Lumbar Fusion

Lumbar Fusion – when non-surgical treatments haven’t worked

  • Delivered by a world-leading spine specialist
  • Get assessed, correctly diagnosed and scheduled in 1 visit
  • Cure persistent pain
  • No referral necessary

4.95

Based on 217 reviews, verified by

Doctify TopDoctors

Lumbar fusion from the best spine surgeon in the country

Caspar Aylott

B.Eng(Hons), MB ChB, MRCS, FRCS (Tr Orth), DM

Mr Caspar Aylott is a world renowned consultant spinal surgeon, uniquely dual qualified in the UK both as an Engineer and Spinal Surgeon. He also has a Doctorate in spinal biomechanics and motion preserving technologies of the spine from Nottingham University and has publications in this field.

With Mr Aylott’s additional understanding of the spine and structures of the back comes a unique and enhanced understanding of spinal anatomy and movement. With this advanced knowledge Mr Aylott has been many peoples top choice to carry out difficult back surgery. You couldn’t be in safer hands for your fusion!

Caspar will be with you every step of the way from:

  1. Consultation
  2. Diagnosis
  3. Treatment
  4. Follow-up

Mr Aylott’s explanation of my condition was faultless, I knew exactly where I was going. Eventually having my spine fused and after 5 months I can walk 2-3 miles per day, cycle 15 miles and swim. I’m getting daily, weekly, monthly improvements. It’s a 12 month journey, so I can say the operation was well worth it. Ps the only thing I can say is rest when it’s required. Mr Aylott thanks.

Mr D Seager, Doctify review from

Why should I get my lumbar fusion surgery from the UK Spine Centre?

  • Fusion is a big technical operation which must be performed well but is often performed badly. We have great experience in carrying out fusion surgery
  • We will pinpoint your pain accurately and treat this area precisely to improve the chance of a successful outcome
  • Mr Aylott has years of experience in this type of surgery
  • Fusion is essentially a joining together of two vertebrae, with his dual qualifications Mr Aylott is your best choice

100s of pain free patients have received successful lumbar fusion procedures

We’ve treated people of all ages, from all walks of life. What unites them is they’ve chosen to take action with their pain, not spent years on a waiting list or pursuing alternatives that don’t work. Our effectiveness rate is second-to-none.

Click a person to hear their story

Mr Aylott undertook a remarkable procedure (L4-S1 instrumented fusion) to my lower spine. Remarkable in as much as, although it was considered a major surgical procedure, it was as good as walk-in walk-out with an early morning admission and afternoon discharge, same day. And remarkable that, after many years of pain (chronic sciatica included) I am now completely pain free. If only I had discovered the UK Spine Centre sooner. Nevertheless, I am much more mobile and would consider that I am at least 10 years younger!
Graham Smith, Google

I had been suffering with Sciatica for several months but in January my disc herniated so badly that I couldn’t walk, stand or sit without extreme pain. I was taking a lot of strong medication and so I booked an appointment to see Caspar Aylott. It was the best thing I could have done-we discussed the scan results and explored the options thoroughly including risks v benefits and I opted for surgery as I was unable to work or do anything at all due to the pain. Mr Aylott performed a L5/S1 microdiscectomy and within a few hours I walked pain-free and unaided from the HSH. It really was miraculous and I was off my post op pain meds just a few days later. Six weeks on I have seen Mr Aylott in clinic for a follow up and I was delighted to be able to thank him for his care and expertise . I have zero pain and fantastic mobility and back to work as a teacher in a busy reception class. I would not hesitate to recommend Mr Aylott to anyone suffering with back problems and my only wish is that I had acted sooner. I can’t thank him and his team enough.
Sarah Penn, Google

After suffering constant pain in my right side for over 8 years, one consultation with Mr Aylott provided a probable cause. This was followed up with a visit to a local imaging company who provided me with my results on a disc. Straight round to Mr Aylott and the probable cause was confirmed. Surgery followed a few weeks later and the pain that I have lived with for so long is no longer present. I would say that I would not hesitate to recommend the services of the UK Spine Centre, in particular Mr Aylott, but I have already made a recommendation to an associate who has similar back issues. It is worth every penny to understand what is causing the problem when the NHS were unable to provide a solution.
Phil Scott, Google

