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Spine Unit

Expert orthopaedic spine care from specialist diagnosis and advanced imaging to personalised non-surgical and surgical treatment plans for all cervical, thoracic, and lumbar conditions, delivered by a dedicated multidisciplinary spine team.

About Department

The Spine Unit at PB Health is a dedicated orthopaedic centre for the comprehensive diagnosis, treatment, and long-term management of conditions affecting the cervical, thoracic, and lumbar spine. Operating within the Department of Orthopaedics, the unit provides evidence-based, patient-centred care supported by advanced spinal imaging, specialist surgical expertise, and integrated physiotherapy and rehabilitation pathways.

Core Spine Care Capabilities

  • 24/7 Spine Emergency Support for acute spinal trauma, cord compression, and severe radiculopathy
  • Rapid Triage Protocols for suspected cauda equina syndrome, spinal cord compression, and acute disc herniation
  • Advanced Spinal Imaging — MRI (including dynamic and weight-bearing sequences), CT, digital X-ray, and DEXA bone density assessment
  • Minimally Invasive Spine Surgery (MISS) for reduced operative trauma and faster recovery
  • Spinal Decompression and Instrumented Fusion Procedures
  • Integrated Care Pathways with orthopaedic neurology, interventional pain medicine, and physiotherapy
  • Multidisciplinary Spine Conferences for complex or high-risk cases

Integrated Spine Care Model

The Spine Unit operates within PB Health's broader Orthopaedics department, following a coordinated, multidisciplinary care model. Orthopaedic spine surgeons collaborate with neurologists, interventional pain specialists, radiologists, physiotherapists, and rehabilitation physicians to evaluate each case comprehensively.

Every patient receives an individually tailored management plan, progressing from conservative orthopaedic care and pain modulation through to minimally invasive procedures or open surgery as clinically required, followed by structured rehabilitation.

Clinical Focus Areas

Cervical, thoracic, and lumbar disc prolapse (herniated nucleus pulposus)
Lumbar and cervical spinal canal stenosis
Axial neck pain and mechanical low back pain
Radiculopathy — sciatica, cervicobrachialgia, and neurogenic claudication
Spinal fractures — vertebral compression fractures, burst fractures, and traumatic dislocations
Spinal deformity — adolescent idiopathic scoliosis, adult degenerative scoliosis, and kyphosis
Spondylolisthesis and segmental spinal instability
Pyogenic and tuberculous spinal infections (spondylodiscitis)
Primary and metastatic spinal tumours
Osteoporotic vertebral compression fractures
Failed back surgery syndrome (FBSS)
Paediatric spine disorders (in collaboration with paediatric orthopaedics)

What To Expect In The Spine Unit

  • Immediate clinical assessment on arrival with structured history and neurological examination: Immediate clinical assessment on arrival with structured history and neurological examination
  • Urgency-based triage — neurological red flags prioritised for same-day evaluation: Urgency-based triage — neurological red flags prioritised for same-day evaluation
  • Continuous monitoring of pain intensity, functional mobility, and neurological status: Continuous monitoring of pain intensity, functional mobility, and neurological status
  • Rapid diagnostics with MRI, CT, and plain radiographs as clinically indicated: Rapid diagnostics with MRI, CT, and plain radiographs as clinically indicated
  • Clear, structured communication of diagnosis, investigation findings, and treatment options: Clear, structured communication of diagnosis, investigation findings, and treatment options
  • Prompt escalation pathway to surgical intervention or intensive monitoring if required: Prompt escalation pathway to surgical intervention or intensive monitoring if required

Spine Services & Procedures

Conservative Orthopaedic Spine Care

Analgesic and anti-inflammatory pharmacotherapy, spinal orthoses and bracing, structured physiotherapy, and evidence-based posture correction programmes.

Interventional Pain Management

Fluoroscopy- or ultrasound-guided epidural steroid injections, selective nerve root blocks, facet joint injections, and medial branch nerve blocks.

Spinal Decompression Surgery

Microdiscectomy, open and microscopic laminectomy, foraminotomy, and endoscopic (tubular) decompression for nerve root or spinal cord compression.

Spinal Fusion & Instrumented Stabilisation

Posterior lumbar interbody fusion (PLIF/TLIF), anterior cervical discectomy and fusion (ACDF), and pedicle screw instrumentation for instability, deformity, and advanced degenerative disease.

Vertebroplasty & Balloon Kyphoplasty

Image-guided cement augmentation procedures for painful osteoporotic and malignant vertebral compression fractures.

Spinal Trauma Surgery

Surgical decompression, posterior or anterior fixation, and spinal column reconstruction following traumatic vertebral fractures and dislocations.

Spinal Deformity Correction

Posterior spinal fusion with segmental pedicle screw instrumentation and osteotomy techniques for scoliosis, kyphosis, and sagittal imbalance.

Revision Spine Surgery

Surgical management of recurrent disc herniation, adjacent segment disease, hardware failure, pseudarthrosis, and post-surgical complications.

The PB Health Advantage in Spine Treatment & Care

  • Always available: Timely outpatient consultations, urgent orthopaedic spine assessments, and around-the-clock support for acute spinal emergencies, exactly when you need it.
  • Specialist-led care: Experienced orthopaedic spine surgeons and spine-trained specialists managing the full spectrum of cervical, thoracic, and lumbar conditions with surgical and non-surgical expertise.
  • Personalised treatment: Management plans tailored to your specific diagnosis, neurological status, imaging findings, functional goals, bone health, and lifestyle, not a one-size-fits-all protocol.
  • Compassionate at every step: Clear communication of diagnosis and treatment options, attentive clinical support, and a team that treats you as a whole person throughout your spinal care journey.
  • Technology-driven precision: Accurate spinal assessment using advanced imaging, fluoroscopy-guided procedures, intraoperative neuromonitoring, and image-guidance systems for safer, more precise outcomes.
  • Uncompromising safety: Strict surgical safety checklists, infection control standards, antibiotic stewardship, and evidence-based clinical protocols at every stage of your care.
  • Truly collaborative care: Orthopaedic spine surgeons, pain specialists, physiotherapists, neurologists, rehabilitation physicians, and nursing staff working in concert for coordinated, seamless outcomes.

Need Spine Care?

Our expert orthopaedic spine team is here to assess your condition, relieve pain, restore function, and protect your long-term spinal health — from first consultation to full recovery.

FAQs

You should seek a consultation if you experience persistent neck or back pain lasting more than six weeks that does not improve with rest or simple analgesia; pain radiating down an arm (brachialgia) or leg (sciatica); progressive numbness, tingling, or muscle weakness in the limbs; difficulty walking or maintaining balance; or spine pain following a fall, road traffic accident, or direct injury.