Birmingham NeuroSpine Clinic (UK)

The Birmingham NeuroSpine Clinic is led by Professor Stefan C. Zygmunt M.D., Ph.D., a nationally and internationally well recognised Senior Consultant Neurosurgeon with a broad clinical experience, in particular with regard to spinal and neuro-vascular conditions. He is a full time NHS Consultant Neurosurgeon & Spinal Surgeon at the University Hospital Birmingham NHS Foundation Trust. He has been a Consultant Neurosurgeon since 1990. In 1995 he was appointed Consultant Neurosurgeon at the Queen Elizabeth Hospital in Birmingham and Honorary Lecturer to the University of Birmingham. 
 
He has a unique background in both orthopaedics and neurosurgery holding specialist qualifications in both specialities. He underwent specialist training in Sweden and the U.K. In Sweden he trained at the prestigious University Hospital in Lund and in the U.K. at the well-known WESSEX Neurological Centre in Southampton. His specialist training was completed in 1986. After this he completed his higher postgraduate medical degree at the University of Lund in Sweden, one of Europe’s most renowned universities where granted by HRH King Carl XVI Gustaf of Sweden he was appointed Doctor of Philosophy (Ph.D.) 1992.
 
As a result of his research, presentation of numerous peer reviewed scientific articles and book chapters he has been invited to give both national and international lectures. He has also chaired international meetings on spinal and neurovascular topics. Professor Zygmunt's work continues to be referred to in major textbooks and scientific articles. In recognition of his successful research he was appointed associate Professor of Neurosurgery 1995.
 
Professor Zygmunt is a keen developer, teacher and advisor although his main interest is the well being of his patients. He will always hold a detailed discussion of the various possible surgical and/or non-surgical treatments before the most suitable treatment tailored to your specific needs is arranged. Some 50% of the patients will after interview, examination and investigations be advised a variety of non-operative treatments. When surgery is necessary the anaesthetic service is almost exclusively provided by special neuro-anaesthetists with experience in neuro-intensive care. Professor Zygmunt works in team with specialists in pain management, neurology as well as physiotherapy offering a wide range of alternative non-surgical treatments. This includes medical management, injection therapies such as epidurals, root blocks, facet blocks, rhizotomies and also physiotherapy.
 
His expertise in dealing with patients suffering with neck pain, radicular arm pain, mechanical back pain, low back pain, leg pain (sciatica), degenerative spinal conditions with & without deformity, disc herniations or slipped discs is well known. His particular interest is in microsurgery (surgery using a microscope), disc replacement using motion preserving devices, stabilisation procedures or spinal fusion procedures using minimally invasive techniques such as percutaneous procedures reducing both tissue injury and blood loss.

In his neuro-vascular work he co-operates with some of U.K.'s most experienced specialist interventional neuro-radiologists offering a wide range of advanced interventional neuro-radiological procedures, open surgery is usually left to situations when other treatments are not possible or less suitable.
 
Professional memberships

Society of British Neurological Surgeons (SBNS)
British Association of Spine Surgeons (BASS)
North American Spine Society (NASS)
Congress of Neurological Surgeons (CNS)
American Association of Neurological Surgeons (AANS)

Charity

Personal charity: The Vascular & Spinal Neurosurgery Fund
(Fund No. 12-3-224 Managed by The University Hospital Birmingham)

Original Papers & Book Chapters

1. Zygmunt, S., Keller, K., Lidgren, L.: Baker cyst causing nerve entrapment.
Scand J Rheumatology 11: 239-40, 1982.

2. Johansson, R., Ekelund, L., Zygmunt, S., Lidgren, L.: Total hip replacement
  with spongious bone graft for acetabular protrusion in patients with
  rheumatoid arthritis.
  Acta Orthop Scand 55: 510-3, 1984.

3. Ljunggren, B., Saveland, H., Brandt, L., Zygmunt, S.: Early operation and
  overall outcome in aneurysmal subarachnoid haemorrhage.
  J Neurosurgery 62: 547-51, 1985.

4. Saveland, H., Sonesson, B., Ljunggren, B., Brandt, L., Uski, T., Zygmunt, S.,
  Hindfelt, B.: Outcome evaluation following subarachnoid haemorrhage.
  J Neurosurgery 64: 191-6, 1986.

5. Ljunggren, B., Brandt, L., Saveland, H., Sonesson, B., Romner, B.,
  Zygmunt, S., Andersson, KE., Mellergard, P., Ryman, T. : Management of
  Ruptured Intracranial Aneurysms: a review.
  Brit J Neurosurgery 1: 9-32, 1987.

