19 Harley St, London, W1G 9QJ, UK

During many spinal surgeries, two or more vertebrae are joined permanently, with a technique called spinal fusion. A fusion creates a solid single mass of bone. It stabilises your spine so that bones and joints no longer rub against each other.

The procedure

In preparation for the procedure, you are positioned and given anaesthesia. The surgeon makes an incision in your skin. The tissues are carefully pushed aside to create a path to your spine. The London Spine Unit is one of the only centres in the world that have the technology and expertise to do this operation as day case surgery ie if all goes as planned walk in and walkout on the same day.

 

Bone removal

If the fusion is to be done as part of a procedure to relieve pressure on the spinal nerves, your spine may need to be modified. Your surgeon may remove part or all of the lamina of one or more vertebrae. Removing this bone creates more space for the spinal nerves. If there are bony growths pressing on your nerves, the surgeon will remove them as well.

 

Graft insertion

To create the fusion, your surgeon uses a bone graft. This graft is made from a special chemical that enhances bone growth and avoids the need to remove bone from your hip. The London Spine Unit does not use cadaveric bone. The surgeon removes part of the bone from the surface of your vertebra to create a base where the graft can grow.

 

Stabilisation of the spine

The surgeon stabilises your spine. This involves the implantation of surgical implants to join these vertebrae. There are many devices available. Your surgeon may use screws and rods, plates, or other items. Lastly, the graft is placed against your vertebrae.

 

End of procedure

After the procedure is complete, the incision is closed. You will not require a brace to support your spine. In the weeks after surgery, new bone will grow and attach itself firmly to your spine. That will create a permanent fusion. You may benefit from physical therapy as you heal.

 

You might also want to read: Day case lumbar decompression surgery

 

About day case surgery

Harley Street Hospital is one of the few centres that offer day case lumbar fusion surgery. This innovative approach gives several benefits for the patient such as:

-The patient does not need to be hospitalised. As a result, you are able to return back home the same day!

-We apply local instead of general anaesthesia, avoiding its possible complications.

-Lower infection rates.

-We use innovative equipment in our surgeries.

-We have a highly qualified team of surgeons and nurses to ensure the best results.

-Day case surgery is less expensive than those requiring an overnight stay.

-Fewer post-surgery complications.

 

Book an appointment to get a checkup.

What is lumbar fusion?

Two or more vertebrae are joined permanently together, with a technique called spinal fusion. A fusion creates a solid mass of bone. It stabilises your spine.

How does the surgeon stabilise the spine?

This involves the implantation of surgical implants and specialised bone graft to join these vertebrae. There are many devices available. Your surgeon may use screws and rods, plates, or other items. The graft is placed against your vertebrae for a natural result.

Is bone removed?

If lumbar decompression is to be done as part of a the fusion procedure to relieve pressure on the spinal nerves. Your surgeon may remove part or all of the lamina of one or more vertebrae. Removing this bone creates more space for the spinal nerves. If there are bony growths pressing on your nerves, the surgeon will remove them as well.

 

