RecruitingOBSERVATIONAL

Ambulatory Geriatric Endoscopic Spine

This research is investigating a newer, less invasive type of spine surgery called endoscopic lumbar decompression for people over 75. Traditional spine operations can sometimes mean longer hospital stays and more complications for older patients. This study wants to see if using tiny cameras and tools (endoscopy) to operate on the lower back can make recovery quicker and reduce the need for a long hospital stay when done as an outpatient procedure. Doctors are looking at how effective and practical these methods are, specifically using two techniques called biportal and uniportal approaches. The main goal is to find out how successful this kind of outpatient treatment is for elderly patients with spinal problems.

At a glance

Status

Recruiting

Sponsor

University Hospital, Bordeaux

Enrolment target

Start

18 Sep 2024

Estimated completion

01 Dec 2026

Lumbar Decompression

What is this study about?

This study is looking into a different kind of spine surgery for people aged 75 and over. Many older adults experience back problems due to natural wear and tear in their lower spine. Often, surgery is needed to help with the pain and discomfort.

Traditionally, spine surgery can be quite a big operation, which sometimes leads to longer recovery times and hospital stays, especially for older patients who might have other health conditions. This research is focusing on newer, less invasive techniques called endoscopic lumbar decompression. These methods involve making smaller cuts and using tiny cameras and specialized tools to fix the problem in the spine.

The main idea behind this study is to see if these endoscopic methods can help older patients recover more quickly, have fewer complications, and potentially go home on the same day as their surgery, rather than needing to stay in the hospital for days. Doctors are studying two specific endoscopic techniques, aiming to find the best way to help older patients get back on their feet faster.

Key takeaways

This study looks at a gentle spine surgery for over 75s.
It aims for quicker recovery and same-day discharge.
Using small cameras and tools (endoscopy) to operate.
The study observes standard treatment, not trying new ones.
Focuses on effectiveness for elderly patients.
It's about making spine surgery easier on the body.

Who may be eligible?

To be able to take part in this study, you need to be at least 75 years old and have a specific lower back condition that your doctor believes could be helped by this type of endoscopic surgery. This surgery usually targets a problem at a single level of your spine.

There are also some reasons why you might not be able to join. For example, if you are currently under legal guardianship or have been ordered by a court to be in a hospital or institution, you wouldn't be eligible. Also, if you have certain types of spinal problems like infections, injuries from an accident, or cancerous growths on your spine, this study wouldn't be suitable for you.

Finally, if you're unable to understand and agree to take part, or if you're not part of a social security system, you would also be excluded from this study. The medical team will carefully check all these points with you to see if the study is a safe and appropriate option.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

Are you 75 years old or older?
Has your doctor recommended spine surgery for a lower back problem?
Is your spinal problem at only one level?
Are you able to agree to take part in the study?
Do you *not* have a spinal infection, injury, or tumour?
Are you *not* under a legal guardianship or in certain institutions?

Answer every question to see your result.

What does participation involve?

This study is non-interventional, meaning you will receive the endoscopic lumbar decompression surgery that your doctor has already recommended for your condition. The study will then observe and collect information on how you recover and how successful the outpatient treatment is. There are no extra treatments or assessments beyond what your doctor would normally advise. The total duration of your participation would involve the surgery itself and any follow-up appointments that are part of your standard care, where information about your recovery would be noted.

Potential risks and benefits

Potential benefits of this type of surgery, as explored in the study, include a quicker recovery, less discomfort after the operation, and a shorter hospital stay, possibly allowing you to go home on the same day. As with any surgery, there are always potential risks, such as infection, bleeding, or issues with anaesthesia, though less invasive techniques aim to reduce these. This study will simply observe the outcomes of the surgery you would already be having, so the risks are associated with the surgical procedure itself, not extra research steps. You are always free to discuss all aspects of your care with your doctor and can choose not to have your information included in the study data at any time, without affecting your medical treatment.

Locations (4)

CHU DE Bordeaux
Verified postcode
Bordeaux, France· Recruiting
Cliniques Terrefort Bordeaux-Bruges
Verified postcode
Bruges, France· Not yet recruiting
Clinique Saint Jean - Sud de France
Verified postcode
Saint-Jean-de-Védas, France· Not yet recruiting
Clinique Saint Jean - Sud de France
Verified postcode
Saint-Jean-de-Védas, France· Not yet recruiting

Common questions

What is an 'endoscopic' spine surgery?

It's a less invasive way to do spine surgery using tiny cameras and special tools that go through small cuts in your skin.

What does 'outpatient setting' mean?

It means you have your surgery and then go home on the same day, rather than staying overnight in the hospital.

Is this a new type of treatment I wouldn't normally get?

No, this study is evaluating the outcomes of a treatment (endoscopic lumbar decompression) that your doctor would already be considering for you.

Will I have more appointments if I'm in this study?

No, your appointments will be the same as they would be for standard care; the study simply collects information from these visits.

What kind of back problems does this surgery treat?

It treats specific lower back conditions, usually related to wear and tear, where surgery is indicated at one level of the spine.

How to find out more

Benjamin BOUYER, PROF

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

Always speak to your GP or specialist before deciding to take part in a study.