The Bonati Spine Institute

For more than 30 years The Bonati Spine Institute has been a destination for individuals worldwide who have been suffering from neck and back pain. Not only can they find hope at the state-of-the-art medical facility in Hudson, Fla., but they also can find relief from a host of problems that cause neck and back pain.

The Medical Development Corp. is the surgical arm of The Bonati Institute. A staff of medical experts, headed by orthopedic surgeon Alfred O. Bonati perform advanced arthroscopic surgery using the latest technology such as the FDA-approved Holmium YAG Laser.

The Spine Center Locations

The Surgical Center at The Bonati Spine Institute is a state-of-the-art facility that features three, fully equipped operating rooms, a recovery room and private patient preparation rooms.

Medical experts including orthopedic surgeons, neurosurgeons, osteopathic physicians, anesthesiologists, registered nurses and licensed practical nurses are on staff to provide the best care possible to patients seeking relief from a life of pain.

The center features the FDA-approved Holmium YAG laser, which is considered the most effective laser instrument for advanced arthroscopic surgery. Since the wavelength from the tightly controlled laser produces a thermal effect of less than one-half of one millimeter, trauma to the body’s tissues is miniscule.


Who is Dr. Alfred Bonati?

Alfred O. Bonati, M.D. founded the Gulf Coast Orthopaedic Center for Special Surgery of Joint Disease to perform arthroscopic surgery on the hips, knees, shoulders and wrists. He was an early advocate of arthroscopic surgery because he saw that the scarring was minimal, it shortened the patient’s recovery time, and could be performed on an outpatient basis without the need for general anesthesia.

Dr. Bonati realized the same benefits could be applied to spine surgery. As a result, he turned his focus to arthroscopic surgery to correct problems in the spinal column. During this time he developed advanced instrumentation and techniques for spine surgery.

He subsequently obtained 7 patents from the United States Patent and Trademark Office for his methods and instruments. The Bonati Spine Institute was the first surgical center to obtain FDA approval for the use of Holmium: YAG Laser in spine surgery.

What are the Bonati Procedures?

Simple, gentle and innovative, the Bonati Spine Procedures employ arthroscopic surgery to fix chronic and acute neck and back problems. Arthroscopic surgery uses the smallest incision possible – approximately 1 inch long – and is a simple and far less invasive alternative to traditional ”open” back surgery.

Since the Bonati Procedures are less invasive than traditional back surgery, they cause less trauma to muscle and tissue, less blood loss, a shorter recovery period, reduced scarring and less chance of infection or complications.

They require local anesthesia so the patient is alert and able to communicate with the surgeon during the procedure. The less invasive nature of advanced arthroscopic surgery qualifies the Bonati Procedures as outpatient surgery. Outpatient surgery is less expensive than overnight hospitalization.

Anesthesia during the Bonati Procedures

What can you expect during a Bonati Procedure? You’ll be in the hands of an experienced, caring, committed staff who will monitor your every need. Anesthesia is intravenous sedation only – no general anesthesia is used.

Therefore, your pain will be well-controlled. You’ll be able to communicate with the surgeons, anesthesiologist, surgical technicians and nurses so there will be minimal chance for nerve damage.
There are no long-lasting effects as many people suffer from general anesthesia.

IV sedation also allows for The Bonati Procedures to be performed on some people who are not candidates for surgery under general anesthesia.

How does Arthroscopic Surgery Work?

Advanced medical technology, years of experience and an inquisitive mind combined to create The Bonati Procedures.

Dr. Alfred O. Bonati, chief of The Bonati Institute’s Department of Orthopaedics and founder of the institute, created the techniques, which have been performed more than 45,000 times and awarded six patents by the U.S. Patent Office.

In a typical Bonati Procedure, a small tube called a cannula is placed into the tiny incision. An image intensifier called an endoscope is placed in the cannula. The endoscope uses fiber optics and a television micro-camera mounted on a flexible tube to provide lighting and visualization of the interior of the joint. The micro-camera projects a highly magnified and detailed picture of the problem area onto a large screen in the operating room.

The surgical team is provided with a remarkably close and precise view of the exact problem area.

Advantages of The Bonati Procedures

The advantages of the patented Bonati Procedures include:

  • Extensive dissection of the muscle and removal of the bone are avoided.
  • Bleeding in the operative area is reduced considerably.
  • The patient is fully awake and able to communicate with the surgeon.
  • The risks from general anesthesia are avoided, making the procedure available to more patients.
  • The Bonati Procedures are performed as outpatient surgery, permitting same-day discharge and decreasing medical costs.
  • Arthroscopic surgery patients are permitted to return to work and resume daily activities much sooner than patients who have had ”open” back surgery.
  • Arthroscopy allows for direct visualization of the problem site to the patient can be more thoroughly treated.
  • The Bonati Procedures are less likely to produce significant fibrosis or scarring.
  • Contraindications are few due to the minimal invasiveness of the Bonati Procedures, but could include bleeding or diaphysis, tumors, uncontrolled blood pressure, congenital malformations or vertebral fractures.

Conditions Treated by The Bonati Spine Institute

The Bonati Procedures can provide hope and alleviate pain for many individuals suffering from a variety of neck and back problems including:

  • Bone Spurs – an enlargement of the bony structure of the spine
  • Degenerative Arthritis – the chronic breakdown of cartilage in the joints
  • Failed Open Back Surgery – a failed previous surgery that may have involved an incision of several inches in the lower back and removal of some of the backbone
  • Foraminal Narrowing – a disc herniation in the tunnel in which the nerve exits the spine
  • Fusion – A previous procedure whereby one or more vertebrae were fused by bone grafts to prevent motion
  • Instability – abnormal movement of the vertebrae when ligaments, discs and joints are damaged to the point that they can no longer hold the bones together
  • Low Back Pain – nerve irritation or ”pinching” which causes the muscles in the lower back to tense up
  • Radiculitis – irritation of the nerve root caused by degeneration of the outer ring of the disc
  • Sciatica – irritation of the sciatic nerve typically felt from the low back to the thigh and radiating below the knee
  • Scoliosis – sideways curving of the spine
  • Spinal Cord Compression – nerves ”pinched” by ruptured discs
  • Spinal Stenosis – the narrowing of the spaces in the spine and compression of the nerve roots or spinal cord
  • Spondylosis – degeneration of the disc space between the vertebrae usually caused by osteoarthritis. Also called Degenerative Disc Disease
  • Spondylolisthesis – Forward movement of a vertebrae in relation to an adjoining vertebra