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At the Clinic

Procedures and Treatments:

Lumbar, Dorsal and Cervical Spine Infiltrations
Spine Radio Frequency
Tumors of the Spine
Infections of the Spine
Sacroiliac Infiltrations
Herniated Disc
Minimally Invasive Spine Surgery: Microdiscectomy, Arthrodesis, Nerve Decompression
Hip Replacement
Knee Replacement
Internal and External Fracture Fixation
Child Growth Disorders
Pediatric Musculoskeletal Pain
Carpal Tunnel
Sports Injuries
Decompression of The Sciatic Nerve
Ultrasound-Guided Infiltration
Cervical Disc Prosthesis
Rescue of Failed Spine Surgery
Bunion Correction (Hallux Valgus)
Trigger, Claw or Hammer Finger Plasty
Cubel Tunnel Release
De Quervain Tendonitis
Femoro-Acetabular Impingement Treatment

Doctor's Profile

“What makes me unique is the relationship we can establish, I never focus only on doing the physical exam and establishing the diagnosis, but I like to have a relationship with the patient.”

Dr. Andrés Cobar Bustamante, is a doctor and surgeon who specializes in orthopedic and traumatologic conditions. He has experience in the treatment of knee and hip arthroplasties, fracture osteosynthesis, sports injuries and cervical, thoracic, lumbar spine and foot and ankle surgery.

In search of new treatments within the traumatology clinic, Dr. Andrés Cobar continued his studies in minimally invasive spine surgery and ultrasound-guided musculoskeletal infiltrations. He has been a pioneer in the use of these treatments to deal with common sports pain or injuries in a less invasive way and has carried out the first day of scoliosis in Guatemala.

Always looking for an alternative to hospitalization, Dr. Cobar performs 6 to 7 interventions per month in his own clinic, in zone 10 of Guatemala. These are non-invasive outpatient procedures, which can be used to treat spinal pain, musculoskeletal injuries, chronic pain, scoliosis treatment, eliminate pyramidal syndrome and more.

One of the treatments that this professional performs most, minimally invasive spine surgery, is used in people with different conditions in the spine, improving their quality of life. This practice is recent in Guatemala, but it is gaining adherents for its effectiveness and for being a surgery with less recovery time and risks. There are two main objectives that are sought with this intervention: preserve or restore the nervous system and preserve the stability of the spine.

The focus of Dr. Andrés Cobar is always on the patient, in being able to clearly determine what the condition is and treat the disease from the root. This professional is committed to more innovative and less invasive procedures, which are already being used in the international scene. He firmly believes that the treatment should be adapted to each patient and that the disease should not be treated in isolation, but that it is generally related to other aspects of daily life.

“I have an open mind to alternative treatments, as I have also focused a lot on preparing well to be able to offer everything that is available internationally (…).”

Professional Affiliations

AO Trauma

AO Spine

North American Spine Surgery (NASS).

COLMEDEGUA (College of Physicians and Surgeons of Guatemala).

Guatemalan Association of Orthopedics and Traumatology (AGOT).

Guatemalan Association of Column Surgery (AGCC).

Editor of Scientific Articles for Elsevier (Reviewer for Elsevier Scientific Journal).

Academic Affiliations

University of San Carlos de Guatemala, Physician and Surgeon.

Rotation in Foot and Ankle Surgery with Dr. Rabat and Dr. Viladot, Barcelona, ​​Spain

Residence in Traumatology and Orthopedics. Specialties Hospital National Medical Center of the West, IMSS, Guadalajara, Jalisco, Mexico.

Continuing Education Program University Higher Training Course in Spine. University of La Plata, Argentina.

Fellowship AOSpine, Military Hospital of Bogotá, Colombia,

Fellowship Minimally Invasive Column Surgery, Imbanaco Hospital and Valle de Lili; Cali, Colombia.

Certificate of Ultrasound-Guided Infiltration in Musculoskeletal System, Medical Technology Management Institute (MTMI) New Orleans, USA.


