Keyhole Minimal Invasive Spinal Surgery
Keyhole Minimal Invasive Spinal Surgery in London
With Mr Irfan Malik | Consultant Spine Surgeon | UK’s Renowned Specialist
Minimally invasive spine surgery (MISS) a procedure in which Mr Irfan Malik specializes is a type of surgery on the bones of your spine (backbone). This type of surgery uses smaller incisions than standard surgery. This often causes less harm to nearby muscles and other tissues. It can lead to less pain and faster recovery after surgery.

Quick Facts
Less trauma
Because the surgeon typically does not cut through muscles and other tissues to reach the surgical site
Shorter and potentially
No hospital stay, since some procedures can be done on an outpatient basis
Overview
Key Benefits
Related Conditions
Indications
Procedure
Overview
During (MISS), the healthcare provider makes one or more smaller incision. They then insert a device called a tubular retractor. This is a stiff tubed shaped tool. It creates a tunnel to the problem area of the spine. It gently pushes the muscle and soft tissue around the area. The surgeon can then put small tools through the tunnel to work on the spine.
The surgeon also uses a special operating microscope , high resolution cameras, computer assisted and robotic guidance, and real time x-rays of the spine. Surgeons can use (MISS) for some types of spine surgery. These include lumbar or cervical discectomy , decompressive laminectomy, and spinal fusion with metal rods and screws. spine is the premier option for keyhole spine surgery as they provide world class care with advanced techniques.
Key Benefits
- Shorter procedure and recovery time.
- Less pain after surgery due to limited muscle and tissue damage.
- A few or one scar instead of a large one.
- Reduced risk of infection.
- Decreased blood loss in the operating room.
Related Conditions
- Spondylolisthesis
- Spinal fracture
- Spinal tumor
- Slipped discs
- Spinal stenosis
- Herniated discs
Indications
Indications that I need minimal invasive spinal surgery
Most of the people who have back pain will not need surgery. Your healthcare provider might advise spine surgery if you have a back problem that has not gotten better with another treatment, such as medicine, chiropractic care or physical therapy. If you still have a lot of pain, surgery on your spine might fix the problem.
Procedure
Pre procedure
Talk with your healthcare provider about how to prepare for your surgery. Tell your healthcare provider about all the medicines you take. This includes over-the-counter medicines such as aspirin. You may need to stop taking some medicines ahead of time, such as blood thinners. If you smoke or use nicotine products, you will need to stop before your surgery. Nicotine can delay healing. Before surgery, you may need imaging tests these may include x-rays or MRI. Follow any directions you are given for not eating or drinking before your surgery. Tell your healthcare provider about any recent changes in your health, such as fever.
Procedure
You may have a type of anesthesia that numbs part of your body. You will also be given sedation. This will make you fel relaxed but awake during surgery or you may be given general anesthesia. This prevents pain and causes you to sleep through the surgery. A healthcare provider will carefully watch your vital signs, like your heart rate and blood pressure, during the surgery. You may be given antibiotics before and after the surgery.
This is to help prevent infection. During the procedure your surgeon will use a special type of x-ray to view the surgery. The healthcare provider will make a small incision on your back in the area that needs to be treated. A tubular retractor is put into this incision. This will expose the part of the spine to be treated. Your healthcare provider will then make the needed repairs to the spine. Once the repairs are done the tools and retractor are removed. The incisions are closed with stitches, glue or staples a small bandage is put on the wound.
Post Procedure
You will have some pain after the surgery. This can be relieved with pain medicines, cold packs and walking regularly. Ask your healthcare provider if there are any over-the-counter pain medicines you should not take. Often, the pain will go fairly quickly. You can resume a normal diet as soon as you are able to.
