7 hour spinal fusion, not huge, but not too bad given that I'm still in my new grad year. I think for the moment 7 hours is about as long as I can scrub for and still work productively and safely, though I am sure I will improve. Longest I've been a part of (scout) was a 10h Occiput to T6 fusion for Brest cancer mets to give a lady enough stability to walk in her last couple of months. When we started the she was bed bound and wearing a brace 24/7, she is now apparently able to walk again and no longer requires the brace. These are the cases that make is all worth it. Interestingly unlike most people here, most of our neuro team won't get scrubbed out, even though we all offer each other breaks every 4-5hours or so. we all like to see the case through to the end. Anyone else like that or are we just a bit odd?