6. Redfern R. M., Zygmunt, S., Pickard, J.D., Foy, P.M., Shaw, M.D.M.: The
  natural history of subarachnoid haemorrhage with negative angiography:
  a prospective study and 3-year follow-up.
  Brit J Neurosurgery 2: 33-41, 1988.

7. Zygmunt, SC., Ljunggren, B., Alund, M., Brattstrom, H., Saveland, H.,
  Larsson, EM., Redlund-Johnell, I.: Realignment and surgical fixation of
  atlanto-axial and subaxial dislocations in rheumatoid arthritis (RA) patients.
  Acta Neurochir Suppl 43: 79-84, 1988.

8. Zygmunt, S., Saveland, H., Brattstrom, H., Ljunggren, B., Larsson, EM.,
  Wollheim, F.: Reduction of rheumatoid periodontoid pannus following
  posterior occipito-cervical fusion visualised by magnetic resonance imaging.
  Brit J Neurosurgery 2: 315-20, 1988.

9. Pettersson, H., Larsson, EM, Holtas, S., Cronqvist, S., Egund, N.,
  Zygmunt, S., Brattstrom, H.: MR imaging of the cervical spine in rheumatoid
  arthritis.
  AJNR 9: 573-7, 1988.

10. Larsson, EM, Holtas, S., Zygmunt, S.: Pre- and post-operative MR imaging
  of the craniocervical junction in rheumatoid arthritis.
  AJR 152:: 561-6, 1989.

11. Zygmunt, S., Ljunggren, B., Brandt, L., Saveland, H., Luukkonen, M.:
  Mannen bakom frakturen: Geoffrey Jefferson.
  Lakartidningen / Swedish Medical Journal/ 86: 447-9, 1989.

12. Zygmunt, S., Ljunggren, B., Brandt, L., Saveland, H., Luukkonen, M.:
  Mannen bakom frakturen: Geoffrey Jefferson. (Lakartidningen / Swedish
  Medical Journal/ 86: 447-9, 1989)
  Reprinted in: Raf K (ed): Mannen bakom syndromet. Stockholm,
  Lakartidningen/Swedish Medical Journal, pp 106-8, 1989.

13. Zygmunt, S., Ljunggren, B., Brattstrom, H., Saceland, H., Wollheim, F.:
  Tacksamt operera den instabila reumatikernacken.
  Lakartidningen / Swedish Medical Journal / 86: 141-4, 1989.

14. Zygmunt, S., Ljunggren, B.: The Jefferson fracture.
  Travel Medicine International 7.3: 99-104, 1989.

15. Brattstrom, H., Saveland, H., Zygmunt, S., Ljunggren, B., Alund, M.,
  Larsson, EM, Holtas, S. The unstable cervical spine in rheumatoid arthritis In:
  Revisional Surgery in Rheumatoid arthritis (Ed. Hamalainen, M., Hagena, FW,
  Schwagerl, W., Teigland, J.). Karger., Basel 1990, vol 13, pp 96-102.

16. Brattstrom, H., Saveland, H., Zygmunt, S., Ljunggren, B., Alund, M.,
  Larsson, EM., Holtas, S.: The principles of surgical stabilisation of the
  unstable neck. In: Revisional Surgery in Rheumatoid Arthritis (Ed.
  Hamalainen, M., Hagena, FW., Schwagerl, W., Teigland, J.).
  Karger., Basel 1990, vol 13, pp 113-7.
 
17. Zygmunt, S., Saveland, H., Selvik, G., Brattstrom, H., Ljunggren, B.:
  Micromotions in occipito-cervical fusion for rheumatoid atlanto-axial instability.
  A clinical and roentgen stereophotogrammetric study.
  J Orthop Rheumatology 4: 213-22, 1991.
 
18. Zygmunt, S.: Rheumatoid arthritis of the cervical spine. Aspects on the
  surgical treatment. Thesis,
  Lund University, Lund, 1992, pp 1-135.

19. Zygmunt, S., Toksvig-Larsen, S., Saveland, H., Rydholm, U., Ryd, L.:
  Hyperthermia during occipito-cervical fusion with acrylic cement.
  Acta Orthop Scand 63: 545-8, 1992.

20. Zygmunt, S.: Rheumatoid arthritis of the cervical spine. Aspects on the
  surgical treatment.
Acta Orthop Scand 63: 1, 60, 1992.

21. Ellison, DW., Zygmunt, SC., Weller, RO.: Neurocytoma/lipoma
  (neurolipocytoma) of the cerebellum.
  Neuropath Appl Neurobiol 19: 95-8, 1993.

