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Dr. Hooman Melamed’s Ultra-Minimally Invasive Biportal Endoscopic Approach to Spine Surgery: Learn More

Bertolotti’s Syndrome Treatment in Beverly Hills

Bertolotti’s Syndrome Treatment in Beverly Hills

 

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.

Bertolotti's Syndrome Treatment In Beverly Hills, Ca

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.

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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 [email protected] or schedule a consultation to experience world-class care, no matter where you are.

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Linda Lam profile picture
Linda Lam
17 September 2026
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Dr. Melamed is so genuinely kind and concerned for our care. He's never rushed and explains everything in layman terms. He his resume is phenomenal and so are his diagnosis, treatments and surgeries that have led me to full recovery.
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mk4uandme
3 September 2026
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I had a disc replacement almost a year ago. I feel much better. I chose him to be my surgeon because he came highly recommended from several different sources. Last month, Dr. Melemed Noticed something wrong in the current x-ray compared to a few months ago. I had zero symptoms and thought I was just fine. He quickly asked to redo the surgery and explain to me what might've happened. The surgical center he sent me to both times have been amazing and I really appreciate the Dr reaching out to me even though I had no symptoms. That speaks highly of his character.
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Mark Myers
1 September 2026
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I was incapacitated, couldn’t stand, sit or walk. The pain was excruciating. I’ll spare you the diagnosis, but it was serious. I could only lie down with my foot up to reduce the pain. It required EMERGENCY surgery. I consulted a couple surgeons that didn’t give me any confidence. I got referred to Dr. Melamed. During my initial consultation, he nailed the source of my pain before I could even tell him. His confidence, manner, and his staff made the decision for me. I was scheduled for surgery within 4 weeks. The day before my surgery, I became ill with a flu bug. I was heartbroken to have to cancel, but he moved heaven and earth to get me in within a week. And that took some doing. Dr. Melamed did 2 procedures in ONE day. Total of 5 hours. The next day, although a bit premature, I had the nurse help me get to my feet. In a miracle, I could stand, I could walk, I could sit. There was some rehab time, but as I sit here today, I am 90% recovered. He is a surgeon who knows his craft. His staff was incredible always on point. He used minimally invasive technique to access the lumbar. His pain regiment did NOT include narcotics, and it worked GREAT. Dr. Melamed and his staff are at the top of their game. What more can I say?
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Simone Bellanger-Lopez
29 August 2026
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What a refreshing experience! It has been a long time since I felt like a doctor had the time and interest in my care. Thank you Dr. Melamed to you and your staff. The 115 mile drive was worth the visit.
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Anita Esfandiari
28 August 2026
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I have the most respect for Dr, Melamed, he is by far the utmost professional, ,caring , knowledgeable and honest dr, I have ever known. He doesn’t rush to get out of the examining room. If you want the best care u need Dr, Melamed. I’m grateful to Dr, Melamed Dr, Melamed, THANK YOU FOR ALWAYS BEING AVAILABLE TO ANSWER ALL MY CONCERNS 🙏.
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Jim Schoen
27 August 2026
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Dr. Melamed is above and beyond the finest physician, person and surgeon I have ever encountered or could envision. On three separate, unrelated cases, he has restored my quality of life through challenging spine surgeries. He has always started with conservative approaches, striving to avoid surgery yet when surgery was clearly required, he performed very skilled, compassionate surgeries on my cervical, cervical fusion and lumbar which allowed me to continue a highly active, unimpacted quality of life. In all cases, other surgeons recommended more aggressive surgeries and Dr. Melamed always opted for just what was needed (e.g. laminotomy vs. laminectomy) and this always proved to be best for my health and wellbeing. Dr. Melamed has the best skills and compassion of any Surgeon you will ever find.
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Jennifer Anderson
26 August 2026
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Staff was absolutely caring and beyond helpful. Dr Melamed is a true patient advocate! And a blessing to my young daughter who suffered tremendously with back pain due to Bertolotti syndrome. He is amazing at what he does and has a genuine compassion for his patients! He has a heart of gold! I would highly recommend this office.
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Ken Wiggins
18 August 2026
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I am a retired firefighter with 29 years of service. I was forced to retire because of back injuries I sustained during my career. Over the years, Dr. Melamed has performed three lumbar procedures on me, and in 2024, he performed a triple cervical disc replacement. Dr. Melamed is an outstanding orthopedic surgeon, but what truly sets him apart is the way he advocates for his patients. Every one of my procedures was initially denied by Workers’ Compensation. Rather than simply accepting those decisions, Dr. Melamed personally contacted the doctors who had denied my treatments and fought to have those decisions changed. Because of his efforts on my behalf, I was able to receive the treatment I truly needed. Dr. Melamed went above and beyond to make sure I received the care I needed. Not many doctors are willing to take that extra time and personally fight for their patients. He did exactly that for me. I wish there were more doctors like Dr. Melamed—doctors who are ethical, compassionate, dedicated, and willing to do the right thing for their patients. I am extremely grateful for everything he has done for me. Dr. Melamed is not only an exceptional orthopedic surgeon; he is a true patient advocate. I would highly recommend him to anyone who needs an orthopedic surgeon who genuinely cares about his patients and stands up for them.
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Dan Zanger
13 August 2026
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Very interested in where you pain emanates from and just not one to jump in to do surgery
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Anthony Johnston
13 August 2026
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Very thoughtful and nice doctor. Answered all my questions.
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Holly Graham
13 August 2026
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Very attentive staff and professional response time. Quick access to initial appointment and accurate, timely process from assessment to surgery. Ethical, caring physician with high standard of excellence in all areas of treatment. Navigated insurance communications to procure coverage and schedule surgery within days per medical necessity. Would highly recommend Dr Melamed and his office.
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EDMUNDO TORRES
6 August 2026
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I had a great experience at The Spine Pro with Dr. Hooman Melamed. From the moment I arrived, the staff (Paty, Sarah and Nelly) were welcoming, professional, and attentive. Everyone took the time to answer my questions and made me feel comfortable throughout the entire process. Dr. Melamed was knowledgeable, compassionate, and explained everything regarding the surgery clearly, which gave me confidence and peace of mind. The office was clean, well-organized, and efficiently run. I truly appreciated the excellent care and positive experience from start to finish. I highly recommend The Spine Pro with Dr. Melamed and the entire team to anyone looking for outstanding surgical care.

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.

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