This project contributes to strengthening the research actions of the services involved. Finally, it includes an important training dimension. This care pathway offers graduated care for all populations in the Burgundy-Haute-Marne region. The pathologies concerned are those relating to trauma (fractures and vertebral compressions for example), tumor conditions (metastases, myeloma, hematologic malignancies, etc.), spinal deformations and degenerative osteoarticular lesions, linked to aging of the spine.
The primary objective of this project is to translate the high level of expertise of the teams currently involved but also to support the development of a global care offer for the management of these pathologies for the benefit of the population of the entire region. Burgundy-Haute-Marne. Several areas of development have been identified in order to best meet the health needs of the population:
The project embodies and reinforces the multidisciplinarity strategy undertaken within the University Hospital, which results in concrete cooperation between services. We can recall, for example, the effective partnership engaged between neurosurgery and rheumatology (for example in the “painful deformation of the adult spine”), full players in this university spine institute project, or the close cooperation with the neuroradiology department. The collaboration with the Inserm U1093 research laboratory led by Professor Charalambos Papaxanthis also makes it possible to deploy fundamental research programs in order to improve the quality of patient care.
The innovative technical platform on which Dijon neurosurgeons rely continues to evolve, thus reinforcing the high level of performance offered by the establishment. For example, a new 3D imager constitutes one of the cutting-edge equipment available to teams for the benefit of patients. Investments are constant on this technical platform: new navigation console, increase in the number of surgical motors, multimodal interventional rooms… The neurosurgery department has just deployed endoscopic spine surgery, making it possible in specific cases to offer a minimal procedure. invasive facilitating postoperative recovery. The Dijon Bourgogne University Hospital also wishes to investigate the possibility of acquiring a new robot intended to improve the execution of surgical procedures on the spine – this would be the fifth robot of this type operational in France after Paris, Lille, Bordeaux and Amiens.
The creation of this institute is also part of the strategy included in the 2024-2028 establishment project for the development of surgical and interventional activities. The objective is to respond to the increase in health needs in the territory, in particular for certain regional referral activities. The project to construct a building extension will, in the long term, support the development of this new institute and will consolidate the care pathways already implemented (notably the deployment of enhanced recovery after surgery – RAAC and a pathway remote monitoring of patients at home).
This project also includes a territorial component essential to the creation of graduated and accessible care pathways. It thus provides for the expansion of the consultation offer in the Burgundy-Haute-Marne region (Auxerre, Chaumont, Nevers, Semur-en-Auxois in particular).
This project integrates a strong research/access to innovation dimension. It strives to develop, in parallel with clinical activities, research programs, in close cooperation with health manufacturers and by fully integrating into the digital transformation process of the CHU. Finally, the university dimension of the project highlights the major importance of the training provided to students but also to professionals at the University Hospital.
If the university spine institute concerns spinal pathologies (affecting the spine), it should be remembered that the neurosurgery department of Dijon Bourgogne University Hospital also takes care of all craniocerebral and functional pathologies. A reference service in the greater region, it provides remote consultations in other hospitals. Through these projects and partnerships, the objective is to provide patients with the expertise, excellence and innovation specific to a university hospital.
