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Specialist service

Spinal Surgery

Expert consultant-led spinal care on Harley Street. Specialists in back pain, sciatica, and minimally invasive day-case spine surgery.

The Harley Street Hospital is a recognised centre of excellence for spinal care. Our consultant spinal surgeons diagnose and treat the full range of conditions affecting the neck and back — from everyday pain and sciatica to complex deformity — using the latest minimally invasive and motion-preserving techniques. Many of our procedures are performed as day cases, often without a general anaesthetic, so patients can be up, walking and home the same day.

More than 90% of the patients we see are managed successfully without surgery. Where an operation is the right option, our surgeons favour keyhole and laser techniques that protect the surrounding muscles and speed recovery. Rapid-access diagnostics — including same-day MRI, CT and low-dose EOS imaging — mean an accurate diagnosis without unnecessary delay.

Conditions we treat

  • Back pain and neck pain
  • Sciatica and trapped (pinched) nerves
  • Slipped, bulging or prolapsed discs
  • Spinal stenosis and foraminal stenosis
  • Degenerative disc disease and spondylosis
  • Spondylolisthesis and spinal instability
  • Scoliosis and spinal deformity
  • Osteoporotic vertebral compression fractures
  • Failed previous spinal surgery

Treatments & procedures we offer

  • Laser disc surgery and endoscopic (keyhole) spinal surgery
  • Microdiscectomy and lumbar decompression
  • Dynamic stabilisation — a motion-preserving alternative to fusion
  • Disc replacement and, where needed, spinal fusion
  • Balloon kyphoplasty & vertebroplasty for fractures
  • Spinal injections, radiofrequency denervation and ozone therapy
  • In-house physiotherapy and rehabilitation

Explore our spinal treatments in detail →

Clinical Insight

The Evolution of Motion Preservation: Recent advancements in Minimally Invasive Spine Surgery (MISS) have shifted the paradigm towards motion preservation. Modern endoscopic and laser techniques allow for the precise decompression of nerves with minimal muscle disruption, significantly reducing post-operative pain and enabling rapid-recovery day-case protocols that were previously impossible.

Explore our spinal surgery treatments in detail →

Your questions answered

We're here to help

It may be your first time seeing a specialist. These are the questions we're asked most — and you can always call us on +44 (0)203 973 8800.

What types of spinal conditions do you treat?

We treat the full range of spinal conditions, including back and neck pain, sciatica, slipped discs, spinal stenosis, scoliosis, and osteoporotic fractures, using both non-surgical and advanced surgical methods.

Is spinal surgery always necessary for back pain?

No. In fact, over 90% of our patients are successfully managed without surgery through targeted injections, specialized physiotherapy, and other conservative treatments.

What makes your spine unit unique?

The Harley Street Hospital is home to The London Spine Unit, a global leader in day-case spinal surgery. We specialize in motion-preserving techniques that allow patients to recover faster and avoid the risks of traditional open surgery.

Enquire about Spinal Surgery

Speak with our team about consultant-led care tailored to you.