Truspilot Reviews

Olivia James
Olivia James
2021-06-23
L4/5 Lumbar decompression and dynamic stabilisation. After 4 years of pain and inability to walk far without sitting down to take pressure off my back and leg, Mr Mo Akmal carried out L4/5 decompression and dynamic stabilisation. The relief from the pain was immediate and I was able to walk up straight at last, pain free. The whole process was really easy and straightforward and I was able to leave the hospital the same day. The difference it has made to my life is amazing. Mr Akmal and his team were professional, friendly and kind at every stage. I have no hesitation in recommending their services.
David Marks
David Marks
2021-06-21
Fantastic medical care I was suffering severe pain in my left leg; diagnosed by my GP as nerve related but no painkillers were having any real effect. Armed with an MRI, I saw Mr Akmal who said immediately that he knew what the problem was an recommended a surgical intervention as a guided cortisone injection would only provide temporary respite. The surgery recommended was the insertion of a small piece of titanium between the two vertebrae that were compressing the nerves going into my leg. I was advised that there were risks, although Mr Akmal's experience was that these risk were minimal. Surgery was arranged for the following week. I visited the hospital the day before the date arranged for surgery to have a number of pre-admission tests and all were fine. I came back the following day at 08:00 and was shown to a glass pod and changed for surgery. A local anaesthetic and sedation were administered and I was unaware of anything until I woke up shortly after the procedure. Within three hours of surgery I was walking, albeit somewhat gingerly and my wife collected me by car at 18:15 that evening to take me home. The nursing staff were very caring and helpful. I had clear instructions of what I needed to do in the two weeks after discharge and then saw Mr Akmal and his colleague 15 days later who inspected the wound from the surgery and said that they were satisfied with how I was healing. I would also mention that I had a phone call at from either Mr Akmal or a colleague to check on how I was doing and inviting me to call if if I was worried about anything every day apart from one for the six days after surgery. More importantly, the relief from the extreme pain was instantaneous. I am walking with a better posture and have had minimal soreness from the procedure. Overall, I would say that my experience was exceptional. I felt well looked after by a team expert in the issue and have immediate and a significant improvement in the quality of my life. There is, as I was told there would be, some residual discomfort from the nerve, which I am sure was in trauma and from the relevant muscles but this improves every day
Martin Williams
Martin Williams
2021-06-03
change your life... I've just completed 3 months with Spine Central and set to continue. after using other Chiro's before I can't tell you how much of a level up this is. My overall health, posture and 'lack of back pain' have really opened me up to a better future. being a Dad of a young 3 year old, I can enjoy the time so much with my Boy. thank you Spine Central.
Lisa P
Lisa P
2021-06-01
Mo Akmal & his team at The Spine unit were absolutely fantastic! My mother walked into the hospital in terrible pain & walked out a few hours later pain free ! She is 87 and now feels like 67 ! The attention she got was excellent I would highly recommend!
Miles McWilliams
Miles McWilliams
2021-05-10
Dr Akmal and his team, I am so happy with A+++ I have known Dr Akmal and his team for the past 8 years, I have seen him and his team ON and OFF for issues regarding my neck, C4/5, C5/6 , C6/7. I first had 3 lots of injections into this area back at the start of things. This helped me for 3 years. Dr Akmal did not want to operate at the time due to my age still been under 40 then. After 3 years I had to see Dr Akmal and his team again. We tried the injection route again but after a few attempts we then had to make the call to cut. I had C5/6 and C6/7 +/- C4/5 anterior cervical decompression and fusion / disc replacement carried out. This was a success and I was out of the hospital within 3 days and recovery took place for the next few months. This year I was operated on the back of my neck for a posterior cervical foraminotomy on the left side at the C5/6 and C6/7 levels. We tried the injections last year but this did not help. Due to Covid to this should have been carried out last year. Dr Akmal explained the risks include nerve injury, dural tear and pain post-operatively but the procedure is fairly routine and the risks are relatively low. Surgery has now taken place back in February. I was released the same day later that evening and been back for my check ups and things are looking up. I am currently training for a half triathlon that I will take part in second week of July. I am doing anything from 120 km to 170 km a week on the bike and running now upto 10 km a day on my running days. I have not been able to swim yet due to pools been closed but I have no issues with movement in me neck. I am very happy I chose Dr Akmal from the start. I did seen two others before him, they were happy to just cut and not look at what was best for me. I also strongly believe the newer technology Dr Akmal uses has really helped me any my life style I lead with sports. I know I would not have had the same results if I did not take the route with Dr Akmal. I really can’t say much more but I am very happy I met Dr Akmal when I did, he has been great and so has his team. Patient Miles McWilliams 😊
Saima Kash
Saima Kash
2021-05-05
Highly recommended!! It was a fantastic experience for my mother in law right from the beginning when she had her first appt with Mr Akmal and was recommended to have a spinal surgery. He has been fantastic, extremely helpful and professional in helping her understand her own condition and pros and cons of the surgery and support her through out the whole process. I would highly recommend him for his excellent professional skills and experience in dealing with patients specially elderly patients.
Radu Ghebaru
Radu Ghebaru
2021-04-23
Professional services - spinal injections Quick and easy to book appointments (online and over the phone). Very helpful receptionist. I had a consultation with dr Akmal who is very professional , patient , kind and understanding. he explained me in details my problem. Trustful and confident in his job, I decided to follow his advice and treatment. I had yesterday a spinal injection . No sides effects so far. A bit in pain but it’s normal. I am aware that I will see the results in one week time only. Great team , exceptional staff (from the receptionist to the nurses and dr Akmal). I would recommend Harley Street Hospital - London Spine Unit to anyone who is having back pains.
Ashraf Elawad
Ashraf Elawad
2021-04-21
Lumbar Disc Surgery. I had difficult times with my disc prolapse in my lower back. The pain was getting worse despite pain killers and physiotherapy. I was a bit nervous considering surgical treatment as a definte solution. The consultation with Mr. Mo Akmal was informative and reassuring and helped me to make a decision going ahead for the surgical option. On the day of the procedure, the staff was welcoming and looked experienced and knew exaclty what they were doing. Mr. Mo Akmal spoke to me before and after the procedure. In less than 2hrs, after the porcedure, I was able to stand, walk, and sit down with no pain. I strongly recommend Mr. Mo Akmal for anybody who has a similar condition.
Joe massimo
Joe massimo
2021-04-16
L5/S1 Microdiscectomy Surgery for 21 year old with Mr Mo Akmal and London spine unit I had minimally invasive spinal surgery for a Bulging disc at L5/S1 impinging on my S1 nerve root. Before surgery I couldn’t walk without a limp and would be in too much pain to walk further than a mile. Being only 21 years old and a keen athlete and student Osteopath, with an interest in sports rehabilitation, I wanted to get back to complete health and fitness from this injury. There is definitely a fear with spinal surgery that a lot of people have in the sports and therapy world however I knew I needed the operation to gain my leg function back and with Mr Mo Akmal and the team at the London spine Unit, I felt in great hands and they were very professional from start to finish with the process. They made me feel very comfortable and safe. I’d highly recommend Mr Mo Akmal and the Team at the London Spine Unit, they are very friendly and take great care of you. I’m feeling much better and am glad I chose to get the surgery done here.
Noam
Noam
2021-04-14
Very good treatment Mr. Akmal Very good treatment from Mr. Akmal and the staff with amazing results. After the first spinal injection I was sure the treatment won't work but as the team encouraged me to keep going to the second injection it then total disappeared. They were also very helpful with all the documents needed for the insurance cover. Much appreciated! I was struggling

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
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What our patients say ...

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Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
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  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
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  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
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£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
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  • Copy of scan on CD
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