Spinal cord repair: advances in biology and technology
Abstract
Individuals with spinal cord injury (SCI) can face decades with permanent disabilities. Advances in clinical management have decreased morbidity and improved outcomes, but no randomized clinical trial has demonstrated the efficacy of a repair strategy for improving recovery from SCI. Here, we summarize recent advances in biological and engineering strategies to augment neuroplasticity and/or functional recovery in animal models of SCI that are pushing toward clinical translation.
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Although the majority of spinal cord injuries do not directly damage the lumbosacral neurons, disruption of descending pathways interrupts the brain-derived commands necessary for these neurons to produce walking.
“Although the majority of spinal cord injuries do not directly damage these neurons, the disruption of descending pathways interrupts the brain-derived commands that are necessary for these neurons to produce walking8.”
From Walking naturally after spinal cord injury using a brain–spine interface (2023) · cites this paper as [8]
A severe spinal cord injury scatters the organized communication system.
“A severe spinal cord injury (SCI) scatters this exquisitely organized communication system15.”
From The neurons that restore walking after paralysis (2022) · cites this paper as [15]
The brain broadcasts commands through descending pathways that cascade from the brainstem to activate lumbar spinal cord neurons.
“To walk, the brain broadcasts commands through descending pathways that cascade from the brainstem to activate these neurons15,16.”
From The neurons that restore walking after paralysis (2022) · cites this paper as [15]
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- Authors
- Courtine, G., & Sofroniew, M. V.
- Affiliations
- Centre Hospitalier Universitaire Vaudois (CH)
- University of California, Los Angeles (US)
- Corresponding author
- Courtine, Grégoire
- Venue
- Nature Medicine
- Published
- 2019-06
- Volume
- 25
- Issue
- 6
- Pages
- 898-908
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W2948888731
- Cited by
- 508
- References
- 172
- Citations by year
- 2026: 61 · 2025: 76 · 2024: 66 · 2023: 77 · 2022: 82 · 2021: 73 · 2020: 59 · 2019: 14
- FWCI
- 8.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Keywords
- spinal cord injury, spinal cord repair, neuroplasticity, functional recovery, cell regeneration, animal models, clinical translation
- MeSH terms
- Animals, Biocompatible Materials, Disease Models, Animal, Humans, Models, Neurological, Neuronal Plasticity, Spinal Cord Injuries, Recovery of Function, Bioengineering, Translational Research, Biomedical, Spinal Cord Regeneration
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