Practice Policy Update regarding COVID-19


William R. Hotchkiss, MD is board-certified, fellowship-trained spine surgeon. He specializes in surgical and non-surgical treatments of the spine, including spine athletic injuries and pediatric spinal surgery. Dr. Hotchkiss uses the latest technology to provide his patients the best possible outcomes.

Spine Athletic Injuries

Athletes are prone to spine injuries as a result of trauma or repetitive movements and stress. Improper technique, fatigue and poor muscle tone and flexibility can also lead to spine injuries. High-risk sports include football, wrestling, weight lifting, ice hockey, skiing, diving and cheerleading. Injuries may cause fracture or slipping of vertebrae, bulging or rupture of intervertebral discs and damage to the spinal cord. This can lead to significant pain and disability.

  • Spondylolysis
  • Spondylolisthesis
  • Herniated discs
  • Nerve Injuries
  • Vertebrae Fracture

The cervical spine comprises the first 7 vertebrae of the spinal column, which form the neck. The cervical spine is highly mobile compared to other regions of the spine such as thoracic or lumbar spine. In contrast to other parts of the spine, the cervical spine has transverse foramina in each vertebra through which the vertebral arteries supply blood to the brain.

The most common cervical spine conditions and surgeries include:

  • Neck Pain
  • Cervical Herniated Disc
  • Cervical Stenosis
  • Cervical Disc Replacement
  • Cervical Spondylosis
  • Cervical Radiculopathy
  • Cervical Radiculopathy
  • Cervical Myelopathy
  • Cervical Spondylosis
  • Cervical Deformity
  • Neck Strain
  • Cervical Disc Herniation
  • Cervical Stenosis
  • Cervical Fractures
  • Atlantoaxial Instability
  • Os Odontoideum
  • Atlantoaxial & Occipitocervical Pathology
  • Anterior Cervical Discectomy and Fusion
  • Cervical Laminoplasty
  • Cervical Disc Replacement
  • Posterior Cervical Fusion
  • Posterior Foraminotomy

Thoracic spine is the central part of the spine, also called as dorsal spine, which runs from the base of the neck to the bottom of your rib cage. The thoracic spine provides flexibility that holds the body upright and protects the organs of the chest.

The most common thoracic spine conditions and surgeries include:

  • Midback Pain
  • Thoracic Disc Herniation
  • Scoliosis
  • Scheuermann’s Kyphosis
  • Vertebral Compression Fracture
  • Spondylolisthesis
  • Adult Idiopathic Scoliosis
  • Adult Degenerative Scoliosis
  • Thoracic Decompression

The lumbar spine is composed of the lower 5 vertebrae, which have been numbered L1–L5. The lowest vertebra of the lumbar spine (L5) is connected to the top of the sacrum, which is a triangular bone present at the base of the spine fitting into the two pelvic bones. In some cases, an extra or sixth lumbar vertebra may be present.

The most common lumbar spine conditions and surgeries include:

  • Back Pain
  • Lumbar Spinal Stenosis
  • Lumbar Radiculopathy
  • Lumbar Spondylosis
  • Lumbar Strain
  • Lumbar Disc herniation
  • Lumbar Decompression
  • ACP Low Back Pain 2017
  • American Academy of Orthopaedic Surgeons
  • Alpa Omega Alpha
  • Texas Medical Association
  • North American Spine Society
  • Texas Orthopaedic Assocaition
  • Gold Foundation