Richard Hostin, MD

man_images2Richard Hostin, MD is a board certified orthopedic spine surgeon who treats spinal diseases including pediatric and adult spinal deformity, scoliosis, complex and degenerative conditions of the spine, as well as spinal trauma, tumors and infections. Dr. Hostin is well trained in modern spinal surgical techniques, including minimally invasive surgical methods. His practice focuses on primary and revision pediatric and adult spinal deformity.

Dr. Hostin was raised in Southern California and earned his bachelors degree from UC Berkley. He went on to complete medical school at the University of Oklahoma, earning membership in the Medical Honor Society, Alpha Omega Alpha. He completed his orthopedic surgery residency at UC Davis in Sacramento and went on to receive additional specialized training in spinal surgery during his fellowship at the Twin Cities Spine Center in Minneapolis.

As Dr. Hostin was creating his practice, he thought “I wanted to work someplace I would want to go as a patient,” having a physician who is on time, accessible to his patients, and who has substantial experience with delivering high quality care in spine surgery.

Dr. Hostin is committed to a tradition of uncompromising patient care, research and sugical excellence. He says, “Everything here is designed to do what we do extremely well. The surgeon is just one member of the team. Working at a center that is focused on providing optimal care for our patients has allowed us to build a world class team that includes critical care specialists, internists, anesthesiologists, nurses, physical and occupational therapists and orthotists.”

He has also expanded the Institute’s research efforts with an eye toward helping the Institute eventually become a training facility for medical graduate fellows. He is a member of the American Academy of Orthopedic Surgeons, the Western Orthopedic Association and the North American Spine Society.

Curriculum Vitae

Current Title and Affiliations

Pediatric and Adult Spine Surgeon

  • Physician and Owner, Southwest Scoliosis Institute
  • Medical Director of Pediatric Spine and Scoliosis, Medical City Children’s Hospital
  • Medical Director of the Medical City Scoliosis & Advanced Spine Center


August 1996 – May 2000 Oklahoma City, Oklahoma

  • University of Oklahoma Health Science Center
    • Doctor of Medicine
    • Alpha Omega Alpha
    • Excellence in Research Award
    • Honors Research Scholar

August 1990 – December 1994 Berkley, California

  • University of California at Berkley
  • Bachelor’s Degree – Psychology

Post-Graduate Training

August 2005 – July 2006 Minneapolis, Minnesota

  • Twin Cities Spine Center
    • Fellowship – Pediatric & Adult Spine Surgery

July 2004 – June 2005 Berkley, California

  • University of California Davis at Berkley
    • Chief Residency

July 2001 – June 2004 Berkley, California

  • University of California Davis at Berkley
    • Residency

June 2000 – June 2001 Berkley, California

  • University of California Davis at Berkley
    • Internship

Licensures / Board Certifications

Texas Medical Board State License

California Medical Board State License

American Board of Orthopedic Surgeons

Oklahoma State Board of Medical Licensure and Supervision

Louisiana State Board of Medical Examiners

Society Memberships

American Academy of Orthopedics Surgeons Alpha Omega Alpha

North American Spine Society Texas Spine Society

HARMS / ISSG Active Fellow, Scoliosis Research Society

Texas Orthopaedic Association International Spine Study Group (ISSG) American Medical Association Collin-Fannin County Medical Society


Presentations / Posters

2010 Acute Proximal Junctional Failure Following Long Posterior Fusion for Spinal Deformity: Risk Factors and Radiographic Analysis Comparing Thoracolumbar to Upper Thoracic Failures (IMAST podium)

2010 Treatment Parameters and Injury Mechanisms Associated with Acute Proximal Junctional Failure Following Posterior Spinal Fusion for Deformity (IMAST e-poster)

2008 Mechanical DVT Prophylaxis and Ultrasound Screening Is Not Effective in Preventing Pulmonary Embolism in Adult Spinal Deformity Surgery (NASS podium / IMAST e-poster)

2008 Increasing Pain and Disability, Rather Than Deformity, Determine Treatment Modality for Older Patients with Adult Scoliosis (SRS podium / NASS podium)

2008 Efficacy of Posterior-Only Approach and Pedicle Subtraction Osteotomy for Extension of Previous Long Fusion to the Sacro-pelvis; Preliminary Data (IMAST podium)

2008 Does vertebral level of Pedicle Subtraction Osteotomy correlate with degree of spino-pelvic parameter correction? (SRS podium / NASS poster IMAST poster)

2008 Validating predictive models of spino-pelvic alignment: pre- and post-operative analysis of 70 adults suffering from sagittal plane malalignment

(IMAST e-poster)

2007 Outcomes of Pedicle Subtraction Osteotomy for Fixed Sagittal Imabalance (IMAST e-poster)

2007 Outcomes of Pedicle Subtraction Osteotomy for Fixed Sagittal Imabalance (NASS e-poster)

2007 Complications of Pedicle Subtraction Osteotomy (NASS podium)

2007 Revision Screw Strategies for Cervical Spine Fixation (IMAST podium)


2010 Alignment Failures Following Thoracic Pedicle Subtraction Osteotomies. Lafage, Bess, Schwab, Klineberg, Hostin, Burton, Shaffrey, Smith, ISSG

