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.
The
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.
The 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, 
designed
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.

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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|:OH$%5,/wR],%>Prehabilitation
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.
Click here if you would like to receive more
information