Factors Influencing Surgical Decision-Making in the Posterior Laminectomy With Fixation for Degenerative Cervical Myelopathy (POLYFIX-DCM) Trial: Survey Study.

Stefan Yordanov Xiaoyu Yang Oliver Daniel Mowforth Andreas K Demetriades Marcel Ivanov Pierluigi Vergara Adrian C Gardner Erlick A C Pereira Antony H Bateman Alexander Alamri Jibin Francis Rikin A Trivedi Mark Reinhard Kotter Benjamin Marshall Davies Alexandru Budunull null

Published in: JMIR formative research (2023)

In this representative sample of spine surgeons participating in the POLYFIX-DCM trial as investigators, there is no consensus on surgical strategy, including the role of instrumented fusion following posterior decompression. Overall, this study supports the view that there appears to be a clinical equipoise, and conceptually, a randomized controlled trial appears feasible, which sets the scene for the NIHR POLYFIX-DCM trial.

Keyphrases

study protocol
phase iii
clinical trial
minimally invasive
randomized controlled trial
spinal cord
open label