Phoenix Hospital Group Logo
+44 (0)20 7935 1200
Consultant Profile
Back

Consultant Profile

Mr Martin Knight

MD FRCS MBBS

Consultant Spinal Surgeon

Speciality: Orthopaedic Surgery, Spinal Surgery,

Location: Weymouth Street Hospital, 9 Harley Street

01580 388 310

Professional Profile

Martin Knight trained at St Bartholomew’s and St Thomas’ and his research training was established at the Royal Postgraduate Medical School.

After a short-term commission in the Royal Navy to support Orthopaedic staff deficits following the Falklands War, he embarked upon a Consultant Orthopaedic post in Rochdale with an interest in the treatment of degenerative disc disease. Following in the footsteps of predecessors prosecuting conventional surgery there was an expected incidence of ‘Failed Back Surgery’. Rather than pursue the same course of treatment he introduced keyhole percutaneous discectomy for revision treatment. Evaluation of outcomes after a year led him to introduce the KTP 532 laser disc decompression into the UK with prospective evaluation.

After two years having pushed out the envelope of this application the team defined the limitations of the technique. They introduced biportal flexible endoscopic intradiscal discectomy with laser assistance.

This expanded the application of keyhole surgery for the treatment of 1„a treatment and Failed Back Surgery. However, whilst the technique allowed larger or extruded discs to be addressed, this needed to be developed to address the problems of facet joint arthritis, instability, backward and forward slippage of vertebrae, sequestra. This led to the development of the uniportal technique of Endoscopic Laser Foraminoplasty for the treatment of chronic lumbar spondylosis, lateral recess stenosis, instability, spondylolitic spondylolisthesis, failed back surgery.

This research has warranted the initiation of a NHS supported a National Randomised Controlled Trial of Endoscopic Laser Foraminoplasty versus Pain Management at The Spinal Foundation.

This research in the lumbar spine has been paralleled by similar laser and endoscopic developments in the cervical spine and the development of a keyhole disc replacement.

Endoscopic “keyhole” Transforaminal surgery (Transforaminal Endoscopic Lumbar Decompression and Foraminoplasty and associated techniques) conducted under Total Intravenous Venous Anaesthesia (TIVA) provide real time feedback from the patient thus guiding the surgeon to the true and specific source of their pain. This provides greater diagnostic accuracy than that offered by MRI scans, X-rays and Discography. This in turn has driven forwards our understanding of the mechanisms of degenerative disc disease and its presenting symptoms and allowed the development of new minimally invasive techniques. These interventions target the pain source accurately; avoiding multiple disc level surgery and limiting collateral tissue damage whilst providing encouraging low risk beneficial outcomes. The results have been Peer reviewed in studies over 20 years. Mr Knight’s expertise in minimal invasive spine surgery is considerable. Because the nerve and to a lesser extent the disc are the major causes of symptoms, these techniques address disc protrusions, extrusions, sequestration, lateral recess stenosis (narrowing), axial stenosis, “instability”, spondylolisthesis (slippage), spondylolytic spondylolisthesis, facet joint cysts, radial tears and High Intensity Zones, degenerative scoliosis and failed back surgery and can be performed at any age including the elderly and infirm. Consequently their encouraging outcomes and low complication rates offer an attractive alternative to open spinal surgery, microdiscectomy, open decompression, interspinous spacers, open or “Less invasive” fusion or total disc replacement.

Specialises In

 

Endoscopic Spine Surgery

Minimally Invasive Spine Surgery

Foraminoplasty

Professional Memberships

 

British Orthopaedic Spine Society

British Orthopaedic Association (Fellow)

Royal Society of Medicine

British Orthopaedic Research Society

British Back Pain Research Society

British Laser Medical Society

European Laser Medical Society (Executive)

Arthroscopy Society of New York

Military Medical Society

Surgical Research Society

ISTHMUS – Founder member and British Representative

American Academy of Minimally Invasive Spinal Medicine and Surgery

North American Spine Society

European Society of Spine

International Musculoskeletal Laser Society – Founder member and British Representative

Contact Details

NHS Base

Private

Contact

Jenny Jago
01580 388 310

Personal Email

Personal Website