22. Zygmunt, S., Delgado-Zygmunt, T. Transcranial Doppler ultrasound guided
  high dose intravenous Nimodipine treatment in established vasospasm after
  aneurysmal subarachnoid haemorrhage.
  In: Development in Neurology 8, Cerebral Vasospasm (Ed. Findlay JM.)
  Elsevier Science Publishers B.V., Amsterdam London New York Tokyo 1993,
  pp 309-12.

23. Hultquist, R., Zygmunt, S., Saveland, H., Birch-lensen, M., Wollheim, FA.:
  Characterization and functional assessment of patients subjected to occipito-
  cervical fusion for rheumatoid atlanto-axial dislocation.
  Scand J Rheumatology 22: 20-4, 1993.

24. Saveland, H., Aspenberg, P., Zygmunt, S., Herrlin, K., Christensson D.,
  Rydhjolm, U. Bovine bone grafting in occipito-cervical fusion for atlanto-axial
  instability in rheumatoid arthritis.
  Acta Neurochir 127: 186-90, 1994.

25. Pickard, JD., Walker, V., Brandt, L., Zygmunt, SC., Smythe, J. Effect of
  intraventricular haemorrhage and rebleeding following subarachnoid
  haemorrhage on CSF eicosanoids.
  Acta Neurochir 129: 152-7, 1994.

26. Zygmunt, S., Saveland, H., Rydholm, U. Occipito-cervikal (Brattstrom-
  Granholm) fusion for rheumatoid atlanto-axial subluxation. A long-term follow
  up of 147 patients.
  Aktuelle Rheumatologie 19: 186-90, 1994.

27. Rabow, L., Algers, G., Elfversson, J., Rudolphi O., Ridderheim, P.A.,
  Zygmunt, S.: Does a routine operation for intracranial aneurysm incur brain
  damage?
  Acta Neurochir 133: 13-6, 1995.

28. Zygmunt, SC., Christensson, D., Saveland, H., Rydholm, U., Alund, M.:
  Occipito-cervical fixation in rheumatoid arthritis - an analysis of surgical risk
  factors in 163 patients.
  Acta Neurochir 135: 25-31, 1995.

29. Zygmunt, SC., Christensson, D., Saveland, H., Rydholm, U., Alund, M.:
  Occipito-cervical fixation in rheumatoid arthritis - an analysis of surgical risk
  factors in 163 patients. (Acta Neurochir 135: 25-31, 1995).
  Reprinted in: Year Book of Rheumatology 1997.
  Chicago, Mosby 1996.

30. Zygmunt, SC, Delgado-Zygmunt, TJ.: The hemodynamic effect of transcranial
  Doppler-guided high-dose Nimodipine treatment in established vasospasm after
  subarachnoid haemorrhage.
  Acta Neurochir 135: 179-85, 1995.

31. Saveland, H., Zygmunt, S. Posterior Arthrodesis for the Treatment of
  Rheumatoid Arthritis with Atlantoaxial Subluxation.
  In: Controversies in Neurosurgery (Ed. Al-Mefty O, Origitano TC, Harkey HL.)
  Thieme Medical Publishers Inc, New York 1996, pp 282-5.

32. Hillman, J., Saveland, H., Jacobsson, KE., Edner, G., Zygmunt, S.,
  Fridriksson, S., Brandt, L.: Overall management outcome of ruptured posterior
  fossa aneurysms.
  J Neurosurgery 85: 33-8, 1996.

33. Jacobsson, KE., Saveland, H., Hillman, J., Edner, G., Zygmunt, S., Brandt, L.,
  Pellettieri, L.: Warning leak and management outcome in aneurysmal
  subarachnoid haemorrhage.
  J Neurosurgery 85: 995-999, 1996.

34. Jacobsson, KE., Hillman, J., Saveland, H., Edner, G., Zygmunt, S., Brandt, L.,
  Pellettieri, L.: Plotslig, svar huvudvark kan vara varningsblodning. Tidig
  upptackt av aneurysm kan forbattra prognosen vid subaraknoidalblodning.
  Lakartidningen / Swedish Medical Journal / 95: 1796-8, 1998.

35. Christensson, D., Saveland, H., Zygmunt, S., Jonsson, K., Rydholm, U.:
  Cervical laminectomy without fusion in patients with rheumatoid arthritis.
  J Neurosurgery 90(4 Suppl):186-90 1999.

36. Fridriksson, S., Saveland, H., Jakobsson, KE., Edner, G., Zygmunt, S.,
  Brandt, L., Hillman, J.: Intraoperative complications in aneurysm surgery: a
  prospective national study.
  J Neurosurgery 96: 515-22, 2002.

