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

Recruitingn/aAges 18 Years - anyAllUniversity Hospital, Bordeaux
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In plain words

What the trial is, and whether it could suit you

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.

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📋 Eligibility rules (as published)
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.
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What it tests

  • Not listed
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Where

13 sites
Hôpital Pellegrin, Centre Hospitalier Universitaire de Bordeaux
Bordeaux, France
Clinique du dos de Bordeaux -Terrefort
Bruges, France
CHU Lille
Lille, France
Centre orthopédique SANTY
Lyon, France
Centre orthopédique SANTY
Lyon, France
Hôpital CLAIRVAL
Marseille, France
CH de Narbonne
Narbonne, France
Centre hospitalier Privé Sainte Marie
Osny, France

…and 5 more on ClinicalTrials.gov.

🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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