What Makes The Bonati Spine Procedures Different and Unique?

You can feel the difference!

Several years ago, Dr. Bonati transformed traditional spine surgery using modern technology to address the problems that arise with many of the older conventional spine surgery techniques.  His procedures have followed an evolutionary process over many years of experience that has advanced spine care to a whole new level of excellence.

The Bonati Spine Procedures are less invasive than traditional spine surgery but employ many of the same instrumentation that is used during conventional decompression procedures.  However, a significant advantage of The Bonati Spine Procedures is the use of an endoscope that assists the surgeon by magnifying the direct visualization of the surgical site several times that of traditional spine surgery.  This technological advancement gives the surgeons full visualization and, in fact, better visualization of all of the posterior neural elements and vertebral structures at the level of operation including the disc, spinal canal and cord.  If bone spurs or fragments or scar tissue are present, as in in many failed back surgery syndrome cases, these also can be visualized during The Bonati Spine Procedures.

Because many of the same instruments are used during The Bonati Spine Procedures as in other traditional techniques, our surgeons are able to accomplish more advanced surgical procedures than some of the other minimally invasive techniques that are being utilized today. 

Our technique is not a needle-based procedure.  Unlike other minimally invasive procedures that use a Guide Wire during an indirect visualization procedure, The Bonati Spine Procedures use a Guide Pin for the sole purpose of direct visualization through the surgical tubes that gives the surgeon a full view of the posterior spinal elements.  Guide Wires are not used during The Bonati Spine Procedures.  Epidurograms are not performed or necessary during our procedure  fluroscopy is only used at the beginning of the procedure to determine the correct interspace for the surgical approach and tube placement.

In The Bonati Spine Procedures, the anesthesiologist administers a mild IV sedation and the surgeon injects a local solution into the surgical site.  The patient is awake during the procedure and able to respond to the surgeon’s questions  regarding their symptoms during the procedure.  Through a 1″ incision, total decompression is completed as deemed necessary by the surgeon to address the patient’s pathology including an extensive laminotomy, partial or complete facetectomy and scar tissue dissection with decompression of the neural foramen and spinal canal.

The surgeon uses a blunt hook to palpate the spinal canal and nerve root path while questioning the patient about their symptomotology to confirm complete decompression.  The patient reports their symptoms to the surgeon and literally feels immediate relief of their symptoms on the operating table.  Disc decompression, removal of bone spurs (osteophytes), and a partial corpectomy may also be accomplished during the surgical procedure.  For patients who have had previous fusions that are experiencing pain and nerve root compression from the spinal hardware, The Bonati Spine Procedures enable the surgeons to remove the hardware at the affected level and address any additional pathology causing their symptoms.

The advanced Bonati Spine Procedures combine conventional and innovative techniques with sophisticated technology that allows a more complex surgical procedure to be accomplished in a transformational and revolutionary approach to spine care.  The Bonati Spine Institute has been perfecting this technique and technology for over 25 years.

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