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The Bonati Spine Procedures

The Bonati Spine Procedures

The Bonati Spine Procedures

The Bonati Spine Procedures are defined as procedures developed and approved by Alfred O. Bonati. The Bonati Spine Procedures use the patented Bonati instrumentation and are solely performed by surgeons at The Bonati Spine Institute.

The key to our success is the exclusive protocol developed by Dr. Bonati. Our comprehensive protocol calls for extensive analysis of MRI or CT studies, along with a full physical examination and thorough evaluation of the patient’s symptoms in order to isolate the exact cause of pain. Only then our surgeons will prescribe a tailored surgical plan to target the source of pain and remedy the patient’s condition. Depending on the condition and the location of the problem, the surgeon will perform an array of techniques exclusive to The Bonati Spine Institute.

The Bonati Spine Procedures are performed incrementally one level at a time to address the main cause of pain. When all of the associated symptoms are relieved, then any other areas in the surgical plan will be re-evaluated to see if the plan is complete or if any other areas should be treated.

Following surgery, a post-operative consultation with the surgeon is conducted to determine whether additional surgery is necessary. If an additional surgery is necessary, it is usually scheduled within a few days after the first surgery to allow any swelling to subside and to allow for walking therapy.

The Bonati Spine Procedures may include an array of the following procedures:

  • Spinous Process Debridement
  • Pediculectomy
  • Corpectomy
  • Decompression Fusion
  • Exploration Fusion
  • Hardware Removal
  • Bone Fragment Removal
  • Decompression Pars Defect
  • Resection of Osteophytes

 

Bonati Spine Procedures Include

Laser Discectomy

This procedure is designed to help people with herniated discs impinging on a nerve root causing:

  • Severe back pain with radiculopathy or radiation of pain into the extremities
  • Pain that has not responded to conventional treatments such as rest, analgesics, prescription pain medication, physical therapy or chiropractic manipulation after three months

The Bonati Procedures are used to decompress the nerve root and remove that portion of the disc that is causing nerve compression and pain.

Microsurgical Debridement of the Facet Joint with Rhizolysis

This procedure is designed to help people with:

  • Pain from facet joint syndrome
  • No response to conventional treatments such as rest, analgesics, prescription pain medication, physical therapy or chiropractic manipulation after three months

The facet joints allow the spine to flex, extend and rotate. The capsules of the facet contain smaller hair-sized sensitive nerves that can become irritated by inflammation caused by degenerative facet joint disease or osteoarthritis resulting in a sensation of pain.

In order to determine if the target joint is the source of the patient’s pain, the patient undergoes diagnostic injections using local anesthetics. If the pain is not relieved, the facet joint is ruled out as the source of pain. If the pain is relieved, then microsurgical debridement of the facets with rhizolysis is recommended.

Laminotomy and Foraminotomy

This procedure is designed to help people with:

  • Severe back pain with radiculopathy or radiation of pain into the extremities
  • No response to conventional treatments such as rest, analgesics, prescription pain medication, physical therapy or chiropractic manipulation after three months

The lamina form a roof over the neural canal. A laminotomy is the partial removal of the lamina to gain access to the affected nerve root. The foramen is the window through which a nerve root exits the spine. Bone spurs that form as a result of degenerative disc disease or spinal arthritis may narrow the foramen, causing nerve root impingement and back pain.

The Bonati Procedures are used to remove tissue from the foramen and decompress the nerve roots that are causing back pain.

Hardware Removal

This procedure is designed to help people who have had:

  • Open spine surgery with hardware placement who continue to experience severe back pain with radiculopathy or radiation of pain into the extremities

Some cause of continued pain after open spine surgery can be traced to scar tissue build-up which impinges on the nerve. In some instances screw heads or other hardware may have moved and is now touching a nerve.

In 2005, Dr. Bonati obtained a patent from the “United States” Patent and Trademark Office on his method and instruments for removing pain producing orthopedic hardware. In 2006, he obtained a second patent from the United State Patent and Trademark Office for additional surgical instruments for the use in removing orthopedic hardware in failed back surgery. Since that time, The Bonati Spine Institute has helped thousands of people who have had hardware placement and continue to have pain. Contact us today to learn more about The Bonati Spine Institute, world leader in advance spine surgery