Lumbar Spine Surgery

The Bonati Laser Discectomy of the Lumbar Spine is designed to help people with:

Severe lower back pain or sciatica with radiculopathy or radiation of pain into the legs

Pain that has not responded to conventional treatments such as rest, analgesics, muscle relaxants and physical therapy after 3 months

Pain from a herniated lumbar disc or discs that have been confirmed by MRI’s, CT scans and/or Myelograms

Pain from previously failed open surgeries

Doctors perform lumbar spine surgery in the operating room

The Bonati Spine Discectomy

The Bonati Laser Discectomy of the Lumbar Spine is performed through an incision of less than one inch. With the patient awake, a needle is placed into the area of the disc that is producing symptoms. A small incision is made on the patient’s back and an endoscopic tube is inserted.

immediate relief from back pain

Using specially adapted endoscopic instruments the diseased disc material is removed and a laser vaporizes the surrounding problem tissue. The laser is then used to shrink and remodel the remaining disc. A small dressing is used to cover the incision. Herniated lumbar discs that produce back and leg pain can be treated with this procedure. The portion of the disc that is causing nerve compression can effectively be removed through the small incision. Often patients feel immediate relief following this procedure. Rehabilitation begins within hours of surgery, and involves gait training, back or neck support, and walking.

The benefits of this procedure include:

The Bonati Lumbar Facet Debridement

This procedure is designed to help people with:

Facet joints, which connect bones in the spine, facilitate motion. Each vertebra has two sets of facet joints, with one pair facing upward and one downward. The joints, which are located at the back of the spine, are like hinges that link the vertebrae together. Debridement means the surgical removal of torn, inflamed, contaminated, damaged or dead tissue.

laser lumbar facet debridement

This technique is used to treat painful facet joints. Prior to surgery, a diagnostic injection of Lidocaine is used to confirm this condition as the cause of lumbar pain.This surgical procedure uses specially-designed probes and the Holmium YAG Laser to remove pain-inducing tissue in nerve branches above and below the affected facet joints on the spine. This procedure is performed by numbing the skin with local anesthesia and inserting a small tube down through a small incision. A miniaturized fiber optic television camera is used to visualize the passageway and the exact problem area. Using a laser, the surgeon vaporizes the painful nerves around the diseased area. Most patients experience relief with a short recovery time. A Bonati Laser Lumbar Facet Debridement usually takes less than 30 minutes and many patients feel immediate relief following this procedure.

The benefits of this procedure include:

The Bonati Foramenoplasty of the Lumbar Spine

A 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 spinal stenosis or foraminal stenosis, conditions that typically cause leg pain. Also, a foramen may be narrowed by a herniated disc or scar tissue from previous surgery. These problems can be treated by a Bonati Laser Foramenoplasty of the Lumbar Spine.

laser foramenoplasty

The Bonati Laser Foramenoplasty of the Lumbar Spine is performed through a small incision in the back, while the patient is conscious under a low-level IV sedation. The narrowed foramen is located with fluoroscopic x-rays, and a guide wire is placed down to the area of disease. Then, a hollow dilating tube is inserted over the wire to the foramen. The endoscope and related surgical instruments are inserted through the tube. The miniaturized television camera on the endoscope provides direct visualization of scar tissue, bone spurs, and diseased disc material. After surgery the patient is prescribed a short course of physical rehabilitation.

The benefits of this procedure include:

The Bonati Debridement of the Lumbar Spinous Process

This procedure is designed to help people with:

laser debridement spinous process

The spinous process is the portion of the vertebrae that protrudes from the back of the spinal column. Spinous processes create the “bumps” on the midline of the back. A Bonati Laser Debridement of the Spinous Process removes the pain-inducing medial branch of the problem nerve. Using local and IV anesthesia and X-rays for guidance, specially designed instruments are inserted directly over the affected spinous process. The laser is then used to obliterate the medial branch of the spinal nerve.

The benefits of this procedure include:

Contact The Bonati Spine Institute today and speak with a Patient Advocate to answer your questions.

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