Harley Street Spine Care

Spinal Fusion Surgery and Lumbar Fusion in London

Expert assessment and treatment for spinal fusion, lumbar fusion, lumbar stabilisation and minimally invasive fusion techniques including TLIF, PLIF, ALIF, LLIF and XLIF.

2500+
Successful Procedures
20+
Years Experience
98%
Patient Satisfaction
24/7
Patient Support

About Us

Specialist spine care built around surgical expertise, imaging insight and pain management support

Our team brings together consultant spinal surgeons, spinal fellows, interventional pain expertise and advanced imaging support. For patients considering lumbar fusion and related spinal procedures, that means care shaped by specialist assessment, careful planning and a treatment pathway focused on safer decisions and better recovery.

Mr Mo Akmal
Medical Director

Mr Mo Akmal

Mr Mo Akmal leads the team with a practice focused on spinal surgery and day-case treatment pathways. On this site, he represents the consultant direction behind minimally invasive lumbar fusion, stabilisation and complex spinal decision-making.

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Mr Purnajyoti Banerjee
Consultant Spinal Surgeon

Mr Purnajyoti Banerjee

Mr Banerjee contributes consultant-level spinal surgery expertise with a strong emphasis on keyhole and less invasive techniques. His profile supports patients looking for modern surgical options with careful technical planning.

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Dr Anthony Tony Hammond
Pain Management

Dr Anthony Hammond

Dr Hammond brings decades of experience in rheumatology and interventional spinal pain management. He adds an important non-surgical and pre-surgical perspective for patients with persistent spinal pain.

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Dr Yuin Lok
Spinal Surgery Fellow

Dr Yuin Lok

Dr Lok supports the consultant team across spinal surgery care, helping coordinate the patient journey from assessment through hospital treatment and follow-up. His role strengthens continuity across the whole pathway.

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Professor Hilali Noordeen
Professor of Spinal Surgery

Professor Hilali Noordeen

Professor Noordeen is known for longstanding expertise in scoliosis and complex degenerative spinal conditions. His presence broadens the team’s capability across both adult and more technically demanding spinal cases.

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Mr Caspar Aylott
Consultant Spinal Surgeon

Mr Caspar Aylott

Mr Aylott adds internationally trained consultant spinal surgery experience to the team. His contribution is especially valuable for patients who want consultant assessment in both routine and more involved spinal presentations.

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Mr Ahmed Hussien
Neurosurgical Spine Specialist

Mr Ahmed Hussien

Mr Hussien contributes a neurosurgical background with specialist spinal surgery training. That gives the wider team added depth when managing nerve-related symptoms, spinal pathology and medico-legal complexity.

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What Is Lumbar Fusion Surgery?

Understanding spinal fusion, lumbar fusion and stabilisation procedures used to treat chronic back pain, leg pain and spinal instability

Stabilization

Lumbar fusion surgery stops movement at a painful, unstable spinal joint by permanently joining two or more vertebrae together, preventing painful friction and inflammation.

Pain Relief

By stabilizing the affected segment, the procedure prevents nerves from rubbing on discs and stops inflammation from rubbing bones, facet joints, or nerves.

Modern Techniques

We utilize specialized spinal instruments including screws, rods, and plates that act as an internal splint, enhancing the healing process and ensuring stability.

Types of Lumbar Fusion and Spinal Fusion

Different fusion procedures are chosen according to the spinal level, anatomy, nerve compression pattern and the amount of instability that needs to be treated.

TLIF

Transforaminal lumbar interbody fusion is performed from the back and side of the spine and is commonly discussed for lumbar instability, nerve compression and degenerative disc disease.

PLIF

Posterior lumbar interbody fusion approaches the lumbar spine from the back and may be used when decompression and interbody fusion are needed together.

ALIF

Anterior lumbar interbody fusion reaches the spine from the front, allowing disc removal and cage placement while avoiding direct dissection through the back muscles.

LLIF / XLIF

Lateral lumbar interbody fusion and extreme lateral interbody fusion approach the spine from the side and can be useful in selected cases requiring restoration of disc height and alignment.

Who May Need Spinal Fusion or Lumbar Fusion?

Conditions that may benefit from lumbar fusion surgery, spinal fusion surgery or lumbar stabilisation treatment

πŸ”„
Spondylosis
πŸ“
Scoliosis
πŸ’”
Spinal Fractures
πŸ’Ώ
Disc Degeneration
⚠️
Spinal Instability
🦴
Weak Spine
πŸ“‰
Spondylolisthesis
🧠
Spinal Stenosis
πŸ”₯
Chronic Back Pain

Surgical Approaches

Advanced techniques tailored to your specific condition

Anterior Approach

From the front of the spine

A 10-12cm incision is made into the abdomen. Organs and blood vessels are carefully moved aside to reveal the front of the lumbar spine.

Degenerate discs are removed and replaced with a spacer filled with synthetic bone material. The cage holds vertebrae together while fusion occurs.

Benefits: Generally better results with quicker healing time, though carries slightly higher risk of complication.

Posterior Approach

From the back of the spine

A 10-12cm incision is made into the back. The surgeon carefully works through muscle layers to reach the spine.

Degenerate discs are removed and replaced with a fusion cage or prosthetic disc, filled with bone material to aid fusion.

Benefits: Slightly lower complication rate with excellent visualization. Both procedures performed under general anaesthetic.

Understanding the Risks

Transparent information to help you make informed decisions

Ready to Take the Next Step?

Your consultation and treatment will be performed by a top accredited consultant specializing in spinal surgery. Schedule your appointment today.

Book Your Consultation

πŸ“ Location

19 Harley Street
London, W1G 9QJ
United Kingdom

πŸ“ž Phone

+44 (0)203 973 8810

⏰ Hours

Monday - Friday: 8am - 6pm
Saturday: 9am - 1pm
Sunday: Closed

πŸ“§ Emergency

For urgent concerns outside office hours, please contact your GP or visit A&E.