Don’t let spinal pain dictate your life. Book a surgical second opinion or expedited assessment with the Spine & Orthopaedics team at Liv Harley Street Hospital and discover the safest, least-invasive path back to pain-free movement.
Spinal Surgery at Liv & Harley Street Hospital
Ready for Lasting Relief?
What does Spinal Surgery mean?
At Liv & Harley Street Hospital, spinal surgery covers a full spectrum of minimally-invasive and reconstructive procedures that relieve nerve compression, stabilise unstable segments and correct deformity—restoring function, stopping pain and preventing future damage. From same-day laser disc decompression to complex scoliosis correction, every operation is delivered by fellowship-trained consultants using microscope, endoscope or robot-guided techniques for maximum precision and the fastest possible recovery.
Who do we treat?
| Ideal Candidates | Typical Red-Flag Symptoms |
|---|---|
| Herniated or degenerative discs unresponsive to injections / physiotherapy | Sciatica, arm pain, foot drop, numb fingers |
| Spinal stenosis or spondylolisthesis causing neurogenic claudication | Leg pain after walking, relieved by sitting |
| Vertebral fractures (osteoporotic or traumatic) | Sudden back pain, height loss, kyphotic slump |
| Severe scoliosis, kyphosis or flat-back deformity | Visible curve, rib hump, breathing or balance issues |
| Mechanical back pain from segmental instability | Pain on movement, “catching” sensation |
| Failed back-surgery syndrome needing revision | Persistent or recurrent pain after earlier op |
| Chronic neuropathic pain suitable for stimulation | Burning or electric shock pain unresponsive to meds |
(Emergencies like cauda equina syndrome or acute paralysis are transferred to theatre immediately.)
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Why Choose Us
Liv & HSH London
Consultant–Only Surgical Team – UK & US-trained spine surgeons with > 5,000 combined procedures.
Microscope, Endoscope & Robot Navigation – smaller incisions, less blood loss, pinpoint screw placement.
In-House Neuro-Monitoring – real-time spinal-cord and nerve-root alarms for maximum safety.
Enhanced-Recovery Pathway – same-day mobilisation, personalised physiotherapy and digital pain-tracking app.
What do we do?
Key Procedures
| Procedure | Best For | Incision & Anaesthetic | ||
|---|---|---|---|---|
| Micro-discectomy / Micro-decompression | Lumbar or cervical disc herniation, canal stenosis | 2-3 cm; general | ||
| Endoscopic Discectomy & Laser PLDD | Contained disc bulge, persistent sciatica | 8 mm; twilight sedation | ||
| Artificial Disc Replacement (C-TDR / L-TDR) | 1-level degenerative disc with preserved facet joints | 3–4 cm; general | ||
| Minimally-Invasive TLIF / XLIF Fusion | Spondylolisthesis, recurrent disc, instability | 2 cm MIS portals; general | ||
| Scoliosis & Kyphosis Correction (rods, VBT tether) | Curves > 45°, progressive deformity | Multilevel; neuromonitored | ||
| Vertebroplasty / Kyphoplasty | Painful compression fractures | 5 mm; local + IV sedation | ||
| Spinal Cord / DRG Stimulator Implant | Chronic neuropathic back/leg pain | 1 cm lead + battery pocket | ||
| Stem-Cell or Ozone Nucleolysis | Discogenic low-back pain, contained prolapse | Needle; local |
Benefits of Modern Spinal Surgery
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> 90 % leg-pain relief for micro-discectomy within 48 h
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Preservation of segmental motion with disc replacement vs. fusion
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Minimal muscle damage → shorter hospital stay & faster return to work
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Deformity correction restores posture, lung function and self-confidence
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Image-guided bone cement stabilises fractures and halves opioid use within days
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Neuromodulation offers drug-free pain control for selected chronic cases
Potential Risks & Limitations
| General | Procedure-Specific |
|---|---|
| Bleeding, infection (< 1 %), anaesthetic reaction | Implant loosening or adjacent-level degeneration after fusion |
| Dural tear (CSF leak) 1–3 % – repaired on table | Heterotopic bone or wear after disc replacement |
| Nerve or vascular injury (< 1 %) | Cement leakage in kyphoplasty (< 3 %) |
| Non-union after fusion (smoking ↑ risk) | Loss of correction in tethering if growth imbalance |
| Inadequate pain relief / need for revision | Battery change after 7–10 yrs for stimulators |
FAQ
Frequently Ask Questions.
Everything you want to know about Spinal Surgery in London Liv & Harley Street Hospital.
We operate only when diagnostic injections, physiotherapy and medications have failed, or when progressive neurological loss or deformity mandates earlier intervention.
Most MIS incisions are 2 cm or smaller; stitches are absorbable. For deformity surgery, we place incisions along natural skin creases and use plastic-surgery closure techniques.
Short-haul: 2 weeks post-simple decompression, 4 weeks post-fusion. Long-haul: add two weeks and use compression stockings.
Titanium implants rarely trigger airport scanners and are MRI-compatible up to 3 T.
Robotics improve screw accuracy and reduce X-ray exposure; they do not replace surgical expertise. Our consultants are trained in both robotic and freehand techniques.