I had a consultation with Mr Aylott who took the time to listen and explain to me my most recent mri. He was informative but straight to the point which was appreciated. He also gave me reassurance as I had been suffering with back pain for months. I chose to have spinal injections under sedation to help me with my rehab. Both he and the other staff at the hospital were friendly and reassuring. Six weeks later my pain has been reduced dramatically so I am able to work on my rehab and get back to work. Thank you so much.
Ally Hunt, Google

For the first time in 20 years I am no longer suffering with back pain. The only regret I have going to see Mr Aylott was that l didn’t do it years ago.
Alan Joux, Doctify

Very knowledgeable, straight talking, and experienced Doctor. He makes you feel very confident in his expertise. I've had a really positive experience of the one day back appointment (two consultations sandwiched around an MRI) as well as a spinal injection in London. I will continue to use Mr Aylott for future back issues.
Rebecca B, Google

After four years of undiagnosed debilitating lower back, buttock and leg pain and numerous fruitless NHS and private appointments (including several injections targeting the wrong areas in my back), my husband persuaded me to visit the UK Spine Centre where I met Mr Caspar Aylott at his one-stop clinic. I had a consultation, MRI scan and diagnosis in one afternoon and a week later returned to the Harley Street Hospital for L5 nerve root block and caudal epidural. The pain relief was instant, and now, 8 weeks later I am at least 75% pain free and enjoying life again. Thank you so much Mr Aylott – I just wish I had found you sooner!
Afshana Bhattessa, Doctify

Had been suffering with herniated disc & severe sciatica for 6 months. Slow process with NHS so contacted Mr Aylott & within 2 weeks had a spinal injection so I could walk normally and enjoy my holiday while starting to heal naturally. He was straight to the point and clear with the options available. If you have been in pain for 3 months without any improvement I suggest you get in touch with Mr Aylott’s secretary, I wish I’d done it sooner.
Ritchie Sutton, Google

My back had been constantly bad for 2yrs plus and this was my last hope despite several physio's/ hospital appts nothing worked. On visiting this clinic, meeting Mr Aylott and being treated by him has turned my life around for the better. The pain ceased the first day after the operation (2nd Mar'23). I feel blessed right now and hope this continues. Mr Aylott and staff at this clinic are highly recommended and the whole process just took ~ 3 weeks to resolve…….Fantastic !!
Wayne Perkins, Google

I found Mr Aylott to be extremely professional and empathetic. I had seen a consultant elsewhere who I did not feel confident in, and came to Mr Aylott for a second opinion. I felt safe and trusted him with my procedure.
Olivia Hanna, Google

Mr. Caspar Aylott has been a lifesaver for me. His expertise in lower spinal treatment is remarkable, and I couldn't be more grateful for the care he provided. From our initial consultation to the conclusion of my treatment, Mr. Aylott's professionalism and deep understanding of spinal health shone through. He not only relieved my lower spinal issues but also took the time to explain everything clearly, making me feel empowered and informed throughout the process. His compassionate approach and commitment to his patients' well-being make him a standout healthcare provider. I highly recommend Mr. Aylott to anyone in need of top-quality lower spinal treatment.
Catherine Ashiley, Google

I only have praise for Mr Aylott. He really takes the time to listen and after months of being rushed in and out of NHS appointments, I was left feeling very alone, unsupported and lacking in vital information. I was presented with a solution, that after meeting Mr Aylott, he suggested was a 'final resort'. I cannot stress enough, how that was a huge relief. It felt like a huge 'weight' was lifted from me and that I was back in control. Not only did he explain to me what was going on with my spine, he also assured me that I was not doing any further damage, which had been a huge fear of mine. Mr Aylott is thoroughly recommended. I felt that not only is he an expert in his field, he really does care about you as a patient, and only wants the best outcome for you, based on your needs and your situation. I no longer feel alone or unsupported.
Jim Boulder, Doctify

