19 Harley St, London, W1G 9QJ, UK

Mr Caspar Aylott B.Eng(Hons) MBChB FRCS(Orth) DM

Mr Caspar Aylott

Brief Info

Mr Caspar Aylott was appointed Consultant Spine Surgeon in the Gloucestershire Hospitals NHS Foundation Trust in 2010 and was central to the redevelopment of Spinal services in Gloucestershire.

He is uniquely dual qualified in the UK with a degree in both Mechanical and Materials Engineering (Nottingham University 1993) and as a Doctor (Leicester Medical School 1998). He completed higher surgical training in Bristol achieving FRCS Trauma and Orthopaedics in 2008.

He completed Internationally recognised fellowships in Nottingham, Auckland (New Zealand) and Bristol. In 2007 he obtained a Doctorate from Nottingham University studying motion preserving technologies in the spine.

He is an expert in the diagnosis and management of all degenerative conditions of the lumbar and cervical spine (back and neck) specialising in both conservative and surgical treatments. This includes rehabilitation, injections, minimal access surgery, fusion and non-fusion motion preserving techniques.

He has more than 30 publications and lectures regularly in the UK, Europe and Asia on subjects including minimally invasive surgery and spinal biomechanics. He is an invited reviewer for Bone and Joint Journal and member of EuroSpine and the British Association of Spine Surgeons.

Caspar has a busy independent practice with clinics in Cheltenham and London and sees patients from across the UK and abroad. He manages all types of spine problems from neck to lower back including disc herniations, spinal stenosis, back and neck pain, trauma, deformity (spondylolisthesis and scoliosis), and osteoporotic spine fractures.

He believes strongly in the importance of making an accurate diagnosis and communicating this clearly to patients. This enables prognosis and treatment options (conservative and surgical) to be discussed and sensible informed choices, appropriate for the individual.

He believes that spinal surgery is the last resort in all problems of the spine and is happy to act as an advisor to decide which treatment would be best for your back, neck, leg or arm pain.

His qualifications and experience have enabled him to be a European Faculty Trainer for surgeons in several minimal invasive techniques including Balloon Kyphoplasty and Dynamic Stabilisation, teaching roles he especially enjoys.

Ongoing research interests include motion preserving techniques and early rehabilitation patient outcomes following minimal access surgery.

Caspar has three young daughters who keep him on his toes. He is a former Cathedral chorister and an accomplished pianist. He is a competitive racket sports player and enjoys extreme fishing, windsurfing and skiing.

Doctorate

Thesis: ‘The Dynamic Neutralisation System for the Spine (DYNESYS): Acute Biomechanical Effects on the Lumbar Spine’ 2007 British Library.

This was a 3-4 year Doctorate looking at motion preserving technologies in the spine primarily a pedicle based non-fusion technology with reference to other rigid and non-rigid posterior devices. Measurements included intradiscal pressures, range of vertebral motion and  discal movement. The thesis is held in the British Library in London for public access.

