Business Details
49 Years
experience
Your Trusted Partner for Advanced Spine Care Solutions
Since 1977, Texas Back Institute has been a leading multidisciplinary academic spine center dedicated to advancing spine care through science, technology, and patient-centered solutions. Our team of world-renowned physicians and specialists prioritize conservative treatments first, reserving surgery as a last resort while pioneering innovative procedures like minimally invasive techniques and artificial disc replacements. With over 45 years of experience, we have trained more than 120 spine surgeons globally through our fellowship program and remain at the forefront of FDA clinical trials and evidence-based research. Our commitment to excellence is reflected in our state-of-the-art technology, including robotics and intraoperative imaging, which enhance surgical precision and patient outcomes. We emphasize education through initiatives like SpineUniverse.com and have authored medical textbooks that shape industry standards.Our multidisciplinary approach integrates diagnostics, non-surgical treatments, and advanced surgical options to address conditions ranging from herniated discs to scoliosis. Behind every procedure is a team of compassionate professionals dedicated to helping patients return to active, fulfilling lives. As the first U.S. institution to perform outpatient myelography and artificial disc replacement, we continue to redefine spine care globally.
Services
Minimally Invasive Spine Surgery
Cervical Disc Replacement
Lumbar Fusion
Epidural Steroid Injections
Dynamic Stabilization Surgery
Kyphoplasty
Scoliosis Treatments
Spine Tumor Surgery
Diagnostic Testing
Non-Surgical Treatments
Details
- Year established: 1977
Highlights and features
- We offer 45+ years of experience in spine care innovation and research.
- Our team includes globally recognized surgeons trained in advanced techniques.
- We pioneered outpatient myelography and artificial disc replacement in the U.S.
- Our fellowship program trains future spine surgery leaders worldwide.
- We integrate evidence-based research with personalized patient care plans.
What people say
Excellent services
Quick recovery times
Compassionate staff
Advanced technology
Personalized care
Services
Minimally Invasive Spine Surgery
Minimally Invasive Spine Surgery reduces muscle damage and complications through precise techniques. Patients benefit from faster recovery and fewer postoperative limitations. Our surgeons use robotics and imaging systems to enhance accuracy for conditions like herniated discs and spinal stenosis.
Cervical Disc Replacement
Cervical Disc Replacement preserves spinal motion by replacing damaged discs with prosthetics. This alternative to fusion surgery alleviates neck pain while maintaining range of motion. We perform FDA-approved procedures backed by decades of clinical research.
Epidural Steroid Injections
Epidural Steroid Injections target inflammation caused by nerve compression. These non-surgical treatments provide relief for conditions like radiculopathy and sciatica. Combined with physical therapy, they often delay or eliminate the need for surgery.
Dynamic Stabilization Surgery
Dynamic Stabilization Surgery stabilizes the spine while preserving flexibility. This alternative to fusion addresses instability without restricting movement. Our surgeons use advanced implants to maintain spinal mobility and reduce adjacent segment stress.
Diagnostic Testing
Diagnostic Testing ensures accurate diagnosis through MRI, CT scans, and nerve studies. Our specialists use cutting-edge imaging to identify conditions like disc herniations and spinal stenosis. Precise diagnostics guide personalized treatment plans for optimal outcomes.
People
Patricia J. Bowling
Chief Executive Officer
Patricia Bowling leads Texas Back Institute's strategic vision, ensuring operational excellence and patient-focused care delivery across all departments.
Dr. Richard D. Guyer
Orthopedic Spine Surgeon
Dr. Guyer specializes in advanced spinal procedures and has contributed extensively to spine research, including FDA trials and medical textbook authorship.
Dr. Alexander M. Satin
Orthopedic Spine Surgeon
Dr. Satin co-leads the Spine Surgery Fellowship Program, training surgeons globally in minimally invasive techniques and innovative spine care methodologies.
Cheryl Zapata
Chief Development Officer
Cheryl Zapata oversees institutional growth initiatives, including research funding and community outreach programs to expand spine care accessibility.