Such was the excellent service I received recently from Dr. Aylott at the UK Spine Centre I felt compelled to send the below feedback to his medical secretary: Thank you very much for the excellent and very detailed report from Dr. Aylott which is both reassuring and a valuable summary of my low back condition. I would kindly appreciate if you could pass on my sincere thanks to Dr. Aylott for his professional advice, informative consultation and report, and above all else his empathetic approach in reassuring me that its thankfully not yet time to hang up my various sporting attire which for me is a huge relief… thank you indeed! Wishing Dr. Aylott, his team and of course yourself a wonderful Christmas and a Happy and Healthy New Year…
Gary Melhuish, Google

I just wanted to let you know that making the decision to come and see you was the best thing has happened. I have been messed about and sent to see so many different people via the NHS and in the end was just let down so badly. My husband couldn't stand seeing me in so much pain anymore that he contacted the Spine Clinic and I was seen by them within a couple of days. Yes, it costs a bit of money, but it has saved me months of waiting for an appointment, months of being in pain and months of being on the wrong medication. I had my appointment, was given an MRI Scan, which the NHS do not like giving out and I had a face to face conversation which is also something that you have to also wait months to get now. 3 hours in the Clinic, everything was done, there and then and it has completely changed my life. I am no longer taking medication that I don't need, I have been given detailed information about what is actually wrong and a plan to go forward. I have been given the correct advice and all the information that I need. All I can say is Thank You, you have changed everything for me and my family. I am now looking forward to the future and I highly recommended doing this, its peace of mind and you don't have to wait. Louise Hill
Louise Hill, Google

Mr Aylott explained everything in detail to me very clearly. We looked at my MRI and I am now much clearer about my situation. He examined me and listened to my history. He recommended and administered spinal injections which have worked to a degree and they have allowed me to start gentle exercise which is slowly aiding my recovery. Most importantly, Mr Aylott answered all of my questions and reassured me about all of the things I was worried about. I did not feel rushed and I refer to the patient letter he wrote me regularly to refresh my knowledge of my back. If you're constantly reading worrying articles online and/or waiting for an NHS appointment, I recommend seeing Mr Aylott. Do not expect the NHS to help you. In addition, his staff was extremely helpful in setting up appointments. Thank you Mr Aylott and the team!
Joanna Lowes, Doctify

I only have praise for Mr Aylott. He really takes the time to listen and after months of being rushed in and out of NHS appointments, I was left feeling very alone, unsupported and lacking in vital information. I was presented with a solution, that after meeting Mr Aylott, he suggested was a 'final resort'. I cannot stress enough, how that was a huge relief. It felt like a huge 'weight' was lifted from me and that I was back in control. Not only did he explain to me what was going on with my spine, he also assured me that I was not doing any further damage, which had been a huge fear of mine. Mr Aylott is thoroughly recommended. I felt that not only is he an expert in his field, he really does care about you as a patient, and only wants the best outcome for you, based on your needs and your situation. I no longer feel alone or unsupported.
Martin Birch, Doctify

I saw Mr. Aylott after eight months of being unable to sit down due to severe sciatic pain with no hope of resolution on the NHS. He talked me through my treatment options and two weeks after phoning up to make my first appointment I had a successful microdiscetomy. The process from start to finish was professional and respectful. I now have my life back and am looking forward to regaining my previous levels of activity after the recovery period. Many thanks to the whole team involved in my care.
Libby Makinson, Google

I had been suffering with Sciatica for several months but in January my disc herniated so badly that I couldn’t walk, stand or sit without extreme pain. I was taking a lot of strong medication and so I booked an appointment to see Caspar Aylott. It was the best thing I could have done-we discussed the scan results and explored the options thoroughly including risks v benefits and I opted for surgery as I was unable to work or do anything at all due to the pain. Mr Aylott performed a L5/S1 microdiscectomy and within a few hours I walked pain-free and unaided from the HSH. It really was miraculous and I was off my post op pain meds just a few days later. Six weeks on I have seen Mr Aylott in clinic for a follow up and I was delighted to be able to thank him for his care and expertise . I have zero pain and fantastic mobility and back to work as a teacher in a busy reception class. I would not hesitate to recommend Mr Aylott to anyone suffering with back problems and my only wish is that I had acted sooner. I can’t thank him and his team enough.
Sarah Penn, Google