Publications

  • 'Preparation and microstructure of Aluminium Oxide – Titanium Carbide composites by self-propagated high temperature synthesis’ A Chrysanthou, A Saidi, C E W Aylott, J V Wood. Journal of Alloys and Compounds, 203 (1994): 127-132
  • ‘The emergent role of Liver ablation techniques in primary and secondary Liver tumours’ G Garcia, C E W Aylott, T Lloyd, D Berry. European Journal of Cancer 39 (2003): 2150-2164
  • ‘Intraoperative pulmonary embolism of Harrington rod during spinal surgery: The potential dangers of rod cutting’ C E W Aylott, K Hassan, D S McNally, J K Webb. European Spine Journal 2006; 15 (12): 1853-1857
  • ‘Cauda equina syndrome: the factors affecting the outcome of 42 patients with a mean follow-up of 5 years’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop, J Hegarty. Spine Journal 2007; 32 (2): 207-217
  • Picture quiz ‘Trauma to the neck after a fall’ M Rahman, C E W Aylott Student BMJ 2007;15:213-256 June ISSN 0966-6494
  • ‘Post Traumatic Proximal Tibial Growth Arrest; a rare injury managed successfully with ring fixators’ J Barnes, C E W Aylott, R Kirubanandan, F P Monsell. Journal of Paediatric Orthopaedics 2010; 19 (3): 242-245
  • ‘Spinous process morphology: the effect of ageing through adulthood on spinous process size and relationship to sagittal alignment’ C E W Aylott, R Puna, C Walker, P Robertson. European Spine Journal 2012; May 21 (5): 1007-1012
  • ‘Balloon Kyphoplasty for vertebral compression fractures’ Mr Caspar Aylott. In Scope Article. Horizon No.52 August 2014: 7-11
  • ‘Biomechanical Effect of an Interlaminar Device on Ranges of Motion, Intradiscal Pressure, Centers of Rotation’ G Guizzardi, S Persohn, S Campana, C Aylott, P Petrini, W Skalli. The Open access Journal of Science and Technology 2015; Vol 3: ID 101160 1-13
  • ‘The Intraspine in the Treatment of L5-S1 Degenerative Disc Disease.’ Aylott C, Manuel C, Giancarlo G, Riccardo M, Manuel L. Orthopaedics Research Article. Oct 21, 2015
  • ‘Three year prospective study of surgical outcomes of IntraSPINE device in patients treated for degenerative based spinal pathologies with lumbar disc disease.’ D Co-Minh, C Vajeu, L Montron, C Aylott, et al. 2019 Seeking publication.

Abstracts Published

  • ‘Acute biomechanical effects of a novel intra-discal decompression catheter on human lumbar discs’ C E W Aylott, Y L Leung, B J C Freeman, D S McNally. Journal of Bone and Joint Surgery 2005; 87-B (Suppl. I): 37
  • ‘The effects of repeated testing on the biomechanical behaviour of the lumbar intervertebral disc’ K J McKinlay, C E W Aylott, B J C Freeman, D S McNally. Journal of Bone and Joint Surgery 2005; 87-B (Suppl. I): 38
  • ‘The Dynamic Neutralisation System for the Spine (DYNESYS): Acute biomechanical effects on the lumbar spine’ C E W Aylott, K J McKinlay, B J C Freeman, D S McNally. Journal of Bone and Joint Surgery 2005; 87-B (Suppl. I): 39
  • ‘Cauda Equina Syndrome: Factors affecting the outcome of 42 patients with a mean follow up of 5 years’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop. Journal of Bone and Joint Surgery 2005: 87 (Suppl. II): 209
  • ‘Cauda Equina Syndrome: The reproducibility of MRI measurements and prediction of clinical outcome’ M J H McCarthy, D Annesley-Williams, A T Brodie, C E W Aylott, A Jones, M P Grevitt. Journal of Bone and Joint Surgery 2005: 87-B (Suppl. II): 210
  • ‘Cauda Equina Syndrome: Factors affecting long term outcome.’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop. European Spine Journal 2005: 14 (Suppl. II): S51
  • ‘Dynesys (Dynamic Neutralisation System for the Spine): Acute biomechanical effects on the human cadaveric lumbar spine’ C E W Aylott, K J McKinlay, B J C Freeman, J Shepperd, D S McNally. Journal of Bone and Joint Surgery 2005: 87-B (Suppl. III): 234
  • ‘MRI measurements in cauda equina syndrome: reproducibility and prediction of clinical outcome’ M J H McCarthy, A T Brodie, C E W Aylott, D Annesley-Williams, A Jones, M P Grevitt. Journal of Bone and Joint Surgery 2006; 88-B (Suppl. I): 147 and Suppl. II (218)
  • ‘Cauda Equina Syndrome: Factors affecting the outcome of 42 patients with a mean follow up of 5 years’ M J H McCarthy, C E W Aylott, D Annesley-Williams, M P Grevitt, M C Bishop. Journal of Bone and Joint Surgery 2006; 88-B (Suppl. I): 148 and Suppl. II (220)
  • ‘Acute biomechanical effects of a novel intra-discal decompression catheter on human lumbar discs’ C E W Aylott, Y L Leung, B J C Freeman, D S McNally. Journal of Bone and Joint Surgery 2006; 88-B (Suppl. III): 374
  • ‘The biomechanical effects of Dynesys (Dynamic Neutralisation System for the Spine) on the lumbar spine’ C E W Aylott, K J McKinlay, B J C Freeman, D S McNally. Journal of Bone and Joint Surgery 2006; 88-B (Suppl. III): 388
  • ‘Achilles tendon rupture – misinterpretation and recording of the calf squeeze test among accident and emergency and orthopaedic doctors’ C E W Aylott, A Tambe, G Taylor. Journal of Bone and Joint Surgery 2006; 88-B (Suppl. III): 388

