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ORIGINAL AIR DATE: 1/31/15 More than 30 years ago, Dr. Alfred O. Bonati invented minimally invasive spine surgery. Over the years, he patented his procedures and the tools he created to perform his exclusive Bonati Spine Procedures. Dr. Bonati, the surgeons, and staff are very protective of these patented procedures. They see first hand just how different they are from all of the imitators who put their patients under general anesthesia. Bonati utilizes Conscious IV Sedation and local anesthesia. Our patients remain somewhat awake, aware, alert and in constant communication with their surgeon. Our success is reflected in a recent 7.5-year survey which shows a patient satisfaction rate of 98.75%. This is due to Dr. Bonati's innovative, exclusive and patented approach to advanced spine surgery. Robert Uteg, M.D. - Board Certified Neurosurgeon: "Before I came here, I did minimally invasive surgery for about four years. I had a very talented neurosurgeon help me with that and I thought I was pretty good. It's a different world here." John Grossmith, M.D. - Board Certified Neurosurgeon: "Within the world of minimally invasive, I think you'll find that there are many centers where minimally invasive is one of the procedures within a multi-specialty group, or a spine group that may focus more on the instrumentation fusion pathway. Whereas at the Bonati Spine Institute, the sole focus is cervical, thoracic, lumbar, sacral procedures that are minimally invasive without fusion." Robert Uteg, M.D.: "When we finish surgeries with Dr. Bonati he asks us 'did the patient move, did you have them walk, did you have him wiggle and twist and move in a way to reproduce their pain in the operating room?' The answer is yes. You'd better have. Because that's the way we see if the pain is gone." Karl Swanson, M.D. Anesthesiologist: "Dr. Bonati is he is more able to identify where the pain is coming from. He is more easily able to correct the problem once you get down to the area where the problem is. (2:24) Being awake during the procedure is a huge improvement because we make sure before the patient gets off the O.R. table, Dr. Bonati is able to make sure that the pain problem has been resolved." (2:34) John Grossmith, M.D.: (2:35) "This procedure has been developed over decades, and so it's the difference between somebody doing a particular task one or two times a week as opposed to 20 times a week, week in and week out. It's much different if you do something several thousand times as opposed to a couple of hundred times." (3:06) Dr. Alfred O. Bonati: "Remember that these procedures are being practiced, and the evolution of the procedures is very small. In Italy, we did a little thing here, and found that the results were not good, then we changed some tools, then we modified the procedure. And that evolved for years. We have 45,000 procedures performed. When you talk about 45,000 in one facility - I don't think there's a facility in the United States that has that amount of experience." AMT Episode 25 - All the Docs