Should surgery from the back of the neck include metalwork (‘instrumented fusion’)?

Today there is widespread variation in practice: if you are treated in North America you are almost guaranteed to have fusion, whereas in Europe it’s about 50/50. Ben and Iwan are joined by Dr Anna MacDowall, a Spine Surgeon from Sweden, to discuss why. Anna outlines her new trial ‘MyRanC’ and Ben the UK trial NIHR POLYFIX-DCM, both hoping to provide definitive answers to this question through randomised controlled trials.