Podium Presentations to Learned Societies

  • 'Preparation and microstructure of Aluminium Oxide – Titanium Carbide composites by self-propagated high temperature synthesis’ A Chrysanthou, A Saidi, C E W Aylott, J V Wood. Materials Engineering Conference, Manchester University 1993.
  • ‘The Dynamic Neutalisation System for the Spine (DYNESYS): Acute biomechanical effects on the human cadaveric lumbar spine’ C E W Aylott, K J McKinlay, B J C Freeman, J Shepperd, D S McNally. BritSpine, Nottingham 2004.
  • ‘CES: factors affecting the outcome of 42 patients with a mean follow up of 5 years’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop. European Federation of National Associations of Orthopaedics and Traumatology – 7th Congress, Lisbon, Portugal, June 2005.
  • ‘MRI measurements in CES: reproducibility and clinical outcome’ M H McCarthy, A T Brodie, C E W Aylott, D Annesley-Williams, M P Grevitt. European Federation of National Associations of Orthopaedics and Traumatology – 7th Congress, Lisbon, Portugal, June 2005.
  • ‘Spinous process morphology and the influence of age’ C E W Aylott, R Puna, C Walker, P Robertson. New Zealand Orthopaedic Association Annual Scientific Meeting, Wellington, October 2009
  • ‘Lumbar spinous process morphology and the influence of age’ Aylott CEW, Puna RA, Robertson PA. Spine Society of Australia, Christchurch, April 2010.
  • ‘Acute biomechanical effects of a novel intra-discal decompression catheter on human lumbar discs’ C E W Aylott, Y L Leung, B J C Freeman, D S McNally. Society of Back Pain Research, London 2003.
  • ‘Cauda Equina Syndrome: Factors affecting long term outcome.’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop. Society of Low Back Pain Research (SBPR), Leicester, November 2004.
  • ‘MRI measurements in CES: reproducibility and clinical outcome’ M H McCarthy, C E W Aylott, D Annesley-Williams, M P Grevitt. Society of Low Back Pain Research (SBPR), Leicester, November 2004.
  • ‘The outcome of 42 patients with CES: 5 year follow up’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop. British Association of Spinal Surgeons (BASS), Aberdeen, February 2005.
  • ‘The Reproducibility of MRI measurements in CES and clinical outcome’ M H McCarthy, A T Brodie, C E W Aylott, D Annesley-Williams, M P Grevitt. British Association of Spinal Surgeons (BASS), Aberdeen, February 2005.
  • ‘Misinterpretation and Recording of the Calf Squeeze Test among Accident and Emergency and Orthopaedic Doctors’ C E W Aylott, A Tambe, G Taylor. Malkin Memorial Lecture, Nottingham University 2003.
  • ‘Skip lesions in Sarcoma’ C E W Aylott, J Dixon. Southwest Sarcoma Meeting, Cheltenham, Nov 2004.
  • ‘Cauda Equina Syndrome – Factors affecting long term outcome’ M J H McCarthy, C E W Aylott, M P Grevitt, M C Bishop. Winning presentation Malkin Memorial Lecture, Nottingham University 2004.
  • ‘The Holly and the IV Harrington Rod’ C E W Aylott, K Hassan, D S McNally, J K Webb. Winning presentation Bristol Registrars Christmas Presentations, Bristol 2005.

