- Fee assured
- Verified this account
- Oncological (bone tumour)
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
Back pain Sciatica; Neck & Arm Pain
Spine Cancer; Metastases
- Vino Sritharan (Senior Treatment Coordinator)
- Wimbledon Clinics The Lodge Parkside Hospital London SW19 5NX
- 020 8944 0665
Anaesthetists worked with
- Dr Platon Razis Fee Assured
- Dr Michael Shaw Fee Assured
Current NHS consultant posts held
Consultant Trauma & Orthopaedics, and Complex Spinal Surgeon.
St George's University Hospital, London, UK
Paediatrics Spinal Surgery
Deformity, scoliosis, kyphosis, Scheuremann's,
Spondylolisthesis, Techniques, Non Fusion, Vertebral Body Tethering (VBT), MAGEC Rods, Magnetic Growing Rods
Infection of spine, laboratory based research, animal studies, cadaveric studies, biomechanical studies
Adult Scoliosis, Adult Complex Deformity, Kyphosis, Flatback, Back Pain, Sciatica,
Trauma, fractured spines and Spinal Cord Injury
Spine Cancer. Oligometastatic Disease. Metastatic disease, Tomita En Bloc Spondylectomy, Radiofrequency ablation, Separation Surgery and SBRT radiosurgery,
NIHR Grant studies
(Additional) Languages spoken
- Cantonese - Basic
Neurologic injury in complex adult spinal deformity surgery: Multilevel oblique lumbar interbody fusion (MOLIF) using hyperlordotic Tantalum Cages and posterior fusion versus pedicle subtraction osteotomy (PSO)
360-Degree Complex Primary Reconstruction using Porous Tantalum Cages for Adult Degenerative Spinal Deformity
The challenge of differentiating vaso-occlusive crises from osteomyelitis in children with sickle cell disease and bone pain: A 15-year retrospective review.
Comparable clinical and radiological outcomes between skipped-level and all-level plating for open-door laminoplasty
Effect of body mass index on functional outcome in primary total knee arthroplasty – a single institution analysis of 2180 primary total knee replacements
Successful non-surgical treatment for highly unstable fracture-subluxation of the spine secondary to myeloma
Lower leg compartment syndrome post appendicectomy
Eliminating the use of allogenic blood products in adolescent idiopathic scoliosis surgery
Paediatric spinal trauma. When in doubt, scan again!
Development of an electronic referral system for Pelvic and Acetabular Trauma in times of austerity
Occupational Noise Levels in Modern Battery Operated Orthopaedic Surgical Equipment
Acute nontraumatic Spinal Intradural haematoma in a patient on warfarin
Tarsal tunnel syndrome caused by giant cell tumour of the tendon sheath: case report with review of the literature
Total hip arthroplasty in nonagenarians
Fibroma of the Peroneous Longus tendon sheath in a paediatric patient
Handedness in Orthopaedic Surgeons
Multiorgan Failure in trauma: from conception to genomic era
Pelvic and Acetabular Fractures: A One Year Review
Skype: a tool for functional assessment in orthopaedic research.
Clavicle Hook Plate Clavicle hook plate fixation for displaced lateral-third clavicle fractures (Neer type II): a functional outcome study.
Acetabular fractures following rugby tackles: a case series.
The evaluation of the inverted supinator reflex in asymptomatic patients.
The management and outcome of lateral process fracture of the talus
Inflammatory myofibroblastic tumour of the tibia
Foot drop - an unusual presentation of exertional compartment syndrome
The Effect of Body Mass Index on Outcomes after Total Ankle Replacement
Giant cell tumour in the foot of a skeletally immature girl
Well leg compartment syndrome following penetrating abdominal trauma
Courses offered to GPs
Friday Lunch Time Talks - near London Bridge Hospital
Regular Spinal Symposiums in Wimbledon
- LRCP & SI, MB, BAO, BCh Royal College of Surgeons in Ireland 2001
- MRCS Royal College of Surgeons in Ireland 2004
- MCh Royal College of Surgeons in Ireland 2008
- FRCS (Tr & Orth) Royal College of Surgeons in Ireland 2013
Reference number 7499111