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Pediatric Physicians & Clinicians

Our expertise in pediatric orthopedic services will give you confidence that your child will receive the best possible outcome whether you are faced with a simple fracture or more complex orthopedic issues such as Club foot, Spina bifida or Scoliosis. We treat your child as if they were our own.

Richard A. Hostin, MD

Richard A. Hostin, MD, is a board-certified spine surgeon fellowship trained in orthopedic surgery. He treats a comprehensive range of spinal diseases and disorders that include complex spinal deformity; degenerative conditions of the spine; and spinal trauma, tumors and infections. Dr. Hostin is trained in modern spinal surgical techniques, including minimally invasive surgical methods. His practice focuses on primary and revision pediatric, adolescent and adult spinal deformity. Dr. Hostin was raised in Southern California and earned his bachelor’s degree from UC Berkeley. 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, California, and then went on to receive additional specialized training in spinal surgery during his fellowship at the Twin Cities Spine Center in Minneapolis. Dr. Hostin is the medical director of the Medical City Scoliosis & Advanced Spine Center. He has also served as medical director of the Baylor Scott and White Scoliosis Center – Plano and chief of orthopedics at Baylor Scott and White Medical Center – Plano. He is an active member of the American Academy of Orthopaedic Surgeons, North American Spine Society, Scoliosis Research Society and International Spine Society Group. Dr. Hostin has contributed to numerous nationally renowned research projects and hundreds of other publications and projects, including book chapters regarding complex spine surgery.

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