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. 2023 Mar 7;13(3):e061294. doi: 10.1136/bmjopen-2022-061294

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© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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Trial flow chart. Eligible and consenting participants will be randomised to an intervention or control arm and followed up for 12 months after surgery. DCM, degenerative cervical myelopathy; IMP, investigational medicinal product.