Minimally Invasive Spine Surgery at Oxford Spine and Neurosurgery Centre

A photo of Dr Colum Nolan, Senior Consultant Neurosurgeon of Oxford Spine & Neurosurgery Centre

Dr Colum Nolan
Senior Consultant Spine & Neurosurgeon

MB, BCh, BAO, LRCPSI, MRCSI, FRCSI (Neurosurgery)

Minimally invasive spine surgery refers to surgical techniques that aim to address spinal conditions while limiting disruption to surrounding tissues. These approaches may be considered in selected patients, depending on the location of the condition, symptom severity, and overall spine stability.

At Oxford Spine and Neurosurgery Centre, minimally invasive techniques are applied selectively as part of a broader neurosurgical care plan, guided by clinical assessment and imaging findings.

Conditions and Procedures That May Use Minimally Invasive Approaches

Minimally invasive techniques may be used in the management of a range of spine conditions. Procedures commonly performed include:

Lumbar Discectomy

A procedure to remove disc material that is pressing on a nerve in the lower back, often used in cases of disc herniation causing leg pain or sciatica.

Lumbar decompression

Surgical decompression of nerves in the lower back affected by spinal stenosis or related degenerative changes, aimed at relieving pressure on nerve structures.

Neck nerve decompression

A posterior approach (posterior cervical foraminotomy) is used to relieve pressure on cervical nerve roots, commonly considered for arm pain or nerve symptoms related to the neck.

Spinal Fusion

A stabilisation procedure is used when abnormal movement or instability is contributing to pain or neurological symptoms. Minimally invasive techniques may be applied in selected fusion cases.

Cervical Disc Replacement or Arthroplasty

A motion-preserving option used in selected cervical disc conditions, where disc replacement is considered instead of fusion after careful assessment.

Technology-supported Spine Surgery

Minimally invasive spine surgery may be supported by advanced technologies where appropriate. These tools assist with planning and precision but do not replace surgical judgement.

Spine Navigation and Robotic Technology

Used to support accuracy during selected spine procedures, particularly where precise implant placement or complex anatomy is involved.

Intraoperative Neuroimaging

A technique used during certain spine surgeries to monitor nerve function in real time, helping to reduce the risk of neurological injury during the procedure.

How minimally invasive surgery fits into the care journey

Minimally invasive spine surgery is not suitable for every condition or every patient. Decisions are based on:
  • Clinical symptoms and neurological findings
  • Imaging correlation
  • Spine stability and alignment
  • Overall health and recovery considerations
Surgery is typically discussed only after non-surgical options such as medication, physiotherapy, or pain management treatments have been considered.
While minimally invasive spine surgery may be appropriate for selected conditions, it is not suitable for every situation. In cases where spinal cord compression is extensive, spinal instability is present, or deformity requires broader correction, a conventional surgical approach may be considered.
The choice of surgical method depends on clinical findings, imaging results, and overall spine alignment rather than a preference for one technique over another.

Care led by Dr Colum Nolan

Care at Oxford Spine and Neurosurgery Centre is led by Dr Colum Nolan, Senior Consultant Neurosurgeon with more than 20 years of clinical experience in Neurosurgery. His practice focuses on the assessment and management of complex spine conditions, with the use of minimally invasive techniques where clinically appropriate.

Clear explanation, careful patient selection, and structured follow-up are central to the care approach.

Our Spine & Neurosurgeon in Singapore
Dr Colum Nolan
MB, BCh, BAO, LRCPSI, MRCSI, FRCSI (Neurosurgery)

Dr Colum Nolan is a Senior Consultant Neurosurgeon with over 20 years of experience, specialising in minimally invasive spine (keyhole) surgery and other spine procedures. 

A graduate of the Royal College of Surgeons in Ireland, Dr Nolan underwent neurosurgical training in Ireland and Australia, followed by a fellowship in complex spine surgery at Addenbrooke’s Hospital, Cambridge, as well as rotations at the Orthopaedic Spine Unit in Norfolk and Norwich Hospital. 

Dr Colum is committed to delivering compassionate, patient-centred care, combining surgical precision with a genuine dedication to improving his patients’ quality of life.

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