The London Spine Clinic leads management buy out in CHELMSFORD

The London Spine Clinic, in conjunction with local doctors, have led the management buy out of the Chelmsford Medical Centre from UME Ltd. This gives 100% ownership of this centre to the doctors, all of whom live in and around Chelmsford.

Fenton House, New London Road, ChelmsfordThe unit brings multi-disciplinary specialist spinal investigation, diagnosis and management from the Harley Street base in London to the centre of this busy town, serving the people of Essex and beyond.

The MRI Unit, housing a state of the art, high resolution scanner, is now open within the Chelmsford Medical Centre, Fenton House, New London Road, Chelmsford. The outpatient facility is now fully operational, including x-ray suite, treatment rooms, fully equipped surgical centre and out-patient consulting rooms.

Out patient operations are performed as a day case, with patients getting back to their home environment later the same day. Follow-up from the nurses at the centre initially by phone leads to careful continuity of care and ensures patient satisfaction.

Fenton House. The Chelmsford Medical Centre, incorporating the London Spine Clinic, occupies the ground and first floor. 

To obtain further information click here

 

XLIF – extreme lateral interbody fusion

This technique, developed over many years has now become established as part of the surgical armamentarium for the management of intractable low back pain and deformity. A lateral approach to the lumbar spine is made, utilising minimally invasive surgical techniques and intra-operative neurophysiological monitoring. Blood loss is minimal and the patients are able to leave hospital after a much shorter stay. Correction of deformity (scoliosis) is well treated by this technique, under certain circumstances.

 

The Retain

This is a posteriorly implanted spacer made of titanium which slightly spreads the bones (the spinous processes) to increase the amount of space available for the nerves within. It may also confer a little extra stability on the spine under certain circumstances. It is recommended for use in the context of lumbar spinal stenosis and may have applications in patients with back pain.

The X-stop is implanted under local anaesthesia and the patient usually goes home the same day.

http://www.londonspineclinic.com/x_stop1.gifThe spine is distracted by the device, taking the pressure off the nerve roots within

 

                                                                                              

For more information click here.

 

 

Cervical disc replacement

Disc replacement surgery has been undertaken at the London Spine Clinic for several years, but until recently only lumbar disc replacements have been available. Now a cervical artificial disc has completed clinical trials and is in general use. The disc, http://www.londonspineclinic.com/Bryan%20disc.jpghttp://www.londonspineclinic.com/Bryan%20x-ray.jpgdesigned by Dr Bryan, allows maintenance of movement in the neck after discectomy, in contrast to the traditional fusion operation. It is expected that this advance will minimise problems with discs adjacent to the operation, which are known to sometimes cause serious problems after fusion surgery.

 

An x-ray of a patient with two artificial discs in the neck allowing movement.

 

 

The DekompressorTM

The ability to remove disc tissue through a needle is now with us. A percutaneous technique, developed in Denver, Colorado, allows the spinal surgeon or pain doctor to remove disc tissue from the nucleus (the centre of the disc) to reduce pressure in the disc and treat low back pain.

The procedure is performed on a day-case basis, most patients returning home on the same day.

http://www.londonspineclinic.com/Dekompressor.JPG        http://www.londonspineclinic.com/Dekompressor%20disco.JPG

The model on the left shows the DekompressorTM  in an inflamed disc, the x-ray on the right confirming this in a real case and showing the disc nucleus outlined by a contrast injection (discogram).

 

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The concept of using the techniques of rehabilitation for spinal disorders, but using these in advance of definitive treatment, was introduced into the UK by Mr Paul Ankers. He found that motivated individuals, often athletes, with a high level of commitment, will have a far smoother course when undergoing such treatment as surgery, if they have had a prior course of rehabilitation therapy.

Paul has established the techniques of prehabilitation, drawing on his experience of treating these individuals over many years, with a developing program of exercises and hands-on therapy, tailored to the individual. This is now in routine use at the London Spine Clinic.

Patients undergoing interventional procedures or surgery, to offer them definitive treatment, are given a period of four to six weeks, assuming time allows, to work with Paul. In this time, they may improve not only muscle tone and control, but significantly settle down the causes of their pain, such as neural tension or postural abnormalities.

A number of patients undergoing prehabilitation become so fit and have such an improvement in their symptoms, that they consider themselves cured! This technique, therefore, may eliminate the need for painful treatments, even surgery, in a number of cases.

 

Dynamic Scanning

Most patients with back problems and many with neck and thoracic spine problems have little in the way of symptoms when lying down. It often seems odd, therefore, that they have MRI scans, or other tests to try to diagnose their problem, whilst lying flat.

There are, now, scanners available, which will allow the patient to be scanned in the position which typically causes their pain. These include lying the patient in certain positions, e.g. bending backwards, or, perhaps better, standing the patient up and bending during a scan. Other joints in the body may, of course, be scanned in the same way, to provide more information on the pathology for the treating clinician.

                                                                             

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