Abstracts/Poster Publications 

37. Ljunggren, B., Brandt, L., Brattstrom, H., Saveland, H., Zygmunt, S.: Framre
  decompressions och fusionsteknik vid subaxial luxation I halscolumna hos
  rheumatiker resp. spondylos med ryggmargspaverkan hos aldre patienter.
  In: Proceedings of the “XLIII Lakaresallskapets Riksstamma” / Swedish
  Medical Society, Stockholm, SWEDEN 1986 p 214.

38. Ljunggren, B., Brattstrom, H., Saveland, H., Zygmunt,. S.: Operative
  realignment and fixation of atlanto-axial dislocation and subaxial dislocation in
  rheumatoid arthritis (RA) patients.
  In: Proceedings of the “Joint Meeting of the Neurological Society of Kenya and
  the Italian Society of Neurosurgery”, Nairobi, KENYA 1986.

39. Larsson, EM., Pettersson, H., Cronqvist, S., Zygmunt, S., Brattstrom, H.: MRI
  of the cervical spine in rheumatoid arthritis (RA)
  AJNR 8: 958, 1987.

40. Ljunggren, B., Brattstrom, H., Saveland, H., Zygmunt, S.: Operative
  realignment and fixation of atlanto-axial dislocation and subaxial dislocation in
  rheumatoid arthritis.
  Acta Orthop Scand 59: 91, 1988.

41. Zygmunt, S., Saveland, H., Brattstrom, H., Ljunggren, B., Alund, M.,
  Larsson, EM.: Operative realignment of dislocations in the cervical spine in
  rheumatoid arthritis.
  In: Proceedings of the “Scandinavian Neurosurgical Society”, Oslo, NORWAY
  1987.

42. Brattstrom, H., Saveland, H., Zygmunt, S., Ljunggren, B., Alund, M.: The
  unstable cervical spine in rheumatoid arthritis.
  In: Proceedings of the “European Rheumatoid Arthritis Surgical Societies
  (ERASS), 4th Congress”, Athens, GREECE 1987. Integrated in XI:th
  European Congress of Rheumatology.

43. Brattstrom, H., Saveland, H., Zygmunt, S., Ljunggren, B., Alund, M.:
  The principles of surgical stabilisation of the unstable neck.
  In: Proceedings of the “European Rheumatoid Arthritis Surgical Societies
  (ERASS), 4th Congress”, Athens, GREECE 1987. Integrated in the XI:th
  European Congress of Rheumatology.

44. Zygmunt, S., Brattstrom, H., Saveland, H., Ljunggren, B., Brandt, L.,
  Cronqvist, S., Holtas, S., Larsson, EM, Realignment and surgical fixation of
  atlanto-axial and subaxial dislocations in rheumatoid arthritis (RA) patients.
  In: Proceedings of the “8th European Congress of Neurosurgery”, Barcelona,
  SPAIN 1987 p 322.

45. Zygmunt, S., Saveland, H., Brattstrom, H., Ljunggren, B., Brandt, L.: Occipito-
  cervical fusion with wire, acrylic cement and bone graft in rheumatoid arthritis
  with C1 - C2 dislocations. Report of 100 cases.
  In: Proceedings of the “Congress of the Polish Society of Neurosurgeon”,
  Lublin, POLAND 1987.

46. Romner, B., Brandt, L., Holtas, S., Ljunggren, B., Olsson, M., Saveland, H.,
  Zygmunt, S. Magnetkameraundersokning (MRI) av clips som anvants vid
  operation av brustet intrakraniellt aneurysm.
  In: Proceedings of the “XLIV Lakaresallskapets Riksstamma” / Swedish
  Medical Society/, Stockholm, SWEDEN 1987 p 228.

47. Zygmunt, S., Saveland, H., Ljunggren, B.: Reduction of periodontoid pannus
  following occipito-cervical fusion with wire, bone chips and acrylic cement in
  rheumatoid atlanto-axial dislocation.
  In: Proceedings of the “40th annual meeting of the Scandinavian Neurosurgical
  Society”, Kuopio, FINLAND 1988 p 42.

48. Zygmunt, S., Ljunggren, B., Saveland, H., Holtas, S.: Reduction of
  periodontoid pannus following occipito-cervical fusion in rheumatoid atlanto-
  axial dislocation. In: Proceedings of the “5th Annual meeting joint section on
  disorders of the spine and peripheral nerves of the American Association of
  Neurological Surgeons and Congress of Neurological Surgeons”, Cancun,
  MEXICO 1989 p 64.

