Texas Back Institute

With over 40 years of experience, Texas Back Institute continues to lead the way in spine care, science and education, as well as patient care.

From its beginning in 1977, the goal to perform as a high level academic spine center, 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 TBI’s success. Over forty years later, Texas Back Institute is one of the largest freestanding multidisciplinary academic spine centers in the world.

Texas Back Institute offers both orthopedic and neurosurgical specialists allowing patients to see the doctor which is best suited to help them with their neck or back pain.  With specialties in Minimally Invasive, Motion Preservation, Scoliosis, Spine Tumor, Revision Surgery, Robotic Surgery and Trauma, Texas Back Institute physicians will create a treatment plan, and if needed, surgery, which is individualized for each patient.

Utilizing the state-of-the-art technological advancements and medical breakthroughs, leading and participating in numerous FDA trials and research, developing surgeons through its fellowship program and employing an expert medical team as well as compassionate support staff, Texas Back Institute remains dedicated to providing superior and innovative care for patients who suffer from back and neck pain.

TBI Center for Disc Replcement

We have performed more than 3000 artificial disc replacement procedures with 14 different types of spine arthroplasty devices. At our Center for Disc Replacement, we perform this life changing-procedure on hundreds of patients each year. Texas Back Institute has been a pioneer in disc replacement history by working with developers and bringing this surgery to the United States. Several medical milestones in disc replacement have occurred at Texas Back Institute, including the first Charité and ProDisc implants in the United States. We remain dedicated to helping patients get back to life.

Scoliosis & Spine Tumor Center

What is the Scoliosis & Spine Tumor Center?

As a structure that affects and is affected by every move you make, the spine plays an integral role in your health and quality of life. When your spine is compromised, whether by deformity, degeneration or a spinal tumor, the pain, the deformity and other debilitating effects can be devastating.

That’s why Texas Back Institute establish an advanced Scoliosis & Spine Tumor Center focused on providing the most appropriate and least invasive treatment, support and coping strategies for adolescents and adults suffering from spinal deformities and tumors.

Most Appropriate and Least Invasive Treatment

Led by internationally-known spine surgeons, the center combines innovative minimally invasive technologies and the wide range of resources available at Texas Back Institute to develop a comprehensive plan tailored to your individual needs.

The goal at the center is to provide the most appropriate and least invasive care to improve the patient’s condition and quality of life. It is a goal that requires specialized expertise and a full range of support services.

Minimally Invasive Spinal Surgery

Minimally invasive spinal surgery does not apply to any one particular type of surgery. The goal of this type of spinal surgery is to achieve the same effect as with traditional surgery, but to do so through small incisions.

This also involves less trauma to muscles. Surgery is sometimes done through small tubes. There are minimally invasive techniques for several spinal surgeries, including discectomy and fusion. However, this method cannot be applied to all patients. Often, a minimally invasive method of placing pedicle screws and rods is combined with a traditional fusion.

Minimally invasive surgery techniques include a variety of different surgery types and are sometimes used in conjunction with other spinal surgery procedures to treat spondylolisthesis,herniated disc, degenerated disc and possibly other conditions.

At Texas Back Institute in DFW, we don’t simply use minimally invasive surgery as a marketing tool – instead, our surgeons’ approach to minimally invasive surgery truly makes a difference in our patients’ lives. Since our founding in 1977, we’ve focused intently on developing surgical techniques that produce the best possible outcomes for our patients.

Our surgeons often use robotics, intraoperative CT imaging systems, and computer-assisted navigation that help us specifically address the source of a patient’s neck or back pain without affecting healthy tissue or unrelated parts of the spine. As a result, our patients experience:

  • Faster recovery times
  • Reduced risk of complications
  • Faster return to work, sports, and other hobbies

Complex Revision

Also known as Failed Back Surgery Syndrome (FBSS), Complex Revision refers to chronic back or neck pain, with or without extremity pain, that can occur if a spine surgery does not achieve the desired result.

Contributing factors to pain that returns following spine surgery include, but are not limited to, recurrent disc herniation, further degeneration causing pressure on a spinal nerve, altered joint mobility, scar tissue around or within the nerves, muscle de-conditioning, facet joint degeneration, or sacroiliac joint degeneration. Common symptoms associated with Failed Back Surgery Syndrome include diffused, dull and aching pain involving the back and/or legs. Patients may also complain of sharp, pricking, burning or stabbing pain in the extremities.

Treatment for failed back surgery syndrome may include physical therapy, nerve blocks, medications, injections or a chronic pain management program. If the pain is possibly coming from the facet or sacroiliac joints, chiropractic care may be recommended. Correctable structural problems are sought and, if identified, additional surgery may be recommended to address these issues with Failed Back Syndrome.

back pain treatment doctor

Texas Back Institute Research Foundation

The Texas Back Institute Research Foundation (TBIRF) was founded in 1985 to fulfill the mission of improving care for patients with back pain through research and education. With the collaborative efforts of multiple spine centers nationally and internationally, TBIRF has performed research focused primarily on diagnostic evaluations and treatment outcomes.

Spine Surgery Fellowship

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. TBI has trained over 120 spine surgeons now practicing all over the world. Our former Fellows now treat thousands of patients every year, and contribute to education and research. The Spine Fellowship at TBI is one of very few spine Fellowships accredited by the Accreditation Council for Graduate Medical Education, and trains Orthopaedic and Neurologocal Surgeons from all over the world.

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* The information contained on is neither intended as rendering medical advice nor as a substitute for seeking professional medical assistance. No relationship between Texas Back Institute and its practitioners may be created through Please keep in mind that, although we operate within a secure environment, Texas Back is not responsible for the security of information transmitted via the Internet. For any individual with specific questions regarding their individual health or treatment options, he or she should contact Texas Back Institute and schedule an appointment.



      back pain treatment options

      Matt Reeder

      Patient Stories – Nerve Compression – Non-Surgical Relief

      Most days for Matt, are spent outdoors surveying properties, working around the house, or spending time with his family. Unfortunately, a few months ago, Matt developed severe acute neck pain which forced him to take time off work and kept him from holding his son. He tried treating his pain at home, but when home treatments didn’t help relieve his pain he turned to the specialist at Texas Back Institute. “I knew I needed to see a specialist when I couldn’t hold my 1-year-old son in my arms,” Matt said.
      “I had pain and numbness radiating from my neck and all down my right arm”. Matt’s pain was diagnosed as radicular syndrome/radicular pain. Radicular syndrome results in pain and other symptoms such as numbness, tingling, and weakness in the arms. It is caused by compressed or irritated nerve roots. Matt began physical therapy for treatment and after a few weeks, he was able to return to normal activities with little to no pain.
      Matt is back in the at work in the field and at home, spending the summer on the lake, and most importantly playing with his son. “I am thankful for the experts that helped me get back to the things I love to do.”


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      Our surgeons specialize in using minimally invasive techniques that greatly reduce the impact of surgery on the body.

      You are in good hands.

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