surgical Treatment
of Lumbar and Cervical Spine Injuries.
42. September, 1994, Washington, D.C. Annual Clinical Assembly of Osteopathic
Specialists: Application and Use of Carbon Fiber Implants in Orthopedics
43. April, 1995, Saalfelden, Austria - Carbon Ramp Fixation in Lumbar Spinal
Deformities - A new Implant for use in Anterior Column Reconstruction.
44. October, 1995, Lutheran Medical Center, Cleveland, OH. Eight International
Advanced Spine Seminar and Workshop: Program Director & Presenter
45. November, 1995, Lutheran Medical Center, Cleveland, OH. The Nurse in Spinal
Surgery: Diagnostic Imaging for Spinal Disorders.
46. February, 1996, Lutheran Medical Center, Cleveland, Ohio. Ninth International
Advanced Spine Seminar and Workshop: Program Director & Presentor
47. May, 1996, La Jolla, California. The Nurse & Spinal Surgery: Imaging for
Lumbar Spinal Disorders.
48. June, 1996, Galveston, Texas. 2nd Annual Current Concepts on Surgery of
the Spine: Experience with Brantigan Carbon Cages for Interbody Fusion.
49. June, 1996, Galveston, Texas. 2nd Annual Current Concepts on Surgery of
the Spine: Experience with VSP Spinal Instrumentation - Current Techniques &
Pitfalls.
50. June, 1996, Galveston, Texas. 2nd Annual Current Concepts on Surgery of
the Spine: Experience with ISOLA Spinal Instrumentation - Current Techniques
& Pitfalls.
51. June, 1996, Galveston, Texas. 2nd Annual Current Concepts on Surgery of
the Spine: Degenerative Spondylolisthesis & Cascading Spine: Etiology and Surgical
Treatment.
52. October 1996, Vancouver, British Columbia, Canada. Annual Meeting of the
North American Spine Society: Scientific Exhibit: Problems with the the Topping-Off
Spinal Stabilization Procedure for Transition Zone Surgery.
53. October 1996, Vancouver, British Columbia, Canada. Annual Meeting of the
North American Spine Society: Scientific Exhibit: Deep Spinal Would Infections
Treated with Sugar Packing.
54. February 1997, Lutheran Medical Center, Cleveland, OH. Tenth International
Advanced Spine Seminar and Workshop: Program Director & Presentor
55. April 1997, Saalfelden, Austria. 10th COMESA Orthopedic Seminar and Workshop:
Spinal Surgery in the Future.
56. May 1997, Baltimore, MD. 37th Annual Scientific Seminar, American Osteopathic
Academy of Orthopedics:Minimally Invasive Spinal Surgery-Microscopic Approaches
Using the Holmium Laser.
57. May 1997, Baltimore, MD. 37th Annual Scientific Seminar, American Osteopathic
Academy of Orthopedics:Laparoscopic Anterior Spinal Surgery and Fusion Techniques.

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