Spinal Revision Surgery For Hardware Removal

The Bonati Spinal Hardware Removal Procedure is used to correct previous failed back surgery. The Bonati Spine Institute holds 7 U.S. patents on its instrumentation and procedures including those required for removing spinal hardware.

A wide array of hardware is commonly used in instrumented spinal surgery. This hardware may include: titanium, titanium-alloy, stainless steel, or non-metallic devices such as harrington rods, rod clamps, screws (pedicle screw, Herbert screw, Acutrak screw, cannulated screw, cortical screws, cancellous screws), plates, wires, cages, Hartshill
rectangles, etc.

Doctors remove spinal hardware from a failed back surgery

Failed back surgery syndrome (FBSS) is a term used to describe patients who continue to experience pain after traditional open spine surgery or spinal fusion. Approximately 60% of patients who undergo traditional spine surgery suffer from FBSS. There are several causes of FBSS related to spinal hardware including a fusion that failed to connect the intended areas, or hardware that breaks or comes loose following surgery.

The Bonati Spinal Hardware Removal Procedures are performed incrementally, one vertebral level at a time, through a small, dime-sized incision. Through the use of local anesthesia and conscious IV sedation, the patient is comfortable, responsive and able to provide feedback to the doctors throughout the procedure. This allows us to target the source of pain with pinpoint accuracy. After localizing the source of pain, usually in the spinal canal or the foramen, our surgeons use our patented instrumentation to remove the spinal hardware.

Following the successful removal of hardware, our surgeons may perform the following surgeries:

The Bonati Discectomy: in which the diseased portion of the disc that is causing nerve compression is removed using specially adapted patented endoscopic instruments, and a laser is used to shrink and remodel the remaining disc.

The Bonati Laminotomy: in which an opening is made in the lamina to approach the intervertebral disc.

The Bonati Laminectomy: in which part of the lamina, or the bony arch of the vertebrae covering the nerves of the spine, is removed, to widen the spinal canal and relieve pressure on the spinal cord.

While in the operating room, the surgical team will confirm the patient is able to complete a series of mobility exercises and verify that the pain has been successfully treated. After the procedure, the patient is transferred to the post-operative care unit for rest and observation, and then a post-operative consultation with the surgeon will help determine if additional procedures included in the surgical plan are necessary. Follow-up surgeries are usually scheduled within a few days of the first surgery, to allow any swelling to subside. During this time, the patient will be given a regimen of walking therapy.

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

The Bonati Spine Institute offers complimentary MRI or CT Scan reviews for patients suffering from chronic pain which can be caused by a variety of spine problems. A surgeon will provide feedback and possible treatment options, for suitable Bonati Spine Procedures candidates. To submit your MRI or CT Scan, or to request a relief package, visit this link.

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