Back surgery (spinal surgery)

Pressure on the spinal nerves causes problems with the traffic of nerve signals to and from the brain. Compressed nerves can also lead to sciatica, which is usually seen with these symptoms:

• pain in the lower back, buttock, leg and foot
• pins and needles
• muscle weakness and/or wasting
• loss of sensation.

The type of surgery recommended for you will depend on the source of your back pain, as there are several causes of nerve compression. These include:

• Disc prolapse/herniation – More commonly known as a 'slipped' disc, this occurs when a disc of tissue bulges out between two vertebrae.
• Spinal stenosis – This happens when the spinal canal becomes narrow due to cartilage in the vertebrae becoming worn or inflamed.
• Spondylolisthesis – This is the name for when a vertebrae slips out of position.

We pride ourselves on our clinical excellence, you'll be looked after by an experienced multi-disciplinary care team.

Our patients are at the heart of what we do and we want you to be in control of your care. To us, that means you can choose the consultant you want to see, and when you want. They'll be with you every step of the way.

All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.

Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-speciality surgeries. Many of our consultants have international reputations for their research in their specialised field.

At Spire Bushey Hospital you can expect to receive expert, tailored care from one of our highly skilled spinal surgeons. You will be able to choose from one of the following specialist orthopaedic consultants:

• Mr James Allibone
• Mr Rajiv Bajekal
• Mr Neil Dorward
• Mr Ian Fyfe
• Mr Alexander Gibson
• Mr Robert Lee
• Mr Jan Lehovsky
• Mr Ramesh Nair
• Mr Ahmed Toma
• Mr George Verghese
• Mr Lester Wilson

You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.

We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.

We've tried to make your experience with us as easy and relaxed as possible.

For more information on visiting hours, our food, what to pack if you're staying with us, parking and all those other important practicalities, please visit our patient information pages.

Our dedicated team will also give you tailored advice to follow in the run up to your visit.

If you normally take medication (eg tablets for blood pressure), continue to take this as usual, unless your surgeon or anaesthetist, specifically tells you not to. If you are unsure about taking your medication, please contact the hospital.

We understand that having surgery can potentially be a time of anxiety and worry. Our experienced and caring medical staff will be there for you, holding your hand, every step of the way.

Back operations are generally done under general anaesthetic, which means you are asleep throughout the procedure and feel no pain. The operation may be done by open surgery, which involves a large cut being made in your back, or keyhole surgery, which uses a thin and long microscope and other special instruments through several small incisions on your back. Your surgeon will discuss with you which type of back operation is most suitable for your pain.

Common treatments include:

Discectomy or microdiscectomy

This procedure, the centre of the disc that is affecting the spinal cord or nerve is removed; this relieves the pressure and the pain caused by the protruding disc.

Nerve root or spinal decompression

The nerve root or spinal decompression method is done to remove any bone, disc tissue or other material that is putting pressure on the nerve or spinal cord areas.

Spinal fusion

Vertebrae are joined together using bone taken from your hip, metal implants or a specially designed cage.

Your surgeon may perform more than one type of procedure, if needed, during a single operation.

Depending on the type of operation you have, you will usually need to stay in hospital for between two and seven days.

After the procedure, you will be taken from the operating theatre to a recovery room, where you will come round from the anaesthesia under close supervision.

After this, you will be taken to your room where you can rest and recuperate until we feel you’re ready to go home.

While you are in hospital a physiotherapist will help you exercise while you are in bed and then will be able to help you get up and down the stairs before you are discharged.

Pain relief

Your anaesthetist will prescribe painkillers after the operation. Suffering from pain could slow down your recovery, so please discuss any discomfort with your doctors or nurses.

We will provide you with a supply of all the medicines your consultant feels you need to take home with you after you've left hospital, up to 14 days. This may be at an additional cost to some patients.

Recovery time

You should gradually increase the amount of walking and sitting you do during the first month after your surgery. During this time you should avoid bending, lifting, twisting or stretching. Your surgeon will give advice that is specific to you about how soon you can return to work and leisure activities such as sport.

How your loved ones can help

Once you’re ready to be discharged from hospital, you’ll need to arrange a taxi, friend or family member to take you home as you won’t be able to drive. You need to follow your surgeon’s advice about driving. You shouldn’t drive until you are confident that you could perform an emergency stop without discomfort.

Looking after you

Even after you’ve left hospital, we’re still looking after you every step of the way.

Typically your consultant will want to see you after your treatment to see how you’re doing. You might also be seen by one of our physiotherapists.

On rare occasions, complications following back surgery can occur. If you experience any of these symptoms – infection, excessive bleeding, blood clots, numbness, loss of muscle control, pain or paralysis – call us straight away.

The chance of complications depends on the exact type of operation you are having and other factors such as your general health. We will talk to you about the possible risks and complications of having this procedure and how they apply to you.

If you have any questions or concerns, we’re ready to help.

We are committed to delivering excellent individual care and customer service across our network of hospitals, clinics and specialist care centres around the UK. Our dedicated and highly trained team aim to achieve consistently excellent results. For us it's more than just treating patients, it's about looking after people.

At Spire Bushey Hospital, you can expect to receive a consultant-led treatment plan from one of over 40 orthopaedic surgeons. Our surgeons enjoy nationally and internationally renowned reputations and work alongside a skilled multi-disciplinary team, including specialist nurses, radiologists and physiotherapists.

Appointments are available at short notice, seven days a week and if you choose to pay for your treatment, we offer a fixed price with no hidden extras. Medical loans are also available with monthly payment options through our approved medical loans company Zebra Health Finance.

A back surgery procedure is available from £7,433.

You can trust Spire Bushey Hospital to provide you with a single, fixed price (1) so there are no surprises. And, through our carefully chosen partner (2) you can even be considered for interest free finance.

We’re here to help you with making these important choices, so you’re then free to concentrate on your treatment and on getting back to being you.

(1) Important: Please read Spire’s terms and conditions for full details of what’s included and excluded in your fixed price* when paying for yourself.

(2) Zebra Finance Ltd trading as Zebra Health Finance , Lincoln House, Stephensons Way, Wyvern Business Park, Derby, DE21 6LY.