Can we finally settle the surgery debate for mild spinal cord compression?

This pilot study aims to see if a larger trial comparing two standard treatments for mild degenerative cervical myelopathy (spinal cord compression) is possible. 56 adults with mild symptoms will be randomly assigned to either decompressive surgery or a structured conservative care program including education and exercises. The main goal is to test recruitment, follow-up, and treatment adherence, not to determine which treatment is better.