I had decompression and stabilisation surgery on 14/06/23 performed by Mr Aylott and found Mr Aylott to be an excellent surgeon, kind, patient and able to explain my symptoms and subsequent treatment in a clear and concise manner. The whole process from diagnosis to surgery was easy and straight forward and I am now pain free after 6 terrible months. I highly recommend Mr Aylott, he is a first rate spinal surgeon and thank him from the bottom of my heart for giving me my life back.
Rajeev Vasisht , Google

After suffering with debilitating sciatic leg pain for 8 months I contacted Mr Aylott. I had a 3 in 1 appointment at the UK Spine centre .After my initial consultation any apprehension I felt regarding back surgery was dispelled by Mr Aylott’s professionalism and confidence that the procedure he outlined would be of considerable benefit.He explained all aspects of his diagnosis and proposed treatment with clarity that made my decision making process very easy . After decompression surgery I was able to leave the hospital later that day and within days I was able to stop taking all painkillers apart from an occasional paracetamol.The relief since the operation has been remarkable ,I would not hesitate to recommend Mr Aylott for any spinal issues
Rory Goodwin , Google

Severe lower back pain diagnosed by Mr Aylott as fracture of T12 vertebrae and there was presumed osteoporosis. It was explained that the fracture would heal over time but the pain could be relieved by an operation involving cement augmentation (balloon kyphoplasty). No pressure whatsoever to have an operation but opted to do so. Pain relieved practically immediately after op at The Harley Street Hospital in London. Mr Aylott was very thorough, considerate and professional as were his team, the MRI scan staff, the staff at Spa Private Medical in Cheltenham and at the Harley Street Hospital. Also used the local recommended taxi service from home to the hospital. Whole process was made very easy and I would recommend visiting Mr Aylott if you have any spinal condition that requires treatment.
Susan Campbell, Google

I was aware, almost straightaway, of the benefits of the surgery, skilfully performed by Mr Aylott. The gnawing pain I was experiencing when walking had gone. I had had what he described as a very tight spinal stenosis, which, over the last few years, had made walking increasingly difficult. Now I can walk in the country lanes near where I live without looking, desperately, for somewhere to sit down. It is quite amazing what a difference the surgery has made. It is all due to Mr Aylott's skill, (he is a genius), and to the kind and attentive staff at the Harley Street Hospital, who looked after me so well. His secretarial staff too are knowledgable, kind and helpful. I have no hesitation in recommending Mr Aylott and The UK Spine Centre to anyone suffering spinal problems. I shall always be grateful to them. Stuart Pickford
Stuart Pickford, Google

Mr Aylott identified my problem, explained the options I had clearly, identifying the pros and cons of each one. I decided on surgery which he carried out without any fuss, ending well above my expectations. Dealing with Mr Aylott has been a pleasure. He is down to earth, approachable and listens to the patients concerns explaining complex issues in understandable language. I have no hesitation in recommending Mr Aylott.
Jenny Cousins, Google

I went round in circles for over 7 yrs with the NHS and in that time in a great deal of pain, and getting nowhere. I went to see Mr Aylott, who was very approachable and pleasant, and put me completely at ease. He took the time to explain my problems in detail in a way I fully understood, being very honest as to what could be done to help me, pointing out the pros and cons of my condition. Consultation and procedures were very quick indeed. I would recommend anyone with spinal problems to see this wonderful man, he has transformed my life, and it was worth every penny. I cannot thank Mr. Aylott enough
Karen Arch, Google

Independently Verified

103 five-star reviews on TopDoctors

115 five-star reviews on Doctify

Tell me about lumbar fusion

What is lumbar fusion?

We fuse the spine most commonly to stop excessive painful spinal movement at one or more levels of the spine.

Metal work (typically rods and screws) are used to hold the spine together allowing the spine to fuse.

