Bertolotti’s Syndrome and the World’s Only Endoscopic Treatment

For millions worldwide, chronic lower back pain is a daily struggle, often caused by an undiagnosed condition called Bertolotti’s syndrome. This congenital abnormality, where an extra or abnormal vertebra in the lower spine (lumbosacral transitional vertebra) causes pain, stiffness, or nerve irritation, affects 4-20% of people. At The Spine Pro in Beverly Hills, CA, Dr. Hooman Melamed, a globally renowned spine surgeon, offers the world’s only endoscopic CT-guided navigated Bertolotti release, attracting patients from across the United States, Europe, Asia, and beyond for its revolutionary, narcotic-free results.

Understanding Bertolotti’s Syndrome

Bertolotti’s syndrome occurs when the lowest lumbar vertebra (L5) forms an abnormal connection with the sacrum or pelvis, leading to:

•  Chronic lower back pain near the waistline.

•  Stiffness or reduced spinal flexibility.

•  Radiating pain to the hips, groin, or legs.

•  Numbness or tingling in severe cases.

Misdiagnosis is common, as symptoms mimic herniated discs or sacroiliitis. Accurate diagnosis requires advanced imaging (MRI, CT) and evaluation by a specialist like Dr. Melamed, whose 20+ years of experience make him a trusted name worldwide.

Why Traditional Treatments Fall Short

Traditional treatments—physical therapy, injections, or open surgery—often provide limited relief or require months of recovery. Studies show conventional Bertolotti surgeries have modest success rates (60-80%) and prolonged downtime. Dr. Melamed’s innovative approach redefines treatment, offering unmatched precision and outcomes.

A Global First: Dr. Melamed’s Endoscopic Bertolotti Release

As the only surgeon in the world performing the endoscopic CT-guided navigated Bertolotti release, Dr. Melamed combines real-time CT imaging with endoscopic tools to release the abnormal vertebra through a tiny incision (<1 cm). Performed outpatient at Cedars-Sinai Medical Center, this procedure offers:

•  Ultra-Minimally Invasive: Minimal tissue damage reduces pain and complications.

•  Narcotic-Free: No postoperative pain medications needed, ideal for patients seeking holistic care.

•  Rapid Recovery: Drive the next day, return to work in days, and resume full activities (e.g., sports) within a month.

•  Global Expertise: Featured on Dr. Oz, The Doctors, and recognized by Castle Connolly, Dr. Melamed is a pioneer in spine surgery, serving patients from California to international destinations.

Who Can Benefit?

Patients from Los Angeles to London with confirmed Bertolotti’s syndrome (via imaging) and failed conservative treatments are ideal candidates. Dr. Melamed’s virtual consultations make it easy for national and international patients to access his expertise, with personalized care plans tailored to their needs.

Why Patients Worldwide Choose Dr. Melamed

With over two decades as a board-certified orthopedic spine surgeon, Dr. Melamed’s innovative techniques and compassionate care have earned him a global reputation. His work at The Spine Pro and Cedars-Sinai draws patients seeking the best in minimally invasive spine surgery, from California’s coastal cities to international hubs.

Start Your Journey to Pain-Free Living

Whether you’re in California, across the U.S., or abroad, Dr. Melamed can help you overcome Bertolotti’s syndrome. Contact The Spine Pro for a virtual or in-person consultation. Call 424-21-SPINE or click here to request an appointment. Join patients worldwide who trust Dr. Melamed for life-changing spine care.