1. SELECT item_id WHERE expire = 0. If this is empty, no items are available.
2. UPDATE SET expire = some_future_time WHERE item_id = $selected_item_id AND expire = 0. Then check whether UPDATE affected any rows. If it did, item_id is yours. If not, loop. If the database has a sane optimizer it'll note at most one document needs locking as the primary id is given.
All this needs is a very weak property: document level atomic UPDATE which can return whether it changed anything. (How weak? MongoDB could do that in 2009.)
Source code at https://git.drupalcode.org/project/drupal/-/blob/9.2.x/core/... (We cooked this up for Drupal in 2009 but I am reasonably sure we didn't invent anything new.)
Of course, this is not the fastest job queue there is but it is quite often good enough.
Specifically I similarly pull rows into a 'queue' like that linked sql by WHERE primary key, primary key, and queue_status ORDER BY timestamp, uuid LIMIT 10. I was worried what would happen with many requests around the same time if it would accidentally pull duplicates into 'queue.'
I think hopefully I've implemented Spanner locking read write transaction correctly and that this won't cause problems at scale (we're not even close to google scale lol).