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Updated: Apr 16, 2026

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study
P C Goodwin1, C C Wright2, C Allan3
1Department of Health Professions, Manchester Metropolitan University, Manchester, UK.
Objective:
To produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards.
Design:
A mixed methods approach utilising the Delphi technique and focus groups.
Setting:
Five spinal centres across the UK.
Participants:
Panel members included 23 physiotherapists, 11 patients and 17 spinal surgeons.
Intervention:
Three rounds of questionnaires including open and closed questions and attendance at a clinician/patient focus group.
Results:
Response rates of 85%, 26% and 35% were achieved for the Delphi rounds. Ten clinicians and six patients participated in the focus groups. Consensus for leaflet sections was achieved in round 1 and content in round 3. The focus groups informed further revisions.
Conclusions:
A consensually agreed, Information Standard compliant, patient lumbar discectomy leaflet was produced containing: (1) normal spine anatomy; (2) anatomy disc herniation and surgery; (3) back protection strategies and (4) frequently asked questions. Illustrations of exercises enable tailoring to the individual patient.
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