About Texas Back Institute

Texas Back Institute is one of the largest freestanding multidisciplinary academic spine centers in the world.

Who we are?


elcome to our specialized Boutique Spine Care Program
From the beginning, the goal to perform as a center of excellence, integrating the best of science and education with the best business practices, has served Texas Back Institute well and continues to be the backbone of Texas Back Institute’s success. Thirty-five years later, Texas Back Institute is one of the largest freestanding multidisciplinary academic spine centers in the world. Utilizing the latest technological advancements and medical breakthroughs, leading and participating in numerous FDA trials, developing surgeons through its fellowship program and employing an expert medical team and compassionate support staff, Texas Back Institute remains dedicated to helping patients get back to life.

Connect and Contact Boutique Spine Care

Fill out the Contact form with some information about your problem. Please allow a couple of business days for me to respond.

Access to Elite Amenities

  • Your personal Patient Navigator
  • Access to private email/phone numbers
  • Same-day Appointments
  • Extended hours/weekend appointments
  • Comfortable patient reception area
  • Expedited imaging services
  • E-visits available for some follow-up appointments

History of Texas Back Institute

In 1971, Dr. Stephen Hochschuler and Dr. Ralph Rashbaum met while stationed in Wichita Falls, Texas, as general medical officers in the United States Air Force. During this time, both men saw a number of their patients suffering from various types of back pain, but all being diagnosed and treated as if they had the same condition. The doctors knew there were specific causes for each type, and so they began targeting symptoms for what had been diagnosed previously. This experience led them to pursue orthopedic residencies once they had completed their military service.

Medical and Research Fellowships

Texas Back Institute (TBI) offers a multidisciplinary approach devoted solely to the care of patients with spinal disorders and trains orthopaedic surgeons and neurosurgeons through our ACGME accredited Spine Surgery Fellowship Program. The Fellowship offers mentorship under our expert team of fellowship-trained spine surgeons, along with conservative care physicians, pain management physicians, and allied health care professionals. Fellows receive broad clinical experience seeing patients with degenerative spinal disorders, pediatric and adult scoliosis, spine trauma and spine tumors. Fellows learn to perform anterior and posterior surgery of the cervical, thoracic and lumbar spine, including lumbar and cervical arthroplasty, fusions and discectomies and will also gain experience with open and minimally invasive surgery, including percutaneous surgical approaches. Fellows implant a wide variety of internal fixation devices, learn to perform spinal injections, and implant spinal cord stimulators.


Our physicians accept many HMO and PPO insurance plans and Workers’ Compensation. In fact, we accept more than 80 managed care plans. This is in addition to the point-of-service and traditional indemnity insurance we also accept.

While most of our physicians are on many plans, an individual physician may not be on a specific plan. You should always check when making an appointment to ensure your insurance is accepted by the physician you will be seeing.

If you need to see a physical therapist as part of your treatment plan and our therapists are not in your network, please request a list of network therapists from your insurance plan. From that list, we will gladly refer you to a therapist we know. If you must select a therapist outside our offices, we will make sure he or she receives the appropriate information to treat you. If you have any questions, ask our scheduling staff when you call for your appointment.

Once a Texas Back Institute physician determines your treatment plan, the plan will be shared with your primary care physician and the referral will be updated. If you are covered by Workers’ Compensation, we will coordinate your coverage with your case manager or representative.

UPDATE (OCTOBER 1, 2011): Effective October 1, 2011, UnitedHealthcare updated its Medical Policy as follows: “Cervical artificial total disc replacement is proven for the treatment of single level degenerative disc disease in skeletally mature patients when used with FDA approved implants.” If you have healthcare coverage provided by UnitedHealthcare, consult with your benefits administrator and refer to your benefits plan to determine if you may be qualified for benefits.

Disclosure of Interests

Texas Back Institute Doctors: Invested in Your Future

As nationally recognized leaders in back and neck care, Texas Back Institute physicians are at the forefront of advancements designed for patients with disabling spine problems. Many of our physicians contribute their knowledge and expertise to the development and validation of spine care technologies and may occasionally enter into consulting contracts or other financial arrangements with companies involved in the development of medical devices, instruments and related equipment. Although Texas Back Institute physicians donate a great deal of their time to spine care research and education, some may receive compensation for their efforts.

Texas Back Institute doctors currently have relationships with companies, both large and small, to whom they provide their knowledge and experience to help improve patient care. The following is a list of the types of companies Texas Back Institute physicians currently have relationships with:

  • Medical device companies
  • Diagnostic and surgery centers
  • Hospitals
  • Physical therapy centers
  • MRI centers
  • Imaging centers
  • Supplement companies
  • Other healthcare companies

We hope this helps to clarify the nature of our involvement in research and development leading to advances in neck and back care. We are proud to be leaders in technological innovation that results in better patient care. Texas Back Institute doctors will be happy to discuss any of their financial relationships that might affect your decision. We will always make our recommendations based on what is in your best interest. Please feel free to ask your doctor any questions you may have relating to your care. We are committed to getting you back to life!

For a complete list of companies Texas Back Institute physicians currently have relationships with Click here

Why Choose Texas Back Institute


pine Surgery in Dallas Texas, Back Surgery in Dallas Texas,Texas Back Institute Clinical Research, LLC is an organization dedicated to advancing new spinal technologies because experience matters! With over 35 years of experience, Texas Back Institute continues to lead way in spine care, science and education, as well as patient care.

Today, we remain one of the largest freestanding multidisciplinary academic spine centers in the world. Utilizing the latest technological advancements and medical breakthroughs, spearheading and participating in numerous FDA Clinical trials, developing surgeons through our fellowship program and employing an expert medical team and compassionate staff, Texas Back Institute is dedicated to helping patients get back to life.

About Us

About Us