2010 Off Label Use of rhBMP2 in Spinal Surgery: Significant Variation in Amount, Location, and Use in Spine Surgery. Klineberg, Gupta, Wood, Burton, Akbarnia, Boachie, Cunningham, Hart, Hostin, Mundis, Schwab, Shaffrey, Smith, Bess, ISSG

2010 Changes in Thoracic Kyphosis Negatively Impact Sagittal Alignment Following Lumbar Pedicle Subtraction Osteotomy. Lafage, Klineberg, Schwab, Akbarnia, Ames, Boachie, Burton, Hart, Hostin, Shaffrey, Wood, Bess, ISSG

2010 Risk Factors for Major Peri-operative Complications in Adult Spinal Deformity Surgery: A Multi-center Review of 953 Consecutive Patients. Schwab, Hawkinson, Lafage, Hart, Mundis, Burton, Line, Akbarnia, Boachie, Hostin, Shaffrey, Smith, Wood, Bess, ISSG

2010 Common Mathematical Formulas Fail to Predict Postoperative Sagittal Alignment: Confirmation of a Need for More Advanced Equations. Smith, Bess, Shaffrey, Burton, Hart, Hostin, ISSG

2010 Thoracic Pedicle Subtraction Osteotomy for Adult Spinal Deformity Improves Regional Spinal Deformity and Pelvic Tilt. Bess , Schwab, Lafage, Hostin, Ames, Klineberg, Boachie, Burton, Hart, Shaffrey, Smith, ISSG

2009 Patients Perceive Perioperative Complications as More Severe and Having Greater Negative Consequences than Surgeons. Cabalo, Bess, Lanning, Akbarnia, Boachie-Adjei, Burton, Gupta, Hostin, Shaffrey, Wood, Kebaish, Cunningham, Hart, ISSG

2009 Extension Of Previous Fusions to the Sacro-Pelvis Vs. Primary Spino-Pelvic Fusions in the Setting Of Adult Deformity: A Comparison of Health Related Quality of Life Measures and Complications. Burton , Kebaish, Shaffrey, Schwab, Hostin, Shelokov, Bess, Boachie-Adjei, Akbarnia, ISSG

2009 Outcomes and Complications of Extension of Previous Long Fusion to the Sacro-Pelvis: Does Surgical Approach Make a Difference? Burton , Boachie-Adjei, Shaffrey, Schwab, Hostin, Shelokov, Bess, Akbarnia, ISSG

2009 The Impact of Reciprocal Regional Alignment Changes Distant from the Site of Spinal Osteotomies Affects Post-Operative Spinal Balance. Lafage, Schwab, Boachie-Adjei, Farcy, Shelokov, Hostin, Hart, Akbarnia, O’Brien, Burton, Shaffrey, ISSG

2009 PSO Failures can be Predicted by High Pre-Op SVA And Pelvic Tilt. Lafage, Schwab, Smith, Farcy, Boachie-Adjei, Shelokov, Hostin, Hart, Akbarnia, O’Brien, Burton, Shaffrey, ISSG

2009 Pre-Operative Pelvic Parameters Must be Considered to Achieve Adequate Sagittal Balance After Lumbar Osteotomy. Schwab, Lafage, Shaffrey, Farcy, Boachie-Adjei, Shelokov, Hostin, Hart, Akbarnia, O’Brien, Burton, ISSG

2009 Major Complications Following Adult Spinal Deformity Surgery: Is There A High Risk Patient Profile? Hawkinson, Schwab, Kelly, Farcy, Mundis, Cunningham, Akbarnia, Hostin, Hart, Boachie-Adjei, Burton, Klineberg, Shaffrey, Bess, ISSG

2008 A biomechanical evaluation of three revision screw strategies for failed lateral mass fixation. Spine. 2008 Oct 15;33(22):2415-21.

2005 Importance of the peridural membrane in percutaneous vertebroplasty. Hostin R, Carr J, Gupta M, Hazelwood S, Dublin A.
J Spinal Disord Tech. 2005 Feb;18(1):34-9.

2003 Hostin R, James M. Reconstruction of the hypoplastic thumb. JASSH. 2004 Nov; 4(4):275-290.

Current Research Studies & Projects

Baylor Scoliosis Center Electronic Research Database

AxialBiotech Scoliosis Genetic Marker Study

ScoliScore AIS Prognostic Test

DePuySpine HEALOS Study

Health Economics Cost Analysis Study

Additional Research

1997 Honors Research

Raymond Papka, Ph.D., Department of Anatomical Sciences. Examined alterations in neuronal activity in the paracervical ganglia and spinal cord associated with pregnancy and parturition

1995-1996 Clinical Research Assistant Amgen, The Normal Hematocrit Cardiac Study