Clip-plate versus suture-anchor in double-door laminoplasty for degenerative cervical myelopathy: Protocol for a multicenter, non-inferiority, randomized controlled trial
Kentaro Yamada·Toshitaka Yoshii·Takuya Takahashi·Yu Matsukura·Satoru Egawa·Hiroaki Onuma·Motonori Hashimoto·Akihiro Hirakawa·Takashi Hirai·Kenichiro Sakai·Yoshiyasu Arai·Kazuyuki Fukushima
Background Degenerative cervical myelopathy (DCM) is a leading cause of spinal cord dysfunction. While cervical laminoplasty (LAMP) is the standard treatment, the optimal fixation method for the opened lamina, specifically between the conventional suture-anchor method and the modern plate system, remains debated. Although clip-plates offer rigid fixation for the opened lamina, they are associated with higher costs and potential complications such as lamina reclosure due to screw dislodgement or