Iowa Back InstituteLed by Andrew J. Pugely · MD, MHCDS 563-421-4370

Specialized spine care for a better quality of life.

Experienced surgeons. Advanced treatments. Clear answers for your back and neck — in the Quad Cities and across Eastern Iowa.

✓ Same-week appointments✓ Self-referrals welcome✓ 24/7 spine ER coverage✓ Free imaging review
Dr. Pugely in the operating room — practice photography
Conditions & Symptoms
Start with what hurts
Treatments
Every procedure, explained
Our Team
Six surgeons, one standard
Second Opinions
Free imaging review
Locations
Hospitals & clinics near you
Work Injuries
Iowa work comp, handled
Outcomes Portal
Track your recovery — 10-min check-in
Led by Andrew J. Pugely, MD, MHCDS

The surgeon other surgeons sent their hardest cases to.

For nearly a decade, when a spine case was too complex — failed hardware, deformity, high-risk revision — surgeons across Iowa referred it on. Those patients landed with Dr. Pugely. Now his practice is here, with same-week access and an honest answer first.

Top 5% Iowa surgical volume110+ publicationsDeputy Editor, The Spine JournalDual fellowships — WashU · Columbia
Andrew J. Pugely, MD, MHCDSAndrew J. Pugely, MD, MHCDS
6
Fellowship-trained surgeons — Mayo, Stanford, Iowa & beyond
Top 5%
Iowa surgical volume — 2023 CMS Medicare data
110+
Peer-reviewed publications behind the decisions
24/7
Orthopaedic spine ER coverage — Genesis East & Silvis
The team

Six surgeons. One standard.

“I feel like I'm living again.”

— Owen S., after revision spine surgery with Dr. Pugely · story featured in University of Iowa Health Care's published patient stories · read both patient stories →
From the case library — de-identified imaging

One patient, before → after.

Adult scoliosis, corrected — a long-segment reconstruction anchored to the pelvis, standing straight. Every film in the library is Dr. Pugely's own work, de-identified and shown the way surgeons see it.

Pre-operative standing AP X-ray showing adult scoliosis
Before — adult scoliosis, standing AP
Post-operative standing AP X-ray showing long-segment reconstruction to the pelvis
After — long-segment reconstruction to the pelvis
In their words — verbatim survey comments

What patients say.

Every quote below is a verbatim patient response from independently administered patient-experience surveys (2022–2025), shared exactly as written.

Dr Pugely saved my life and ability to live it functionally. I will always be very grateful to him, and am honored that he was my surgeon. He is both a brilliant doctor and compassionate man.

Patient survey · early 2023

Dr. Pugely is an excellent doctor. He has outstanding surgical skills and a compassionate bedside manner. He never rushed my decision to have surgery. He was very patient with me.

Patient survey · early 2023

Dr. Pugely has tried to help me when 2 other institutions would not, and also when another dr. in Iowa City refused. MUCH appreciated.

Patient survey · early 2023

Wish they would build off branch of Iowa City Clinic in Davenport!

Patient survey · September 2022
Message received. Now seeing patients in the Quad Cities.
Talk to a human today

Your back has waited long enough.

563-421-4370
Same-week appointments · free imaging review → · contact us →