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Cited by 816

The DOI matches its Crossref record; 169 of the 169 references it cites were found in a registry or an index.

Current status of acute spinal cord injury pathophysiology and emerging therapies: promise on the horizon

Rowland, James W., Hawryluk, Gregory W. J., Kwon, Brian, Fehlings, Michael G.·2008·Neurosurgical Focus

Abstract

This review summarizes the current understanding of spinal cord injury pathophysiology and discusses important emerging regenerative approaches that have been translated into clinical trials or have a strong potential to do so. The pathophysiology of spinal cord injury involves a primary mechanical injury that directly disrupts axons, blood vessels, and cell membranes. This primary mechanical injury is followed by a secondary injury phase involving vascular dysfunction, edema, ischemia, excitotoxicity, electrolyte shifts, free radical production, inflammation, and delayed apoptotic cell death. Following injury, the mammalian central nervous system fails to adequately regenerate due to intrinsic inhibitory factors expressed on central myelin and the extracellular matrix of the posttraumatic gliotic scar. Regenerative approaches to block inhibitory signals including Nogo and the Rho-Rho–associated kinase pathways have shown promise and are in early stages of clinical evaluation. Cell-based strategies including using neural stem cells to remyelinate spared axons are an attractive emerging approach.

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Crossref · 10.3171/foc.2008.25.11.e2

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Metadata

Authors
Rowland, J. W., Hawryluk, G. W. J., Kwon, B., & Fehlings, M. G.
Venue
Neurosurgical Focus
Published
2008-11
Volume
25
Issue
5
Pages
E2
ISSN
1092-0684 (ISSN-L)
OpenAlex
W2035120744
Cited by
816
References
169
FWCI
14.75
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Current status of acute spinal cord injury pathophysiology and emerging therapies: promise on the horizon. https://app.cochat.ai/papers/10.3171/foc.2008.25.11.e2
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Rowland, J. W., Hawryluk, G. W. J., Kwon, B., & Fehlings, M. G. (2008). Current status of acute spinal cord injury pathophysiology and emerging therapies: promise on the horizon. Neurosurgical Focus. https://doi.org/10.3171/foc.2008.25.11.e2

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.