This referral platform is aimed at primary physicians to allow them to quickly refer patients suspected of having suffered a Vertebral Compression Fracture (VCF) to specialists. These specialists in VCF management are based at Centres of Excellence where patients are assessed quickly and appropriate treatment delivered swiftly. These types of fractures can often be very painful and debilitating so quick, appropriate treatment is paramount. Please contact your GP if you think this pathway and assessment at these centres may be appropriate for yourself or someone you know.

Below are details of the VCF specialists and the Centres of Excellence in VCF treatment.


Our Consultant Spinal Surgeons

Mr Andrew Hilton, Consultant Orthopaedic and Spinal Surgeon
BSc MBBS FRCS(Eng) FRCS(Edin) FRCS(Tr & Ortho)

Andrew is skilled in both the surgical and non-surgical management of back conditions and promotes a holistic approach to care. He favours working closely with the allied professional teams who support him in improving quality of life for his patients.Whilst reviewing patients in clinic, Andrew regularly diagnoses conditions such as spinal stenosis, sciatica, instability pattern back-pain and spinal fractures.

His wealth of experience means that he is able to treat patients with a wide variety of procedures, including x-stops, inter-spinal spacers, epidurals, discectomies, spinal fusions and kyphoplasty when non-invasive measures are unsuitable.Andrew has recently been appointed Clinical Lead for Spinal Surgery in Dorset, and is a sought after speaker at GP educational update sessions through the BMI Hospitals programme. He also performs general spinecare services.

Mr Neil Orpen, Consultant Spinal Surgeon

Mr Orpen is a fellowship trained spinal surgeon wholly specialising in conditions of the spine. He received specialist training as an orthopedic and then spinal surgeon in Oxford and Bristol, with further training in specific complex procedures in both the UK and Europe. He has a particular interest in minimally invasive spinal surgery and microsurgical techniques to treat spinal problems, as well as a special interest in spinal tumours and fractures, back and neck pain and disc replacement surgery.

As spinal surgery has advanced, techniques have developed that are specifically aimed at minimizing unnecessary trauma which may be caused by the surgery itself. Minimally invasive surgical and micro-surgical techniques are a major principle behind the approach offered by Mr Orpen. These techniques can shorten the time spent in hospital, enhance recovery, and decrease surgical risk.

Mr Orpen is able to offer both operative and non-surgical options in the diagnosis, management and treatment of back, neck and sciatic pain. A full complement of nonsurgical procedures such as nerve blocks in the cervical, thoracic and lumbar spine can be offered as well as other treatments aimed at managing back pain such as facet joint injections and facet joint rhizolysis procedures.

Mr Orpen has been involved in the development of specialist surgical procedures and spinal instrumentation to improve the options available to patients. He remains actively involved in the training of junior and other consultant spinal surgeons and theatre operating teams in the development of advanced spinal surgical techniques. As a result, he has extensive experience in the use of cement augmentation techniques such as kyphoplasty and vertebroplasty. He is involved in the development of these techniques, as well as those associated with micro-decompression of the lumbar spine for the treatment of spinal stenosis.


Vertebral Compression Fracture Centres of Excellence

BMI The Ridgeway Hospital, Swindon

BMI The Ridgeway Hospital has three theatres, one of which opened in November 2011 with a state-of-the-art Stryker Nav Suite which is a completely integrated computer assisted surgery solution with a ceiling-mounted camera that tracks instrumentation.

The hospital have also invested in the O Arm, a surgical Imaging System is a multi-dimensional surgical imaging platform that is designed for use in spine, orthopaedic, and trauma-related surgeries. It provides real-time, intra-operative imaging of a patient's anatomy with high quality images and a large field-of-view in both two and three dimensions.

BMI The Harbour Hospital, Poole

BMI The Harbour Hospital has 35 beds with all rooms offering the privacy and comfort of en-suite facilities, broadband, TV and telephone. The hospital has 3 theatres, 8 consulting rooms, a dedicated MRI & CT imaging centre and digital mammography with 24 hour inpatient doctor cover.

At BMI The Harbour Hospital our physiotherapists are experts in musculoskeletal rehabilitation, using highly effective equipment such as the AlterG® Anti-gravity Treadmill®, GekoTM device for managing swelling and the intermittent compression Cryocuff TM to help aid recovery from injury and surgery.

BMI The Winterbourne Hospital, Dorchester

BMI The Winterbourne Hospital has 38 rooms, all offering the privacy and comfort of en-suite facilities, flat screen TV and telephone. The hospital has two main theatres and Out Patient Treatments rooms. The hospital also offers a wide range physiotherapy including a hydrotherapy pool. The X-ray department offers a full range of diagnostic imaging including MRI and ultrasound.

The physiotherapy department offer rehabilitation following clinical treatment. The team aim to maximise function following surgery, injury including fractures, road traffic accidents and chronic spinal conditions.