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Mr Darren Lui

Mr. Darren F. Lui

Trauma & orthopaedic surgery

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Overview
COVID-19

This healthcare professional let us know that they are currently:

  • Accepting new patients
  • Available for:
    • Face-to-face consultations
    • Phone consultations
    • Video consultations

Last updated: 29 Apr 2020

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.

*We can offer Virtual Clinic Appointments via Telemedicine and Videoconference during COVID-19 pandemic*

He has expertise to approach the spine in 360 degrees from anterior, lateral, oblique and posteriorly. This allows minimally invasive techniques to be optimally plan bespoke surgery to the patient’s sagittal & coronal parameters.

He specializes in adolescent & paediatric deformity surgery such as scoliosis and kyphosis/Scheuremann’s.
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.
He has experience with Magnetic Controlled Growth Rods (MAGEC) and worked in Hong Kong where they were first utilised.
He believes in offering surgery which will limite the number of fusion levels and maximise lumbar movement.

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 experience 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 Separation Surgery.
Minimally invasive Separation surgery for Oligometastatic disease for maximum local control can improve prognosis over simple palliative procedures. He has expertise in using Carbon Fibre instrumentation to allow your Oncologist optimal imaging surveillance and radiotherapy planning which are superior to titanium implants in this regard.

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 severe 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. He has been trained in Robotic 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

Anterior Surgery
Robotic Surgery
Navigation Surgery
Minimally Invasive Surgery

Paediatric Deformity; Kyphosis; Scheuremann's Disease; Spondylolisthesis; Adolscent idiopathic scoliosis; early onset scoliosis; Syndromic and Neuromuscular scoliosis; congenital scoliosis
Treatment: Bracing, Physiotherapy Scoliosis Specific Exercises e.g. Schroth Technique,
Non Fusion Techniques: Growing Rods, traditional, Magnetic Controlled MAGEC, VEPTR, Vertebral Body Tethering (VBT), Anterior Scoliosis Correction (ASC)

Fusion: Anterior surgery: Selective thoracic fusion (minimally invasive anterior 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

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Information for healthcare professionals

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

Procedures completed

  • A5210

    Epidural injection (lumbar) - (5-50)

  • A5761

    Facet joint injection (under x-ray control) - 3 to 4 joints - (1-5)

  • V3340

    Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (1 or 2 levels) - (1-5)

  • V3362

    Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graft stabilisation and all fusion approaches) (lumbar region) - (1-5)

  • A5751

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

  • A5211

    Epidural injection (caudal) - (1-5)

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