49. Zygmunt, S., Saveland, H., Ljunggren, B., Holtas, S.: Reduction of
  periodontoid pannus following occipito-cervical fusion in rheumatoid atlanto-
  axial dislocation.
  In: Proceedings of the “7th Congress of the Asian Surgical Association,
  Penang, THAILAND 1989 p 340-1.

50. Zygmunt, S., Ljunggren, B., Nilsson, PE., Saveland, H.: Long term results of
  occipito-cervical fusion in rheumatoid atlanto-axial dislocation.
  J Neurosurgery 70: 309A, 1989.

51. Zygmunt, S., Saveland, H., Ljunggren, B.: Rheumatoid periodontoid pannus
  reduction after occipto-cervical fusion.
  In: Proceedings of the 17th ILAR Congress of Rheumatology”,
  Rio de Janeiro, BRAZIL 1989 p 268.

52. Zygmunt, S., Saveland, H., Ljunggren, B., Selvik, G., Brattstrom, H.:
  Micromotions following posterior occipitocervical fusion.
  In: Proceedings of the “6th Annual meeting joint section on disorders of the
  spine and peripheral nerves of the American Association of Neurological
  Surgeons and Congress of Neurological Surgeons”, Captiva Island, Florida,
  USA 1990 p 119.

53. Zygmunt, S., Delgado-Zygmunt, T.: Transcranial Doppler guided “high dose”
  Nimodipine treatment for established vasospasm after aneurysmal SAH.
  In: Proceedings of the “International conference, new trends in management of
  cerebro-vascular malformations”, Verona, ITALY 1992 p 16.

54. Zygmunt, SC., Delgado-Zygmunt, TJ.: TCD-guided treatment with “high dose”
  Nimodipine for established vasospasm after aneurysmal SAH.
  Can J Neurol Sci 20 (Suppl. 1): S22, 1993.

55. Zygmunt, SC., Delgado-Zygmunt, TJ, Transcranial ultrasound-guided “high
  dose” Nimodipine treatment for established vasospasm after subarachnoid
  haemorrhage.
  Upsala Med Sci Suppl. 52: 41, 1993.

56. Rabow, L., Rudolphi, O., Algers, G., Elfversson, J., Ridderheim, PA,
  Zygmunt, S.: Does a routine operation for intracranial aneurysm incur any brain
  damage, and how dangerous is temporary clipping?
  In: Proceedings of the “International Congress of Neurological Surgery”,
  Acapulco, MEXICO 1993 p 60.

57. Zygmunt, SC., Christensson, D., Saveland, H., Rydholm, U., Alund, M.:
  Occipito-cervical fixation in rheumatoid arthritis - an analysis of surgical risk
  factors in 163 patients.
  In: Proceedings of the “European Rheumatoid Arthritis Surgical Societies
  (ERASS), 12th Congress”, Amsterdam, HOLLAND 1995. Integrated in IXX:th
  European Congress of Rheumatology.

58. Christensson, D., Saveland, H., Zygmunt, S., Jonsson, K., Rydholm U.:
  Cervical laminectomy without fusion in rheumatoid arthritis - A one year follow-
  up.
  In: Proceedings of the “European Rheumatoid Arthritis Surgical Societies
  (ERASS), 12th Congress”, Amsterdam, HOLLAND 1995. Integrated in IXX:th
  European Congress of Rheumatology.

59. Zygmunt, SC, Delgado-Zygmunt, TJ, Shamsgovara, P., Fagerlund, M: Effect
  of TCD-guided intravenous Nimodipine on vasospasm and CT changes of
  ischaemia after spontaneous or traumatic SAH.
  In: Proceedings of the “6th International Conference on Cerebral Vasospasm”,
  Sydney, AUSTRALIA 1997 p 103.

60. Zygmunt, SC, Delgado-Zygmunt, TJ, Shamsgovara, P., Fagerlund, M.: Effects
  of TCD-guided intravenous Nimodipine treatment on established vasospasm
  and low density lesions after aneurysmal of traumatic SAH.
  In: Proceedings of the "“31st Meeting of the Society of British Neurological
  Surgeons”, Bristol, U.K. 1997.

61. Ngoga, DG, Taha, A, Zygmunt, SC.: The Coflex Dynamic Stabilization
  Device- The Birmingham Experience.
  Brit J Neurosurgery 23(2): 137, 2009.

62. Senthil, L, Lamin, S, Gan, YC, Zygmunt, SC.: Transarterial Embolization of
  Cranial Dural Arteriovenous Malformation in 11 Patients Using Onyx.
  Brit J Neurosurgery 23(2): 138, 2009.

You are viewing the text version of this site.

To view the full version please install the Adobe Flash Player and ensure your web browser has JavaScript enabled.

Need help? check the requirements page.


Get Flash Player