Poster Presentations to Learned Societies

  • ‘Acute biomechanical effects of a novel intra-discal decompression catheter on human lumbar discs’ C E W Aylott, Y L Leung, B J C Freeman, D S McNally. British Orthopaedic Research Society (BORS), Edinburgh 2003.
  • ‘The effects of repeated testing on the biomechanical behaviour of the lumbar intervertebral disc’ K J McKinlay, C E W Aylott, B J C Freeman, D S McNally. Society of Low Back Pain Research (SBPR), London 2003.
  • ‘The dynamic neutralisation system for the spine (DYNESYS) acute biomechanical effects on the lumbar spine’ C E W Aylott, K J McKinlay, B J C Freeman, D S McNally. Society of Low Back Pain Research (SBPR), London 2003.
  • ‘Achilles tendon rupture – misinterpretation and recording of the calf squeeze test among Accident and Emergency and Orthopaedic doctors’ C E W Aylott, A Tambe, G Taylor. British Orthopaedic Research Society (BORS), Bristol 2004.
  • ‘The biomechanical effects of DYNESYS (Dynamic Neutralisation System for the Spine) on the lumbar spine’ C E W Aylott, K J McKinlay, B J C Freeman, D S McNally. British Orthopaedic Research Society (BORS), Bristol 2004.
  • ‘Biomechanical behaviour of the cadaveric human lumbar intervertebral disc during prolonged in-vitro testing’ K J McKinlay, C E W Aylott, B J C Freeman, D S McNally. British Spine Society Meeting, Nottingham 2004.
  • ‘In-vitro biomechanical effects of DYNESYS (Dynamic Neutralisation System for the Spine)’ C E W Aylott, K J McKinlay, B J C Freeman, D S McNally. Spineweek, Oporto, Portugal 2004.
  • ‘Dynamic ultrasound imaging of the human intervertebral disc’ K J McKinlay, C E W Aylott, B J C Freeman, J Revell, M Mirmehdi, D S McNally. Spineweek, Oporto, Portugal 2004.
  • ‘MRI measurements in CES: reproducibility and clinical outcome’ M H McCarthy, C E W Aylott, D Annesley-Williams, M P Grevitt. British Association of Neuroradiologists, Cambridge 2004.
  • ‘Cauda equina syndrome: factors affecting the outcome of 42 patients with a mean follow up of 5 years’ M J H McCarthy, C E W Aylott, M P Grevitt, B J Freeman. Special poster ISSLS, New York, May 2005.
  • ‘MRI measurements in cauda equina syndrome: Reproducibility and prediction of clinical outcome’ M J H McCarthy, A T Brodie, C E W Aylott, A Jones, D Annesley-Williams, M P Grevitt, B J Freeman. Special poster ISSLS, New York, May 2005.
  • ‘CES: factors affecting the outcome of 42 patients with a mean follow up of 5 years’ M J H McCarthy, C E W Aylott, M P Grevitt. Eurospine, Barcelona, Sept 2005.
  • ‘Lumbar spinous process morphology and the influence of age’ Aylott CEW, Puna RA, Robertson PA. ISSLS, Auckland, April 2010.
  • ‘Changing spinous process morphology with age’ C E W Aylott, R Puna, C Walker, P A Robertson. British Spine Society Meeting, Liverpool, April 2010.
  • ‘The incidence of spinous process neoarticulation, classification of articular patterns and association with deformity’ C Aylott, F Killburn-Toppin, W Bertram, I Harding, J Hutchinson. BritSpine, Liverpool, April 2010.
  • ‘Spine radiographs - is it time to change practice?’ R Khokhar, C Aylott, M Katsimihas, J Hutchinson. BritSpine, Liverpool, April 2010.
  • ‘Patience wearing thin: Concerns with Metal-on-metal (MoM) hip prosthesis.’ H Claireaux, C Aylott. Scalpel Undergraduate Surgical Conference, Manchester, November 2014.

