10/11/25 S11 E4650: WHAT'S NEW WITH "ADJACENT SEGMENT DISEASE"?10/11/25 S11 E4650: WHAT'S NEW WITH "ADJACENT SEGMENT DISEASE"?
American Medicine Today - Radio
Dr. Alfred Bonati discusses Adjacent Segment Disease post-spinal fusion, advocating for less invasive alternatives to alleviate back pain effectively.
8:33•11 Oct 2025
Rethinking Spinal Fusions: Insights from Dr. Alfred Bonati
Episode Overview
- ASD is a common complication following spinal fusion surgery.
- Dr. Bonati argues against spinal fusions due to mechanical issues.
- Alternative techniques can resolve back pain without invasive surgery.
- Spinal fusions can lead to economic and societal burdens.
- Patient-first care should prioritise less invasive solutions.
“"Fusion is a problem for the patient, for the society, for the economy, and more than anything, it's unfair to do it."”
Curious about how others navigate their sobriety journey? This episode of American Medicine Today tackles the contentious topic of spinal fusion surgery and its aftermath, known as Adjacent Segment Disease (ASD). With spine surgeon Alfred Bonati, M.D. at the helm, listeners are guided through the complexities of ASD, a condition where degeneration occurs in spinal segments next to a fusion site. Dr.
Bonati passionately argues against spinal fusions, highlighting how they can lead to mechanical issues that exacerbate pain and lead to further complications. In a candid discussion, Dr. Bonati sheds light on why his institute opts for alternative methods over traditional fusions. With over 80,000 procedures under his belt, he claims to have perfected techniques that alleviate back pain without the need for invasive fusion surgeries.
His approach aims to spare patients from lengthy recovery times and economic burdens often associated with traditional spinal fusions. The episode is a mix of medical insight and personal conviction, as Dr. Bonati challenges the status quo and advocates for patient-first care. His fervent belief that fusions are not only unnecessary but potentially harmful is sure to provoke thought and discussion among listeners.
If you're intrigued by medical innovation or seeking alternatives to traditional treatments, this episode offers a compelling perspective. What are your thoughts on the balance between medical innovation and patient care?
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