Bonati Procedures
Lumbar Spine Procedures
- Laser Disectomy of the Lumbar Spine
- Laser Lumbar Facet Debridement
- Laser Foramenoplasty of the Lumbar Spinous Process
Cervical Spine Procedures
- Laser Cervical Disectomy- Anterior Approach
- Laser Cervical Decompression- Posterior Approach
- Laser Spinous Process Release
Thoracic Spine Procedures
- Facet Debridement of the Thoracic Spine
- Foramenoplasty of the Thoracic Spine
Procedures – How they are done
The LSH Procedures allow for entry through a small portal in the back or neck measuring only 3mm to 5mm in diameter. Only local anesthesia is required, thus eliminating the need for regional or general anesthesia and its inherent risks. The patient is awake and alert throughout the procedure, which allows him / her to communicate directly with the surgeon. This is extremely valuable in guiding the surgeon to the location of the pain while providing immediate feedback when pain is experienced or relieved.
Depending upon the procedure, a central or lateral approach can be utilized. The tools are guided to their site of pathology by the use of image intensifiers. This allows the surgeon to precisely approach the site of maximum pathology. Once the site has been verified, a number of surgical techniques can be employed to affect the site. This includes application of a laser, the use of mechanical hand tools, the use of mechanical high-powered burrs and rasps.
The LSH Procedures are best defined as advanced spine surgery, although these procedures are also very often defined as laser surgery, endoscopic spine surgery, outpatient back surgery, microscopic spinal surgery, microscopic spine surgery, laser spinal surgery, spinal stenosis surgery, alternative spinal surgery, microsurgery, arthroscopic back surgery, and endoscopic back surgery.