Clinical trial Recruiting at 9 sites Observational Ages 18 and up

Evaluation of endoscopic procedures to avoid spinal fusion

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

Run by University Hospital, Bordeaux · NCT06950853 · Data updated 2026-11-12

This study tests if endoscopic procedures can help people with spinal stenosis and spondylolisthesis avoid the need for more invasive spinal fusion surgeries.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment375 (estimated)
SponsorUniversity Hospital, Bordeaux
Academic / other
Locations13 sites (Bordeaux and 12 other locations)
StatusRecruiting
StartedFebruary 1, 2024
Main results expectedAugust 1, 2027
Study endsAugust 13, 2028
Registry record updatedApril 30, 2025
Trial IDNCT06950853 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 with specific spinal pathologies requiring surgical intervention, such as lumbar stenosis or degenerative spondylolisthesis.

Probably not a fit

Patients with severe spinal deformities or those under guardianship may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of endoscopic techniques for decompression of the lumbar spine in patients with spinal stenosis and spondylolisthesis. The approach aims to minimize the need for more invasive spinal fusion surgeries by preserving the physiological function and stability of the lumbar spine. Patients will be assessed based on specific spinal pathologies and their eligibility for endoscopic surgery. The study is observational, focusing on real-world outcomes of this innovative surgical method.

Why it matters

Potential benefit: If successful, this approach could reduce the need for spinal fusion surgeries, leading to quicker recovery times and better overall spinal health for patients.

How similar studies have gone: Other studies have shown promising results with endoscopic techniques in spinal surgery, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • Hôpital Pellegrin, Centre Hospitalier Universitaire de Bordeaux
    Bordeaux, France
    Recruiting
  • Clinique du dos de Bordeaux -Terrefort
    Bruges, France
    Recruiting
  • Hôpital CLAIRVAL
    Marseille, France
    Recruiting
  • CH de Narbonne
    Narbonne, France
    Recruiting
  • Clinique du sport
    Pessac, France
    Recruiting
  • Institut locomoteur de l'Ouest-Rachi
    Saint-Grégoire, France
    Recruiting
Show 7 more locations
  • Cabinet Orthosud Montpellier-Clinique Saint Jean
    Saint-Jean-de-Védas, France
    Recruiting
  • Cabinet Orthosud Montpellier-Clinique Saint Jean
    Saint-Jean-de-Védas, France
    Recruiting
  • Cabinet Orthosud Montpellier-Clinique Saint Jean
    Saint-Jean-de-Védas, France
    Recruiting
  • CHU Lille
    Lille, France
    Not yet recruiting
  • Centre orthopédique SANTY
    Lyon, France
    Not yet recruiting
  • Centre orthopédique SANTY
    Lyon, France
    Not yet recruiting
  • Centre hospitalier Privé Sainte Marie
    Osny, France
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.