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Mr Darren Lui

Mr. Darren F. Lui

Trauma & orthopaedic surgery

  • Fee assured
Overview

Specialises in

  • Oncological (bone tumour)
  • Spine

About me

Mr Darren F. Lui is fellowship trained in complex spinal surgery. He deals with simple spinal problems such as back and leg pain (sciatica) as well as neck and arm pain (radiculopathy). He also deals with the entire breadth of complex spinal problems from deformity, trauma and cancer.

This includes expertise to approach the spine in 360 degrees from anterior, lateral, oblique and posteriorly. This allows minimally invasive techniques to be optimally utilized by combining the techniques, then planning bespoke surgery to the patient’s sagittal and coronal parameters.

He specializes in adolescent & paediatric deformity surgery such as scoliosis and kyphosis or Scheuremann’s. Scoliosis in children often occurs in young adolescent girls and less so in boys and is often first discovered by a parent/sports coach because a deformity such as unbalanced shoulders, a rib or loin hump or asymmetric waist is seen. It is sometimes discovered because the patient is complaining of back pain, shoulder pain, pain between the shoulder blades, over the right rib hump, neck pain and even headaches.
He is an expert in surgical and non-surgical management. He works closely with some specialist physiotherapists dealing with conservative management such as the Schroth technique. He also utilizes bracing where possible in the growing child.

With regards to paediatric deformity, surgical treatment can include fusion of the spine from posterior and anterior or both. He offers traditional as well as novel Minimally invasive surgical techniques for the correction of scoliosis. He also has experience with Vertebral Body Tethering which is a non fusion technique to correct scoliosis. He is part of the first UK group to offer VBT as well as authoring several research projects demonstrating its efficacy with a minimum 2 year follow up with some children now at 5y.

For some children, Magnetic Growing rods can be used, particularly for young children who have not reached their full growth potential and are too young/small to be fused.
He has a special interest in adult scoliosis, failed back syndrome and revision spinal surgery. One of his sub speciality interests are patients who have had previous surgery who may require very complex revisions. These are the most challenging cases, requiring extensive diagnostic testing, and often multiple revision surgeries but more importantly understanding when nothing further should be done. He works closely with his allied healthcare team to provide the correct rehabilitation.
He has a keen interest in spinal oncology and offers the very most up to date techniques in spinal cancer surgery. The most common type he sees are metastases of the spine.
He has expertise in total excision of spinal tumours (Tomita En Bloc Spondylectomy). He works closely with the oncologists to provide minimally invasive solutions where possible to optimize the use of stereotactic radiotherapy (SBRT / Cyberknife ™) for radiosurgery.
One area of tumour expertise is in Multiple Myeloma. Instrumentation of the spine should be avoided as best as possible and cement techniques and careful use of bracing can help avoid major surgery.
As a surgeon at a Level 1 Trauma Centre he has expertise in serious polytrauma, including spinal fractures, as well as spinal cord injury. Stabilizing a fractured and painful vertebra, particularly in the context of polytrauma, is important to help patients mobilize early and avoid a cumbersome brace whilst dealing with multiple other injuries. He uses the latest technology including spinal navigation for minimally invasive percutaneous surgery

His adult practice also incorporates those with back pain or neck pain which can be associated with radicular arm or leg pain. Many of these cases are amenable to minimally invasive or microscopic spinal surgery.

Neck and radicular arm pain, including myelopathy

Areas of interest

Paediatric Deformity Ages Newborn to 18 years old; Scoliosis; Kyphosis; Scheuremann's Disease; Spondylolisthesis; Syndromic Scoliosis, Neuromuscular scoliosis; atypical scoliosis; acquired scoliosis; congenital scoliosis; Adolscent idiopathic scoliosis; early onset scoliosis; juvenile scoliosis; infantile scoliosis
Treatment: Bracing, Specialised Scoliosis Physiotherapy e.g. Schroth Technique,
Non Fusion Techniques: Growing Rods, traditional, Magnetic Controlled MAGEC, VEPTR, Vertebral Body Tethering
Fusion Techniques: Anterior surgery: Selective thoracic fusion, minimally invasive scoliosis surgery, selective anterior thoracolumbar fusion.
Posterior surgery; selective thoracic, long construct

Adult Scoliosis; Failed Back Syndrome; Sagittal imbalance of spine; Degenerative scoliosis; de novo scoliosis; revision spinal surgery; complex adult spinal surgery; Multiple previous surgeries; Adult kyphosis; flatback

Fractures;
Back pain Sciatica; Neck & Arm Pain
Spine Cancer; Metastases

Medical secretaries

Anaesthetists worked with

About me
My qualifications & training
Consultant's practices
Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

  • V2540

    Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (1 or 2 levels) - (1-5)

    Wimbledon Clinics (1-5)

  • V4160

    Posterior correction of degenerative adult kyphosis with instrumentation, +/-fusion (including spinal cord monitoring) - (1-5)

    Wimbledon Clinics (1-5)

  • A5211

    Epidural injection (caudal) - (1-5)

    Wimbledon Clinics (1-5)

  • A5210

    Epidural injection (lumbar) - (1-5)

    Wimbledon Clinics (1-5)

  • A5751

    Facet joint injection (under x-ray control) - 1 to 2 joints - (1-5)

    Wimbledon Clinics (1-5)

  • V4300

    Anterior vertebrectomy with decompression and implant - (1-5)

    Wimbledon Clinics (1-5)

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