Clinical Outcome Research


The Spinal Foundation is a Charity set up in 1994 to develop Minimally Invasive Spine Surgery with high energy sources (Laser / Radiofrequency) and to develop advanced endoscopy and instrumentation and then analyse the clinical outcomes provided by these techniques throughout neck or lower back surgery.

The following pages represent Peer Reviewed publications resulting from this research.

Endoscopic Lumbar Decompression Audit

Outcomes – on 250 patients reviewed 2 – 4 years after surgery, 60% had a halving of pain and doubling of performance. In 75 patients with Failed...

New Research Projects for Research Assistants at the Spinal Foundation

The Spinal Foundation has a number of ongoing research projects in hand and is looking for researchers to complete, publish and present these....

ELF 10 Year Outcome Study

This study is not yet published but demonstrates that 70% of patients treated by ELDF are satisfied with the result 10 years later.


NHS Randomised Study

NHS Randomised Study

Even though the prospective outcome and morbidity studies of Endoscopic Lumbar Decompression and Foraminoplasty have...

PLDD Cervical Clinical Outcomes

Purpose of the Study

To identify the efficacy of laser disc ablation and compare the relative efficacy of Holmium 2100: YAG and KTP532...

PLDD Lumbar Clinical Outcomes

Percutaneous Lumbar Disc Decompression

Purpose of the Study

To identify the efficacy of laser disc ablation and compare the...

Kyphoplasty Outcomes

This systematic review updates the understanding of the evidence base for balloon kyphoplasty (BKP) in the management of vertebral compression...

Failed Fusion Surgery

Failed Fusion Surgery ELDF Outcomes

Purpose of the study:

The study the clinical outcome and morbidity following the use of...

Adult Spondylolytic Spondylolisthesis

Adult Spondylolytic Spondylolisthesis Clinical Study (Published)

Study Design

Prospective evaluation of Endoscopic...

ELDF Complications & Metanalysis Study

ELDF Complications & Metanalysis Study

Purpose of the Study

This study examines the morbidity and complications associated...

ELF 2 Year Outcome Study

Endoscopic Laser Foraminoplasty Clinical Outcomes

A Treatment Concept and 2 Year Outcome Analysis

Aware state surgery has been...

Differential Discography

Differential Discography


A common reason for the failure of conventional spinal surgery is operation at the wrong...

Spinal Probing & Discography

Spinal Probing & Discography


Treatment of back pain is often unsuccessful due to suboptimal identification of the...

Transforaminal Endoscopy - 20 Years Experience

Transforaminal Endoscopic treatment of the Degenerating Lumbar Spine - 20 Years Experience.

Martin Knight MD, FRCS, MBBS.


Transforaminal Endoscopic Lumbar Decompression & Foraminoplasty Procedure

The Transforaminal Endoscopic Lumbar Decompression and Foraminoplasty Procedure

Transforaminal Endoscopic Lumbar Decompression and...

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