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19 Harley St, London, W1G 9QJ, UK

We are the London Spine Unit
Harley Street

About Us

We offer individualised care for those seeking something more tailor made for their health needs.

Our Location

We are based on 19 Harley Street, London. UK’s most prestigious Health District. Providing the most exclusive care.


All specialists are consultants who hold appointments at UK’s Top University Hospitals and are the best experts in their fields.

We are UK’s leading Specialist Laser Spine Centre.  Our facilities have been accredited for laser spine surgery.

We offer Advanced Biological Techniques using Medical techniques or your bodies Natural Healing potential

We specialise in Minimally Invasive Spine Surgery and use Keyhole Camera assisted techniques.

We get you better Quicker

Shockwave Ultrasound

We use shockwave treatment to accelerate healing and enhance our special techniques

Spine Health Supplements

Our licensed pharmacy has supplements that will keep your spine healthy

Physical Therapy

We have experts in rehabilitation, osteopathic manipulations and neuro-rehab


A Focus on High Quality Care

We specialise in exclusive health services for  individuals seeking Advanced medical, non-surgical or minimally invasive treatments

A Focus on High Quality Care

We specialise in exclusive health services for  individuals seeking Advanced Medical, non-surgical or minimally invasive treatments

Disc Replacement Surgery

Disc replacement surgery is the process of replacing old, worn out discs with a replacement disc made of material that extends the life of the spine. Surgery is ideal for patients who are living with degenerative disc disease and other conditions where there is compression to the spine nerves and ligaments, and where conservative treatments have brought no satisfactory results. In short, where a person still experiences lots of pain and finds it difficult to get on with normal everyday tasks, such as walking, sitting, standing and generally manoeuvring around, disc replacement surgery may be an option considered by our Harley Street spine specialists.

Overview of Disc Replacement Surgery

Artificial Disc Replacement surgery has been around in Europe for more than 15 years. Our own specialist consultant surgeon Dr Mo Akmal has been carrying out this procedure for the best part of 12 years and has been able to achieve exceptional results for patients. Drawing on his expertise in both osteopathy and neuropathy, Dr Akmal has seen dramatic results in pain reduction and increased mobility in his patients yet is also always careful to stress that success for this type of surgery does not necessarily mean that pain will disappear altogether. This is often due to structural and behavioural changes in the ligaments, spinal processes and nerves as a result of living with the condition for many years. As a consequence, a person may still experience some pain, or experience phantom (non-mechanical) pain, even though the degenerated or diseased disc has been replaced. For this reason, we tend to speak of success rates of between 70 and 96 percent.

Disc replacement surgery nevertheless has higher success rates than fusion surgery, rated at around 50 to 55 percent. Fusion surgery can also leave patients with pain from the vertebral bone harvesting in the hip.

The Procedure

The key to successful artificial disc replacement surgery begins with good pre-op testing and diagnosis. Our specialist consultants will therefore first spend much time studying your x-rays, CT or MRI scans to gain a full picture of your condition. Only then can we plan an approach to surgery that will give a patient the best possible outcome. Once satisfied our team of surgeons will perform the following steps:

First, a small incision is made to the neck.
The damaged disc and its fragments are entirely removed.
The space created is then jacked up to heighten it to the standard height of a disc. The importance of restoring this height is to avoid nerve entrapment in future if the disc wears out.
Using x-rays guidance, the disc space is replaced with an artificial disc device.

Once replaced, the artificial discs work to mimic the properties and function of the natural spinal disc. The main benefit of artificial disc replacement operation is that there are no risks associated with bone grafting. A patient will need to manage post-op pain for the long-term success of the artificial disc procedure, as phantom pain can be mitigated or stopped. 

We are UK's most Highly Rated Spine Clinic.

We offer cutting edge treatments for Back Pain, Neck Pain, Spinal Stenosis, Scoliosis, Degenerate Discs, Sciatica and all spinal conditions. 

Our Unique unrivalled Specialist Day Surgery Techniques allow rapid recovery. 
We treat all Spinal Conditions and have use the Latest Spinal Treatments.

 Our Medical Director, Mr Mo Akmal MD has over 20 Years of Experience and is a lead consultant at Imperial College London. 