Dr. Jack E. Zigler
Orthopedic Spine Surgeon
Dr. Zigler focuses on complex spinal disorders and has published numerous studies on disc replacement and minimally invasive surgical outcomes.
Questions
What spine conditions do you treat?
We treat conditions like herniated discs, scoliosis, spinal stenosis, degenerative disc disease, and nerve compression using advanced diagnostic and treatment methods.
Do you offer non-surgical options?
Yes, 90% of patients achieve relief through non-surgical treatments like physical therapy, injections, and pain management before considering surgery.
How quickly can I get an appointment?
We typically see patients within two business days and offer online scheduling for convenient access to our specialists.
Are your surgeons fellowship-trained?
All our spine surgeons complete rigorous fellowship training and participate in ongoing education through our internationally recognized fellowship program.
What technologies do you use?
We employ robotics, intraoperative imaging, and computer navigation systems to enhance surgical precision and patient safety during complex procedures.
Reviews (6)
Daniel Finn
Jun 22, 2022
Report
My surgeon Dr Sherlock was great, the surgery was a success. Im a believer in disc replacements. I'm leaving 3 stars because I am now in debt collections due to the office not submitting the proper paperwork for required imaging done prior to surgery. I have called TBI repeatedly and left numerous voicemails without this being resolved. This should be an easy fix however I've been getting the run around for months and this may either ruin my credit or stick me with a very expensive medial bill. Can't wait for tbi to leave a reply here with their customer service/ billing number as if I haven't tried that.
Kathryn Wahlstrom
May 10, 2022
Report
Dr AJ Rush's focus is 100% upon the patient and the patient's best interest. He listens to the patient and makes sure no questions are left unanswered. He was obviously born to be a doctor!
Nathan Kowarsky
May 02, 2022
Report
AVOID AT ALL COSTS! 3 weeks of sending paperwork - they lost my paperwork twice in a week. Then on the 3rd time I am sending my paperwork and literally 23 email exchanges for a simple task - after I ask several times for if they need anything else - they suddenly need another missing document. I go rush and get the document for them and they don't reply for another 4 days. They are unable to view the Xrays I sent and refuse to make an appointment for me until they can figure out how to view on the XRays on their own computer.
They have left me abandoned laying in indescribable pain and refuse to lift a finger to help. I would go anywhere else possible for trying to make an appointment with Doctor Guyer. This is the most unprofessional scattered clustered experience I have ever had at a doctor - This is probably a good sign if he cant even get his office working properly I highly doubt his skills at anything else especially my spine!
They have left me abandoned laying in indescribable pain and refuse to lift a finger to help. I would go anywhere else possible for trying to make an appointment with Doctor Guyer. This is the most unprofessional scattered clustered experience I have ever had at a doctor - This is probably a good sign if he cant even get his office working properly I highly doubt his skills at anything else especially my spine!
Siroos Teherani
Apr 22, 2022
Report
I had surgery at TBI, Plano, and I found the post operative support to be the worst i have experienced. You are kept on hold forever. It's as they do not care and this reflects on how this organization is run as a whole. I showed up for post surgery appointment and the gal at the reception said i was not on the schedule and wasn't unprepared to assist. Until i demanded they call back at the doctor's office did i get to see the surgeon.
Blake Bixenman
Apr 06, 2022
Report
Dr. Peter Derman and his staff performed my disc replacement and I couldn't be happier with the results. I went from limited mobility with a high pain level pre-surgery to snowboarding and running 4 months post surgery. This is the highest level of care you can receive for disc replacement surgery with world class experts on staff.
Mallory Goodwin
Mar 07, 2022
Report
In my opinion they owe us our deductible back. In short: Dec 2021 insurance denied a procedure, we asked to appeal, insurance sent back approval Dec 10 (we had met our out of pocket max already for the year cause of having a baby). They were supposed to schedule my husband back in and call him telling insurance approved.they did not. New year rolls around and we follow up. Get the procedure done but this time since it's the new year we haven't met our out of pocket max. And to top it off the epidural put into my husbands back for his compressed disk did nothing. Thanks for wasting time and our money. This place is guess and check and not effectively run.
