I specialised in minimally invasive spine surgery (also known as endoscopic minimally invasive spinal surgery).
Endoscopic “keyhole” Transforaminal surgery (Transforaminal Endoscopic Lumbar Decompression and Foraminoplasty and associated techniques) conducted under Total Intravenous Venous Anaesthesia (TIVA) provide real time feedback from the patient thus guiding the surgeon to the true and specific source of their pain. This provides greater diagnostic accuracy than that offered by MRI scans, X-rays and Discography.
This in turn has driven forwards our understanding of the mechanisms of degenerative disc disease and its presenting symptoms and allowed the development of new minimally invasive techniques. These interventions target the pain source accurately; avoiding multiple disc level surgery and limiting collateral tissue damage whilst providing encouraging low risk beneficial outcomes. The results have been Peer reviewed in studies over 20 years. Mr Knight's expertise in minimal invasive spine surgery is considerable.
Because the nerve and to a lesser extent the disc are the major causes of symptoms, these techniques address disc protrusions, extrusions, sequestration, lateral recess stenosis (narrowing), axial stenosis, “instability”, spondylolisthesis (slippage), spondylolytic spondylolisthesis, facet joint cysts, radial tears and High Intensity Zones, degenerative scoliosis and failed back surgery and can be performed at any age including the elderly and infirm.
Consequently their encouraging outcomes and low complication rates offer an attractive alternative to open spinal surgery, microdiscectomy, open decompression, interspinous spacers, open or “Less invasive” fusion or total disc replacement. These techniques provide a platform for our stem cell technology.