Spinal Conditions and Treatments

Sherief Elsayed will willingly draw on his vast knowledge and experience to answer any of your queries about pathology (abnormality) affecting the following -

Cervical Spine (Neck)

• Neck Pain

• Degenerative Disc Disease

• Cervical Disc Prolapse

• Cervical Disc Bulge

• Cervical Disc Rupture

• Brachalgia (arm pain)

• Nerve Compression / Compressed Nerve / Pinched Nerve

• Cervical Radiculopathy

• Cervical Myelopathy

• Cervical Fractures

• Fractures of C1 (Atlas fractures)

• Fractures of C2

• Odontoid Peg Fractures

• Hangman Fractures / Traumatic Spondylolisthesis of C2/3

• Fractures and Fracture-dislocations of the Sub-axial Cervical Spine (C3-7)

• Facet Dislocation, including Unifacet and Bifacet Dislocation

• Facet Fractures

• Cervical Spinal Cord Injury (SCI)

• Cervical Anterolisthesis

• Cervical Tumours including Metastatic Spinal Cord Compression (MSCC)

• Cervical Infections including Discitis and Epidural Abscesses

• Cervical Spine and Rheumatoid Arthritis

Thoracic and Lumbar Spine
(upper and lower back)

• Back Pain

• Degenerative Disc Disease

• Facet Joint Disease / arthropathy

• Lumbar Disc Prolapse

• Lumbar Disc Bulges

• Lumbar Disc Rupture

• Annular Tears Of Lumbar Discs

• Nerve Compression / Pinched Nerve

• Sciatica

• Piriformis Syndrome

• Spinal Stenosis

• Spondylolisthesis in its various forms

• Antibiotics for Back Pain (not currently prescribed by Sherief Elsayed)

• Osteoporosis and the Spine

• Spinal Infections Including Discitis, Epidural Abscesses And Infections involving Tuberculosis (TB)

• Thoracic Spinal Cord Injury

• Cauda Equina Syndrome

Spinal Deformities

• Scheuermann's Kyphosis

• Postural Kyphosis

• Scoliosis

Spinal Fractures

• Wedge Compression Fractures

• Burst Fractures

• Endplate Fractures

• Fracture-Dislocations

• Traumatic Spondylolisthesis

Non-operative Management of Spinal Conditions

• Physiotherapy

• Acupuncture

• Hydrotherapy

• Exercise

• Spine Braces

• Spinal Halo Application and Care

• Medications, including over-the-counter and prescription medications for the treatment of pain. 

Please note that Sherief Elsayed will typically offer advice for you to seek a prescription from your General Practitioner / Primary Care Physician, rather than offering a prescription himself. This is to ensure that there is no contra-indication to any given medicine, no interaction with medication you may already be taking and for your primary care physician to be fully aware of suggested treatments.

Spinal Injections

• Nerve Root Block / Foraminal Nerve Root Blocks

• Facet Joint Injections

• Sacro-iliac Joint Injections

• Trigger Point Injections

• Caudal Epidurals

• Pain Team Referrals

Operative Management of Spinal Conditions

Below is a list of topics Sherief Elsayed will be happy to supply information on:

Preparing for Surgery

• Pre-operative Work-Up including Blood Tests, CT, MRI and other investigations

• Fitness for Surgery

• What to Expect in Hospital

• Duration of Stay

Cervical Spine

• Anterior Cervical Discectomy and Fusion

• Anterior Cervical Discectomy and Cervical Disc Replacement / Cervical Arthroplasty

• Cervical Corpectomy and Anterior Column Reconstruction

• Anterior Reduction and Stabilisation Techniques for Cervical Trauma (Fractures and Dislocations)

• Posterior Cervical Decompression

• Posterior Cervical Decompression and Instrumented Fusion

• Posterior Cervical Foraminotomy

• C1/2 Posterior Intra-Articular Screw Fixation

• 'Missed Facet' Reduction and Stabilisation

• Cervical Epidural Drainage for Infection

Thoracic and Lumbar Spine

• Discectomy

• Microscopic Discectomy

• Endoscopic Spinal Surgery / Endoscopic Discectomy

• Posterior Lumbar Decompression

• Posterior Lumbar Decompression and Non-Instrumented Fusion / Instrumented Fusion

• Transforaminal Lumbar Interbody Fusion (TLIF)

• Posterior Lumbar Interbody Fusion (PLIF)

• Posterior Thoracic Decompression and Fusion For Metastatic Spinal Cord Compression or Infection

• Thoracolumbar Fracture Reduction and Stabilisation

• Vertebroplasty

• Kyphoplasty

• Anterior Lumbar Interbody Fusion (ALIF)

• Anterior Lumbar Discectomy and Lumbar Disc Replacement

• Anterior Discectomy for Thoracic Disc Prolapse and Myelopathy

• Thoracolumbar Corpectomy and Anterior Column Reconstruction for Fractures, Tumours and Infections

Post-operative Care

• "Dos and Don'ts"

• Drains, Catheters and Other Monitoring Equipment

• High Dependency / Intensive Care

• Wound Care

• Post-operative Rehabilitation

• Return to Work

• Return to Sports

• Taking Care of Your Spine in the Longer Term