Treatments

Endoscopic Discectomy

cervical Endoscopic Discectomy uses spinal probing of the annulus through the antero-lateral approach under X-ray guidance to obtain patient feedback and so identify the causal level requiring

Endoscopic Epiduroplasty

During Endoscopic Laser Foraminoplasty the anterior epidural space may be explored by means of flexible steerable endoscopes.

Endoscopic Facet – Joint Surgery

In those cases where facet joint injection has temporarily relieved the symptoms and they have been incompletely alleviated by cryogenic rhizotomy,

Endoscopic Intradiscal Fusion

endoscopic Intradiscal Fusion can be used to stabilise the grossly unstable disc segments which appear to be too damaged to allow disc reconstruction (Bionucleoplasty).

Endoscopic Laser Foraminoplasty

For the most advanced degeneration we have developed the technology to address these problems with keyhole surgery minimising disturbance to the spinal canal contents

Endoscopic Lumbar Decompression

The concept of Endoscopic Laser Decompression & Foraminoplasty is the reduction of lumbar segmental pain by removal of causal pain

Epiduroscopy

Epiduroscopy requires the placement of a 2mm flexible steerable endoscope through the sacral hiatus in to the epidural space around the dura.

Flexible Endoscopic Intradiscal Discectomy

The flexible endoscopic intradiscal discectomy can be performed through a one or two sided approach depending on the complexity of the problem

Foraminoplasty

Foraminoplasty is a term originally coined by the Martin Knight to describe the procedure where a transforaminally approach was optimised to define the incubus of pain sources and specifically and discretely treat or remove the causal pain

Interspinous Spacer

interspinous Spacers are implants that are inserted between the posterior spinous processes. Their purpose is to restore the tension of the ligaments between the spines

Keyhole Disc Replacement

The term Keyhole Disc Replacement is in itself misleading because the procedure replaces the central portion of the disc (Nucleus Pulposus) rather than the whole disc including the Disc Wall (Annulus).

Kyphoplasty

Balloon Kyphoplasty is a minimally invasive procedure designed to stabilise a Vertebral Compression Fracture and help to correct the Vertebral Compression Fracture deformity.

Minimal Intervention Fenestrectomy (MIF)

In most specialist centres, Minimal Intervention Fenestrectomy is performed when disc degeneration is combined with significant bone overgrowth either from the disc margins or from the facet joint margins.

Myeloscopy

Using the same techniques as described for Endoscopic Epiduroplasty the water jacket of the cord may be pierced and the endoscope may be inserted into the water filled space.

Nucleoplasty

Nucleoplasty is a means of reducing the production of breakdown products within the disc which may be irritant

Percutaneous Laser Disc-Decompression (PLDD)

The percutaneous laser discectomy is achieved by passing a side firing laser probe into specific regions of a lumbar or cervical disc under X-Ray control

Posterior Wall Reconstruction (PWR)

initially radial tears were considered a mere chance finding on the M.R.I. scan but Viviprudence (Aware State Feedback) indicates that they represent an important often long-lasting and painful pathology.

Postoperative Information

What you can do you look after your recovery

Vertebral Compression Fracture Treatment Options

Vertebral Compression Fractures may be treated by several methods including

Keyhole Spinal Surgery

Keyhole Spinal Surgery is the colloquial Endoscopic Minimally Invasive Spine Surgery (EMISS) and Fluoroscopically controlled surgery.

Slipped Disc Symptoms and Treatment

The term Slipped Disc refers to a disc bulge (protrusion) or a ruptured disc (disc extrusion or sequestrum) Slipped discs

Spinal Decompression

This term is used to describe different procedures depending upon the Surgeon or Physician.

Endoscopic Interlaminar Decompression

The posterior surgical approach to the spine has been developed from open laminectomy into microscope assisted discectomy

FehrFix & Gelstix

We have been involved in the drive towards mesenchymal stem cell reconstruction of degenerate discs for well over a decade.

FehrFix Polymer Disc Reconstruction

Degenerated intervertebral discs accumulate lactic acid causing pH levels to fall

Gelstix Disc Augmentation

In the Harley Street Spine Clinic we are developing and auditing our use of Gelstix as a means of augmenting the degenerating disc.

Gelstix – Personal Addendum

Endoscopic Laser Foraminoplasty

For the most advanced degeneration we have developed the technology to address these problems with keyhole surgery minimising disturbance to the spinal canal contents whilst using the bloodless cut of the laser to maximum advantage.