Dr. Andrés Cobar: Spine surgery in Guatemala



Vertebral Destruction Syndrome: From Knowledge to Practice. Review Article. Journal of Spine. 4:4.2015

Firearm Injuries in the Spine. Effective Strategy for Diagnosis and Treatment.
Coluna/Columna. 14(3):240-3. 2015

Visual Loss in Spine Surgery: Case Review. Artículo, Presentado en Congreso
Nacional de Columna: AMCICO, Puerto Vallarta, México. 2015

Clinical outcome of anterior vs posterior approach in cervical spondilotyc mielopathy.
Research Article, Presentado en Global Spine Congress, Dubai, UAE. 2016

Clinical Outcome of Surgical vs Conservative Treatment of dens fracture: Serie de Casos. Tesis de Posgrado. 2016

Chronic Ankle Instability: sports related injuries and foot morphology, Marzo 2017, Medigraphic.
Historical perspective of distal radius fractures classification in the twentieth century. Journal of Clinical and Experimental Orthopaedics. Vol. 2/3:26. 2016

Management of burst fractures in the thoracolumbar spine. J Orthop 13(4), 278-281. 2016

Early reduction of acetabular fractures decreases the risk of post-traumatic hip
osteoarthritis?. JCOT 344:7. 2016

Sacral Insufficiency Fractures. J Ortho Rehab Surg. 2016 Vol.1 Issue 1

Bone Grafting in Posttraumatic Bone Defects: Case Report and Review of literature. MJ Case. 2(1):28.2017

A rare case of bilateral hip dislocation. Case Report. Journal of surgical case reports. 2017
Alonzo F, Cobar A, Cahueque M, Prieto JA. Bertolotti´s syndrome an underdiagnosed cause for lower back pain. Journal of surgical case reports, 2018;00,1-4

Special Interests

Dr. Andres Cobar is a nature enthusiast that enjoys sports like athletism scuba diving. Additionally,  he’s passionate about aviation.


Dear Dr. Cobar,

It all started when my grand daughter sent me to her friend a Doctor in Physical Therapy Dr Patty Rosales. I was made an appointment by my granddaughter to see Dr. Patty who as well speaks english which is very important to me since my first language is english, spanish second. So before Christmas of last year I went to my first appointment and she right away saw that my problem was my hip not my leg as I have always thought. Dr. Patty Rosales is a sweet dear understanding person can not say enough about her as well. Dr. Patty Rosales works closely with Dr. Andres Cobar, she called him right away and made an appointment for me to see him the next day.

Now my first visit with Dr. Andres was amazing must add that he speaks english which for me was a great plus. He immediately gave me confidence with his friendly gentle manner. He examined me and agreed that it was my hip that was my problem, and I would need X-rays and exams of many kind and that I would need a hip replacement. So we started with this and several visits with Dr. Andres. My case was rather advance he could see by my X-rays and that I should be operated as soon as possible. By this time we were in January 2019 and Dr. Cobar had a trip to the states planned for the end of the month so my operation was set for February 4th 2019, on he return from this course he was to attend state side.

Day of my operation he was waiting at the hospital we had chosen with his help. Two other Dr’s he had chosen to assist him were there, very nice young Dr’s as well as. Dr. Andres during the operation once he got into my hip saw that he could put a replacement different from what he had first thought I would need which would be a better end result for me.

My time at the hospital was not long I was able to leave the next day. Dr Cobar came to see me in afternoon after my operation and the next morning to sign me out. I spent the next month in Guatemala City with my daughter as I live in Xela which is 4 hours from the city and I had to be seeing Dr. Cobar often after my operation. I felt he was super cautious with me. He at first had me in a wheel chair for several weeks then on to a walker for a month, then to using cane for 2 months. I saw him every two weeks during this time. I was able to return home after the first month. With the advice of Dr. Patty Rosales and Dr. Cobar I started doing Agua exercises at my local gym. Dr. Cobar and Dr. Rosales agreed that since I could not find a good therapist here in Xela and I love to swim that water therapy was the road for me. I has been now 8 months after my hip replacement I am walking, slow running, swimming, not just water exercises which I still do. I do not limp I walk with out assistance of any kind. I have my life back again at 77. I can not fine enough words to thank Dr. Andres Cobar for the care he took with me. He was cautious but he had seen my hip up close and knew what he was dealing with. Was cautious but he why. He is a super human type of person, caring, gentle, patient, thoughtful, can not say enough about this dear Doctor who I owe my recovery to.

Judy Twomey de Hernandez, Guatemala September 2019

Charity, Public Service, Donations

Dr. Andrés Cobar is the director of the first Scoliosis program in Guatemala, through the foundation: World Pediatric Project, which contributed to the program in Guatemala in 2018 and is close to performing the first ad honorem procedures for the correction of this congenital anomaly.