ESCAPE : Evaluation of Spinal Conservation by Endoscopic Procedures to Avoid Fusion

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06950853

Acronym

ESCAPE

Enrollment

375

Registered

2025-04-30

Start date

2024-02-01

Completion date

2028-08-13

Last updated

2025-04-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Spinal Stenosis, Spondylolisthesis

Keywords

spine, care, surgery

Brief summary

The recent development and expansion of endoscopic surgery has made it possible to offer an alternative to this therapeutic escalation. This method allows decompression procedures to be performed using optimized and minimally destructive surgical approaches, which contributes to preserving the physiological function of the lumbar spine and in particular its stability. The main hypothesis of the research is that the use of endoscopic techniques for decompression of the lumbar spine allows a reduction in the indication for lumbar arthrodesis.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patient ≥ 18 years old * Patient consulting for a medical reason involving a spinal pathology in the investigating center : Syndrome adjacent to an old lumbar arthrodesis defined on preoperative radiographs by an antero-posterior translation \> 3 mm, segmental kyphosis \> 10° or a disc height reduced by more than 50%, or on preoperative MRI by central stenosis of grade C or D of the Schizas classification or a herniated disc Grade 1 or 2 degenerative spondylolisthesis, i.e. with slippage less than 50% of the depth of the underlying vertebral body. Lumbar stenosis complicating lumbar scoliosis defined by a deformation with rotation of the vertebral bodies on a frontal radiograph (absence of centering of the spinous process between the two pedicles of the vertebra concerned) and a Cobb angle greater than 20° or a rotational dislocation . \- Indication for spinal surgery by endoscopy

Exclusion criteria

* Patient under guardianship or curatorship, * Persons deprived of liberty by judicial or administrative decision, * Persons undergoing psychiatric treatment under duress requiring the consent of the legal representative * Persons unable to express their consent, * Persons under legal protection, * Patient not affiliated to a social protection scheme.

Design outcomes

Primary

Measure	Time frame	Description
Surgical reintervention	one year	rate of surgical reinterventions within the year for arthrodesis of the operated segment.

Countries

France

Contacts

Primary ContactBenjamin BOUYER, PROF

b.bouyer@chu-bordeaux.fr+335 56 79 87 18

Outcome results