We fuse the spine for several different reasons including spinal instability or deformity (spondylolisthesis or scoliosis) where other simpler conservative treatments have not worked.

What is the procedure for lumbar fusion?

We can fuse the spine in different ways, accessing your spine from the front, side, or back. Our options depend on the level of the spine being fused and the problem being treated.

The most versatile and commonly performed fusion is through the skin of the back (posterior).

We specialise in minimally invasive techniques to reduce damage to the muscles.

Typically we place titanium screws into the spine and connect these with a strong metal rod which holds everything securely.

Sometimes it is helpful to remove the disc and replace this with a block of material (called a cage). This may provide more support to the spine and helps us to correct a spinal deformity better.

We use a combination of your own bone (from the site of the operation) and synthetic bone graft to encourage the spine to fuse together. Fusion between the bones will prevent any further movement at the treated level.

A single level fusion operation can take anything from 1.5-3 hours to perform.

What is the success rate for lumbar fusion from the UK Spine Centre?

Fusion surgery at The UK Spine Centre is normally successful with an 80% chance that you will be better.

We always take great care in deciding that fusion is the appropriate treatment for our patients, and the operation must be performed well.

Re-creating the natural curvature (lordosis) in your lower back is really important because it helps you to stand up straight and reduces the chance of you developing problems at adjacent levels of your spine 5-10 years later.

What are the risks of lumbar fusion?

There is a 10-15% chance that you improve but are still not quite as good as you would wish to be.

Overall there is a 5% or 1 in 20 chance that you could be worse off by having a spinal fusion.

Like all operations there are some risks. These amount to a 1-2% chance of infection, nerve injury, spine fluid leak, infection, failure of metalwork or fusion, blood clots, bleeding, medical problems.

Patients understandably worry about being paralysed but thankfully the chance is exceedingly low (<1 in 18,000) and not something we have thankfully encountered.

What is the recovery process for lumbar fusion?

Our specialists at The UK Spine Centre always use minimally invasive techniques to reduce muscle damage and post-operative pain.

However, your back will still feel sore and we will give you strong painkillers which you will find helpful over the first few weeks.

We will get you up and walking within a few hours of surgery and you will be able to go home on the same day.

You may have a small drain in the back which we simply remove after a few hours or the following day. We usually use dissolvable stitches or sometimes a stitch which we trim or remove at two weeks.

We will encourage you to take regular short walks each day building this up over six weeks.

You can return to non manual work from 6 – 12 weeks or when you feel ready.

You will continue to improve for at least 12 months and we would expect you to return to doing everything with a better overall quality of life.

We will see you regularly in clinic after the fusion and follow you up routinely for one year.

Our team will support you before and after surgery and your specialist remains available to you at any time.

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consultation

If you’re not sure then book a FREE 15 minute telephone consultation with one of our spine consultants, or just call us with any questions you may have.

CALL US ON 0208 004 0484
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Talk to us and let’s put you on the path to permanent recovery.

Your lumbar fusion journey with the UK Spine Centre

It’s easy to get your lumbar fusion surgery booked in with no waiting, once we establish that it’s exactly the right treatment for you.

1 Speak to us

We will discuss the options that work for you in a free 15 minute consultation

2 Book an appointment

visit our state of the art Harley Street clinic or we offer video consultations

3 On the Day Diagnosis

Get assessed, scanned and diagnosed in one day

4 Day case surgery

Get expert treatment and be up on your feet the same day

5 Follow Up Consultation (FREE and included)

To make sure you are better and back to doing what you love

Learn more about your symptoms

Use our DiagnoseMe Analyser to give you a steer on your condition and the next steps

Frequently Asked Questions About Lumbar Fusion

When is Lumbar Fusion Necessary?

Lumbar fusion surgery is recommended when conservative treatments, such as physical therapy and medication, fail to alleviate severe back pain. It may be necessary for conditions like:

  • Severe Back Pain: Persistent pain that affects daily activities.
  • Spinal Instability: Conditions where the spine is not stable, often due to spondylolisthesis or spinal fractures.
  • Degenerative Disc Disease: Significant degeneration of the spinal discs causing chronic pain.
How Long Does a Lumbar Fusion Last?