Google Reviews
EXCELLENT Based on 71 reviews Posted on Ivanna C.Trustindex verifies that the original source of the review is Google. I can’t begin to praise Dr. Malik enough for what him and his staff did for me. When I slipped my disc I was completely incapacitated. I was physically unable to stand on my own. The NHS referred me for an MRI that was 6 weeks away which was just not an option. At the time I also had a 5 month old at home, staying in the state I was in just wasn’t an option. My husband did extensive research and came across Dr. Malik. He was able to see me the day after we contacted him, gave me an MRI that evening and was able to fit me in for a nerve block the following morning. Although everything went perfectly it provided minimal relief as the slip was so bad. (Which Dr. Malik informed me may happen) Unfortunately I had to have spinal surgery and I wouldn’t want anyone other than Dr. Malik to do it. His knowledge is beyond anything I could imagine. Not only is he an unbelievably talented surgeon and highly respected in his field but he made sure I understood each and every step he took to get me back on my feet. He also made sure to give me every option allowing me to make the most informed decision. I’m forever grateful for all that he’s done for me. Please, if you’re looking for a expert in this field, see Dr. Malik. You won’t regret it.Posted on Mark BuckleyTrustindex verifies that the original source of the review is Google. I recently consulted Mr. Malik for acute back pain. He was professional, thorough, and clearly very knowledgeable in his field. He took the time to explain the cause of my pain and discussed treatment options in a clear and reassuring manner. I felt well cared for throughout the consultation and would highly recommend him to all.Posted on arslan rehmanTrustindex verifies that the original source of the review is Google. I cannot recommend Mr. Malik, Neurosurgeon, highly enough. He recently performed surgery on my mother to treat severely compressed nerves and a slipped disc, and the entire experience has been absolutely outstanding from start to finish. The surgery went smoothly, and Mr. Malik kept me fully informed throughout the process. He took the time to call me personally as soon as the procedure was over, which meant so much to me and my family. His approachable, friendly, and professional manner gave us complete confidence at every stage. Thanks to Mr. Malik’s skill and expertise, my mum is now feeling so much better. The difference in her comfort and mobility is remarkable. A big thank you also to Rebecca, Mr. Malik’s secretary, for her efficiency and support. She was on top of all the admin and communication, making the whole process seamless and stress-free. Overall, the care and service we received was exceptional. Mr. Malik and his team truly go above and beyond.Posted on Lindsay CrowtherTrustindex verifies that the original source of the review is Google. I had severe pain down my left hand side due to a disc in my neck bulging out and trapping a nerve. Dr Malik explained he would replace the disc releasing the nerve. After the surgery the relief was instant and I am now pain free. So very thankful for his skilled surgery!Posted on Gail LE MilliereTrustindex verifies that the original source of the review is Google. I would thoroughly recommend Mr Malik - he has been excellent during my post spinal fixation surgery. He listened to my concerns and was understanding during my recovery process, clearly explaining where my body was during the last 2.5 years.Posted on Jonathan WalkTrustindex verifies that the original source of the review is Google. All the staff at the Clinic, were extremely helpful and kind whilst remaining diligent and professional.Posted on C CTrustindex verifies that the original source of the review is Google. I saw irfan Malik couple of week ago beacause of my spine problem. He is the one of the best spinal surgeon in london.Posted on Charlotte DTrustindex verifies that the original source of the review is Google. When I hobbled into Mr Malik’s office for our initial appointment, and saw he was wearing Hoka’s, I knew I’d found my surgeon! I was seen on the Friday evening, and was added to his operating list for the following day. He made the arrangements with the anaesthetist there and then, and Rebecca, his practice manager was able to quickly arrange my admission for the following morning and details for my insurance provider. The whole experience was slick, I am so thankful for the speed at which everything was organised. The difference in Mr Malik and a previous surgeon I had seen about my sciatica was second to none. He listened and explained everything so thoroughly. When I woke up after the op, all my sciatic pain was gone immediately, and my recovery has been great so far! If I ever needed anything doing to my back again, I would definitely be coming back. From appointment to operation in less than 24hrs…. How fantastic!Posted on Anshaal ChawdheryTrustindex verifies that the original source of the review is Google. I had experiencing pain for a while and was seen by Mr Malik who treated me with the utmost professionalism and care. His expertise and knowledge put me at ease while he provided the best treatment I could have hoped for. I am beyond grateful to Mr Malik and his team for the experience and can’t recommend him highly enough! Thank you alwaysPosted on Colette BarryTrustindex verifies that the original source of the review is Google. After extensive research we are so happy we chose Mr Malik to operate on our daughter. He instilled confidence upon our first meeting; he is professional and really cares about this patients. He made such hard decisions easier by explaining everything thoroughly; and his aftercare has been faultless. Thank you Mr Malik & team for treating our daughter & ensuring that she is now back studying at University pain free.
What Patients Are Saying About Us
I recently consulted Mr. Malik for acute back pain. He was professional, thorough, and clearly very knowledgeable in his field. He took the time to explain the cause of my pain and discussed treatment options in a clear and reassuring manner. I felt well cared for throughout the consultation and would highly recommend him to all.
I had severe pain down my left hand side due to a disc in my neck bulging out and trapping a nerve. Dr Malik explained he would replace the disc releasing the nerve. After the surgery the relief was instant and I am now pain free. So very thankful for his skilled surgery.
I would thoroughly recommend Mr Malik – he has been excellent during my post spinal fixation surgery. He listened to my concerns and was understanding during my recovery process, clearly explaining where my body was during the last 2.5 years.
After extensive research we are so happy we chose Mr Malik to operate on our daughter. He instilled confidence upon our first meeting; he is professional and really cares about this patients. He made such hard decisions easier by explaining everything thoroughly; and his aftercare has been faultless. Thank you Mr Malik & team for treating our daughter & ensuring that she is now back studying at University pain free.
Mr Malik was incredible. Patient, gentle and efficient. Highly skilled surgeon. Thank you. I am now pain free and so grateful.
Mr Malik operated on me last week for lumbar decompression and microdiscectomy. Unbelievable results so far, the nerve pain which was debilitating has gone. Recovery is going well. Mr Malik was very reassuring and I felt very confident in his hands as my surgeon.