Spinal Deformity & Scoliosis
Three-dimensional correction guided by global balance and patient-specific alignment, with deliberate decisions about what movement can be preserved.
Clinical expertise
More than one way forward.
My practice includes lumbar and cervical conditions, scoliosis and complex reconstruction. Experience with different approaches allows treatment to follow the diagnosis, the anatomy and what you want it to achieve.
Complex Conditions & Revision Surgery
Reassessing persistent symptoms, instability or complications after previous operations, and planning revision surgery when further intervention is justified.
Lumbar & Cervical Spine Surgery
Treating conditions of the lower back and neck, including nerve compression and instability, with decompression, fusion or reconstruction when needed.
Spinal Alignment & Surgical Planning
Understanding how the spine and pelvis work together in standing and movement, particularly before deformity correction or a larger reconstruction.
Motion Preservation & Endoscopic Spine Surgery
Considering cervical disc replacement where movement can be preserved safely, and endoscopic techniques where they provide suitable access to the problem.
Anterior Approaches
Using an approach from the front, including ALIF, when the anatomy and reconstruction goals make it appropriate.
Selected surgical cases
The plan behind the operation
Scoliosis · A 17-year-old patient
Correcting the curve Preserving movement
Frontal views
The lower back remains unfused.
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View the side profile
The questions behind the plan
A scoliosis operation is not chosen from the Cobb angle alone. I ask how much growth remains, which curves are structural or flexible, how the trunk and pelvis are balanced, whether a leg-length difference is influencing the standing X-ray, and what movement the patient wants to keep.
Choosing the levels and the technique
Only then do I decide where the fixation should start and stop. I examine each vertebra closely; if a pedicle is too small or a screw path is unsafe, another fixation method can be used. In this case, sublaminar bands provided that alternative, allowing a selective thoracic fusion from T4 to T12.
The aim
The aim is not simply a straighter X-ray. It is a balanced correction that leaves the lumbar spine free to move while considering the effect of the leg-length discrepancy when assessing the remaining lumbar curve.
When I plan surgery, the correction on the X-ray and the function that remains both matter.
Adult scoliosis · Degenerative change
Restoring balance Planning for lasting stability
Standing frontal views
After surgeryBefore surgery
View the side profile
After surgeryBefore surgery
The problem
A longstanding scoliosis had become stiff and rotated, with degenerative changes superimposed. A straighter frontal X-ray alone would not define a good plan.
The decision
I considered the three-dimensional curve, the affected levels and the standing profile from both front and side. These factors shaped the correction and where the fusion should begin and end.
The aim
Here the priorities were improved alignment and durable stabilisation. The postoperative radiographs show the correction and fixation. Follow-up assesses pain, movement and the ability to manage daily activities.
Different curves call for different goals. The plan must fit the patient's anatomy and the function we are trying to protect.