The recovery timeline for lumbar fusion varies, but here are the general phases:

  • First Few Months: Initial healing, with emphasis on controlled activity and physical therapy.
  • Long-term Expectations: The fusion is intended to be permanent, providing lasting relief from symptoms. Patients can typically return to more normal activities within 6 to 12 months, depending on individual healing and adherence to post-operative care.
Can Lumbar Fusion Cause Hip Problems?

While lumbar fusion aims to alleviate back pain, it can sometimes lead to complications such as:

  • Hip Issues: Altered biomechanics of the spine can cause stress on adjacent joints, including the hips.
  • Prevention and Management: Proper post-operative care and physical therapy can help mitigate these risks. Regular follow-up appointments are crucial for monitoring any emerging issues.
What Can You Not Do After Lumbar Fusion?

To ensure a successful recovery, patients should avoid:

  • Heavy Lifting: Avoid lifting objects heavier than a few kilograms.
  • Bending and Twisting: These movements can stress the fusion site.
  • High-impact Activities: Activities like running or jumping should be avoided until cleared by your surgeon.
  • Prolonged Sitting: Break up long periods of sitting with short walks or stretches.
Can Lumbar Fusion Be Reversed?

Reversing lumbar fusion is complex and not always possible. Considerations include:

  • Challenges: The procedure to reverse fusion involves significant risks and is less commonly performed.
  • Alternative Treatments: Non-surgical therapies, including physical therapy and pain management, might be explored before considering reversal.
  • Expert Consultation: Discussing all available options with a spine specialist is essential to determine the best course of action.

For further information or to discuss your specific case, please contact our team. We’re here to help you every step of the way.

Call to Action: Consult with our specialists today to explore your options for lumbar fusion and recovery.

The patient experience: Graham’s story

“I am now completely pain free. If only I had discovered the UK Spine Centre sooner.”

The Problem

Graham was a 73 year old semi-retired graphic designer. He enjoyed walking, gardening and his hobby was restoring and repairing classic motorbikes. These enjoyable pursuits had gradually dropped off due to an intermittent ache in his left buttock going down the outside of his leg which prevented him from walking for more than 15 minutes. He actually had minimal back pain but the leg symptoms were worsening and physiotherapy had not improved things. He was on an NHS waiting list for a standard decompression.

Our Diagnosis

On examination Graham had left L5 radicular symptoms and a radiology report from a previous MRI indicated both moderate spinal stenosis at L4/5 and a vertebral slippage (spondylolisthesis) at L5/S1.The difficulty here was determining exactly where the symptoms were coming from. The L5 nerve root was potentially being compressed in two separate locations, but we needed to pinpoint exactly where the pain was being caused. An up to date MRI and standing x-ray was organised and on closer inspection Mr Aylott identified the compression was being caused by severe bilateral foraminal stenosis at L5/S1 which was compressing the exiting nerve root and he excluded the mild spinal stenosis at L4/5. The definitive option to cure the symptoms was fusion ant not decompression surgery.

The Treatment

The complexity of Graham’s back was increased by a deformity and the operation required was a L4 to S1 fusion with rods and screws.  His case was discussed at the Harley Street Hospital MDT (multidisciplinary team) meeting  and the risks and benefits of surgery were weighed up. One month later Graham had an L4-S1 instrumented fusion. His recovery was swift and at 6 weeks he had complete relief of his sciatic leg symptoms and was easily walking more than a mile. He was now comfortable sitting and standing, with good balance and posture. He expressed his pain free life as being remarkable and being  ‘much more mobile would consider that I am at least 10 years younger!’. 

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A comprehensive range of treatments

Lumbar fusion is just one technique amongst a comprehensive set of treatments we can provide on-site. We are one of the few clinics that can offer same day diagnosis through to treatment.

Our treatments have helped over 9,142 people get back to doing what they love.

This was the best medical treatment I have ever received. After years of getting nowhere I was listened to and treated perfectly and with respect. I cannot recommend highly enough.
Alan Peterson, Tonbridge

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