We offer full package Prices at our Harley Street Hospital Facility and are covered by every Insurance Company apart from AXA


Specialist Spine Services

cervical-spine-trauma (108)

Our Spinal Specialists are leaders in the techniques of minimally invasive spinal surgery. We offer treatments that avoid the need for large skin incisions or muscle damage. We have expertise in performing most operations including disc replacement or fusion through tiny incisions that allow rapid recovery and return to full function.Laser disc surgery, Balloon Kyphoplasty, Ozone spinal therapy, Endoscopic discectomy, keyhole disc replacement surgery, Advanced biological treatments for spinal disc and facet joint degeneration, spinal epiduroscopy, spinal injections and pain management.


We specialise in avoiding the need for open spinal surgery. Our specialists have a proven track record in targeting the source of pain without skin incisions. We perform Nerve root blocks, facet joint injections, caudal, lumbar and cervical epidurals and other needle treatments. Denervation and Radiofrequency procedures are routinely undertaken


Laser Discectomy: PLDD is a minimally invasive laser treatment performed using local anesthesia for disc hernia/protrusion. During the procedure, a thin needle is inserted into the herniated disc (the target of the tip of the needle is the center of the disc called nucleus pulposus) under x-ray guidance. The protruding disc is vaporised to free up nerves without the need for open surgery.


Spinal epiduroscopy involves the use of a fibreoptic camera that is inserted through a needle device into the spinal canal under local anaesthetic to target areas of pathology in the spine. Under direct camera vision, most disc prolapses, scar tissue or nerve inflammation can be targeted and relieved rapidly. Very few specialists in the UK are trained in this procedure.


Specialising in medical aesthetics, physiotherapy and Shockwave Therapy (ESWT). Non-invasive and minimally invasive treatments for a wide variety of medical conditions or wound healing enhancement. We offer Naturopathy, osteopathy, manipulation therapy and dietary solutions.

Located at The Harley street Hospital

Harley Street is UK’s most prestigious Health Care District and recognised internationally for the high quality of clinical expertise. Our Spine unit is an  integral part of The Harley Street Hospital and has some of the most exclusive facilities that are focused on providing you with the latest in spine care. We are proud of the fact that we avoid open surgery for over 90% of patients regardless of their diagnosis. We are leaders in Advanced Spinal care and Day Surgery. Our specialists are highly trained in minimally invasive spinal surgery and even perform spine stabilisation as day surgery.

We believe the heart of Healthcare is Service

Our mission is to provide Safe, Caring, Effective, Responsive and Well Led care focusing only on your needs.



Diagnostics and Imaging


Are you ready for consultation?

Our top Spinal Consultants will see you at short notice. A GP referral is not required if you are self funding. Avoid Long NHS waiting times and contact us directly for an immediate appointment.
All our consultants are Highly trained specialists working at University Hospitals and will give you the most comprehensive assessement and treatment.

Are you ready for consultation?

Our top Spinal Consultants will see you at short notice. A GP referral is not required if you are self funding. Avoid Long NHS waiting times and contact us directly for an immediate appointment.
All our consultants are Highly trained specialists working at University Hospitals and will give you the most comprehensive assessement and treatment.

Mr Mo Akmal MD FRCS

Consultant Orthopaedic Spine Surgeon
Medical Director
The Harley Street Hospital

Mr Akmal is our lead spine specialist with over 20 years
of experience in treating spine conditions.

“I cannot too highly recommend Mr. Akmal’s procedure.”
Viscount Bridgeman – Trustpilot
Mo Akmal was Superb!!
S Canny – Trustpilot

Independant Reviews

Our Revolutionary Techniques allow any Spinal Surgery to be performed without General Anaesthesia

The London Spine Unit is the only centre in the World that can perform Major Spine Surgery as an Outpatient Procedure ie Day Surgery without General Anaesthetic

Mr Mo Akmal and his team have developed specialist methods that allow rapid recovery after surgery.
See our patient videos

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Immediately after Lumbar Fusion Surgery

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2 weeks after the operation

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4 weeks after the operation

What do patients say :

Lumbar Fusion Surgery : Patient from Canada : 5 Stars Read Review
Lumbar Decompression and Stabilisation : Patient from USA : 5 Stars Read Review
Lumbar Fusion Surgery : Patient from Dubai, United Arab Emirates : 5 Stars Read Review
Lumbar Decompression : Patient from UK : 5 Stars Read Review


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What is London spine unit

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

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Treatment of all spinal disorders

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

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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

Transforming healthcare

We are constantly improving our diagnostic and treatments by undertaking Research, Development and keeping upto date with Latest technologies from all over the world. Our Specialists are leaders in their respective fields and will always provide you with the least invasive and most modern treatments available.

Our Affiliations