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There was no evidence that microdiscectomy was associated with better improvements in pain and disability compared with steroid injection, although the steroid injection was considerably cheaper.
1 Department of Neurosurgery, The Walton Centre NHS Foundation Trust (member of Liverpool Health Partners), Liverpool, UK
2 Liverpool Clinical Trials Centre, University of Liverpool (member of Liverpool Health Partners), Liverpool, UK
3 Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK
4 Department of Pain Medicine, The Walton Centre NHS Foundation Trust, Liverpool, Liverpool, UK
5 Patient and public involvement representative, Kent, UK
6 Patient and public involvement representative, Norfolk, UK
7 Leeds Teaching Hospital NHS Trust, Leeds General Infirmary, Leeds, UK
8 Pain Clinic, Solent NHS Trust, Southampton, UK
9 Cambridge University Hospitals NHS Trust, Cambridge, UK
10 Academic Division of Neurosurgery, University of Cambridge, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
11 Department of Pharmacology and Therapeutics, University of Liverpool and The Walton Centre NHS Foundation Trust, Liverpool, UK
* Corresponding author Email: martin.wilby@thewaltoncentre.nhs.uk
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