Various Clinical Courses Attended

1998 Basic Surgical Skills, Leicester.

1999 Teaching the Teacher Course, Leicester University.

2000 Advanced Trauma Life Support, Leicester.

2001 Care Critically Ill Surgical Patient, Leicester.

2001 Core Skills in Operative Orthopaedic Surgery, RCS London.

2002 Annual Principles of Fracture Management, Leicester.

2003 British Orthopaedic Research Society, Nottingham University.

2003 Society Back Pain Research Meeting, London.

2003 Statistics Course, Trent Institute for Health Services Research, Nottingham.

2003 6th International Symposium Swiss Spine Institute, Zurich.

2004 British Orthopaedic Research Society, Bristol.

2004 British Spine Society, Nottingham.

2004 Basic Skills in Hand Surgery, RCS London.

2004 South West Sarcoma Meeting, Cheltenham.

2005 Plaster Course, Taunton.

2005 Harvard Pathology Course, Oswestry.

2005 Bristol Zoo Hip Meeting, Bristol.

2005 South West Orthopaedic Club Meeting, Weston Hospital.

2006 Advanced Knee Arthroplasty Course, Basingstoke.

2006 Bristol Zoo Knee Meeting, Bristol.

2006 AO Injured Foot Course, Bristol.

2006 AO Advances in Operative Fracture Management Course, Leeds.

2006 South West Orthopaedic Club Meeting, Gloucester.

2007 AO Spine Forum Meeting, Sheffield.

2007 Basic Science Course, Edinburgh.

2008 Anatomy and Surgical Approaches Course, Oswestry.

2008 Hand Course, Swansea.

2008 New Zealand Spine Society Meeting, Christchurch, South Island.

2008 New Zealand Orthopaedic Assoc Meeting, Hastings, North Island.

2008 Elevating Best Practice in Spine Meeting, Auckland.

2009 Spinal Interbody Meeting, Melbourne, Australia.

2009 Spine Society of Australia Meeting, Brisbane, Australia.

2009 Leadership & Management for Senior Doctors, London.

2009 The Ageing Spine, Barcelona, Spain.

2009 Society Back Pain Research Meeting, Chepstow, UK.

2009 Balloon Kyphoplasty Course, Leiden, Holland.

2010 Cadaveric MIS Course, Munich, Germany.

2010 Anterior approaches, Vienna, Austria.

2010 Lumbar Cadaveric Course, Bordeaux, France.

2010 Summer University Spine, Barcelona, Spain.

2011 Medicolegal Practice, Birmingham, UK

2011 SAS Spine Meeting, Las Vegas, USA

2011 Axialif User Group Meeting, Munich, Germany

2011 Motion Preservation Conference, Florence, Italy

2012 XLIF Cadaveric Lab, New York, USA

2012 British Spine Conference, Newcastle, UK

2012 Spine Week Conference, Amsterdam, Holland

2013 Summer University Spine Faculty (Medtronic), Lisbon

2013 Zimmer Training and Product development, Bordeaux

2013 Stryker Training Faculty, UK

2013 Surgeon to Surgeon visit, lateral approach, Lyon (Medicrea)

2013 ‘Train the Trainer’ course, Selzade, Switzerland

2013 Scientific Committee meeting Intraspine, Ensam Institute, Paris

2014 OLIF course, Frankfurt, Germany

2014 Eurospine meeting, Lyon

2014 Intraspine User group meeting, Nice

2015 OLIF surgery, Dublin, Ireland

2015 Dynesys surgery, Milan, Italy

2015 Ramsay Spine Symposium, UK

2017 Eurospine Meeting, Dublin

2018 Motion preservation course, Lille

2018 Dynamic stabilisation B-Dyn, Bordeaux

2018 Guest Speaker, Intraspine Meeting, Taiwan

2019 Motion preservation course Intraspine, France

2019 Post Montgomery Consenting course, Edinburgh

2019 Intraspine Training cadaveric course, Spain

2019 Advanced communication skills course, Bristol