ESCAPE : Evaluation of Spinal Conservation by Endoscopic Procedures to Avoid Fusion
ESCAPE
1 other identifier
observational
375
1 country
13
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2024
Longer than P75 for all trials
13 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2024
CompletedFirst Submitted
Initial submission to the registry
April 22, 2025
CompletedFirst Posted
Study publicly available on registry
April 30, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 13, 2028
April 30, 2025
April 1, 2025
3.5 years
April 22, 2025
April 22, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Surgical reintervention
rate of surgical reinterventions within the year for arthrodesis of the operated segment.
one year
Eligibility Criteria
lumbar spine surgery patients with pathologies eligible for arthrodesis surgery
You may qualify if:
- 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
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
Hôpital Pellegrin, Centre Hospitalier Universitaire de Bordeaux
Bordeaux, 33000, France
Clinique du dos de Bordeaux -Terrefort
Bruges, 33520, France
CHU Lille
Lille, 59037, France
Centre orthopédique SANTY
Lyon, 69008, France
Centre orthopédique SANTY
Lyon, 69008, France
Hôpital CLAIRVAL
Marseille, 13009, France
CH de Narbonne
Narbonne, 11108, France
Centre hospitalier Privé Sainte Marie
Osny, 95520, France
Clinique du sport
Pessac, 33600, France
Institut locomoteur de l'Ouest-Rachi
Saint-Grégoire, 35760, France
Cabinet Orthosud Montpellier-Clinique Saint Jean
Saint-Jean-de-Védas, 34430, France
Cabinet Orthosud Montpellier-Clinique Saint Jean
Saint-Jean-de-Védas, 34430, France
Cabinet Orthosud Montpellier-Clinique Saint Jean
Saint-Jean-de-Védas, 34430, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Benjamin BOUYER, PROF
University Hospital, Bordeaux
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 22, 2025
First Posted
April 30, 2025
Study Start
February 1, 2024
Primary Completion (Estimated)
August 1, 2027
Study Completion (Estimated)
August 13, 2028
Last Updated
April 30, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share