Dr. Hooman Melamed, a board-certified orthopedic spine surgeon with over 20 years of experience, offers a groundbreaking solution for Bertolotti’s syndrome: the endoscopic CT-guided navigated Bertolotti release. As the only surgeon in the world performing this ultra-minimally invasive procedure, Dr. Melamed delivers life-changing results with minimal recovery time, no narcotics, and a rapid return to your daily life.

What Is Bertolotti’s Syndrome?
Bertolotti’s syndrome is a condition where an abnormal vertebra in the lower spine (called a lumbosacral transitional vertebra) causes chronic back pain, stiffness, or nerve irritation. It’s often misdiagnosed or treated with invasive surgeries that require long recoveries. Dr. Melamed’s innovative approach changes that, offering a precise, patient-focused solution.
The World’s Only Endoscopic CT-Guided Bertolotti Release
Unlike traditional open surgeries or standard endoscopic techniques, Dr. Melamed’s procedure uses real-time CT imaging and advanced navigation technology combined with endoscopic precision. Here’s how it works:
• A tiny incision (less than 1 cm) is made, minimizing tissue damage.
• Specialized endoscopic tools, guided by intraoperative CT scans, precisely release the abnormal vertebra’s connection, relieving pain and pressure.
• The outpatient procedure is performed under local anesthesia with light sedation, avoiding the risks of general anesthesia.
This unique approach, developed by Dr. Melamed, is not offered anywhere else in the world, making The Spine Pro the premier destination for Bertolotti’s syndrome treatment.
Why Choose Dr. Melamed’s Approach?
• Unmatched Expertise: With over two decades as a top-rated spine surgeon, Dr. Melamed is recognized by Castle Connolly and featured on Dr. Oz and The Doctors for his innovative techniques.
• Ultra-Minimally Invasive: The small incision and precise navigation reduce pain, scarring, and complications compared to traditional surgery.
• Narcotic-Free Recovery: Patients typically need no pain medications post-procedure, aligning with Dr. Melamed’s commitment to holistic, patient-centered care.
• Rapid Return to Life:
• Drive the Next Day: Most patients resume driving within 24 hours.
• Back to Work in Days: Return to work within a few days, depending on your job.
• Full Activities in a Month: Resume sports and activities within 4 weeks, compared to 3-6 months with conventional methods.
Who Is a Candidate for Bertolotti Release?
If you experience chronic lower back pain, stiffness, or sciatica-like symptoms and have been diagnosed with Bertolotti’s syndrome (confirmed by X-ray, MRI, or CT), you may be a candidate. Dr. Melamed conducts a thorough evaluation to ensure this procedure is right for you, especially after conservative treatments like physical therapy or injections have failed.
Why The Spine Pro?
At The Spine Pro, Dr. Melamed combines cutting-edge technology with compassionate care. His work at Cedars-Sinai Medical Center and his reputation as a leader in minimally invasive spine surgery ensure you receive world-class treatment. No other surgeon offers this unique procedure, making The Spine Pro the only choice for patients seeking the fastest, safest path to pain relief.
Make an Appointment Today
Ready to reclaim your life from Bertolotti’s syndrome? Contact The Spine Pro today to schedule a consultation with Dr. Hooman Melamed. Call us at 424-21-SPINE or click here to request an appointment. Learn why patients from across the globe trust Dr. Melamed for innovative spine care.
Endoscopic CT-Guided Bertolotti Release FAQ
What is Bertolotti’s syndrome?
Bertolotti’s syndrome is a condition where an abnormal vertebra in the lower spine (lumbosacral transitional vertebra) causes chronic back pain, stiffness, or nerve irritation. Often misdiagnosed, it requires expert care. Dr. Hooman Melamed, a globally recognized spine surgeon, offers the world’s only endoscopic CT-guided navigated Bertolotti release, delivering life-changing relief to patients worldwide.
What makes Dr. Melamed’s Bertolotti release unique?
Dr. Melamed is the only surgeon globally performing this ultra-minimally invasive procedure, using real-time CT imaging and endoscopic precision through a tiny incision (<1 cm). Performed outpatient at Cedars-Sinai Medical Center, it’s narcotic-free, allowing patients to drive the next day and resume full activities within a month, far faster than traditional surgeries.
Who can benefit from this procedure?
If you have chronic lower back pain, stiffness, or sciatica-like symptoms and imaging (X-ray, MRI, CT) confirms Bertolotti’s syndrome, you may be a candidate. Dr. Melamed’s expertise attracts patients from across the United States, Europe, and beyond, especially those who’ve tried physical therapy or injections without success.
What is the recovery like?
• Day 1: Most patients drive within 24 hours.
• Within Days: Return to work, depending on your job.
• Within 1 Month: Resume full activities, like sports, compared to 3-6 months with conventional surgery.
Is the procedure covered by insurance?
As an out-of-network provider, Dr. Melamed’s office works with patients to submit claims, with patients responsible for uncovered costs per our financial agreement. Our team supports international and national patients with insurance navigation. Call 424-21-SPINE for assistance.
Why choose Dr. Melamed?
With over 20 years as a board-certified orthopedic spine surgeon, Dr. Melamed is a global leader in minimally invasive spine surgery, featured on Dr. Oz, The Doctors, and recognized by Castle Connolly. His exclusive Bertolotti release draws patients from California, the U.S., and worldwide to The Spine Pro in Beverly Hills.
How can I schedule a consultation from outside California?
Dr. Melamed offers virtual consultations for patients across the U.S. and internationally. Call 424-21-SPINE or click here to request an appointment to connect with our Beverly Hills team and start your journey to pain-free living.
Patient Testimonials
“I flew from London to see Dr. Melamed after years of back pain from Bertolotti’s syndrome. His endoscopic procedure was a miracle—I was driving the next day and back to work in a week, pain-free without narcotics. He’s truly the best in the world!”
– Emma S., London, UK
“As a construction worker in Texas, I thought my career was over due to back pain. Dr. Melamed’s unique surgery changed everything. I was back on the job in days and hiking within a month. His expertise is unmatched!”
– Carlos M., Austin, TX
Share your story at info@thespinepro.com or schedule a consultation to experience world-class care, no matter where you are.
Insurance
and Billing
We provide a very high level of individualized and concierge care. Therefore, we are out-of-network with almost all insurances, but as long as you have out-of-network benefits, we are happy to work with you, bill on your behalf, and verify your benefits.

