A structured debate combined narrative evidence with an international survey. Seventy-three respondents completed all four clinical scenarios, and platform preferences varied with expertise and case characteristics.
Key findings
- No technique has established durable superiority
- Preferences track surgeon expertise and clinical scenario
- Multicenter randomized or expertise-based trials are needed
Why this matters globally
The work helps define research priorities and case-specific platform selection in cervical foraminotomy.
Thai researcher contribution
Thai contributors were affiliated with Vajira Hospital, Chiang Mai University, the Thai Red Cross ecosystem, Chulalongkorn University and King Chulalongkorn Memorial Hospital.
Limitations to consider
Comparative evidence was predominantly retrospective, single-center and heterogeneous.