19 Harley St, London, W1G 9QJ, UK

Covid 19 Coronavirus considerations in spinal surgery

At the London Spine Unit we have a patient selection process before surgery to ensure the safety of patients and staff during the Covid-19 Pandemic.

Any patient undergoing spinal surgery needs to go through a selection process that can identify risks.

Our selection process is based on ;

  1. Patient Risk Factors
  2. Severity of Symptoms and diagnosis
  3. Type of Surgery
  4. Staff Testing
  5. Safety considerations related to Covid-19 Exposure
  6. Travel safety


Aerosol Generating Procedures (AGPs)

The following procedures are currently considered to be potentially infectious AGPs for COVID-19 (this is still under consideration by PHE and may be subjected to change):

1.      Intubation, extubating and related procedures e.g. manual ventilation and open suctioning of the respiratory tract (including the upper respiratory tract)

2.      Tracheotomy/tracheostomy procedures (insertion/open suctioning/removal)

3.      Bronchoscopy and upper ENT airway procedures that involve suctioning

4.      Upper Gastrointestinal Endoscopy where there is open suctioning of the upper respiratory tract

5.      Surgery and post mortem procedures involving high-speed devices

6.      Some dental procedures (e.g. high-speed drilling)

7.      Non-invasive ventilation (NIV) e.g. Bi-level Positive Airway Pressure Ventilation (BiPAP) and Continuous Positive Airway Pressure Ventilation (CPAP)

8.      High Frequency Oscillatory Ventilation (HFOV)

9.      Induction of sputum

10.  High flow nasal oxygen (HFNO)

11.  For patients with suspected/confirmed COVID-19, any of these potentially infectious AGPs should only be carried out only when essential.


See PHE for any updates:


The management of emergency spinal surgery during the COVID-19 pandemic in Italy





What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon
covid 19 flow chart

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

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