Pamukkale University, Department of Neurosurgery, Kinikli, Denizli, Turkey.
Curr Stem Cell Res Ther. 2012 Sep;7(5):364-9. doi: 10.2174/157488812802481481.
Spinal cord injury is a devastating, traumatic event, and experienced mainly among young people. Until the modern era, spinal cord injury was so rapidly fatal that no seriously injured persons would survive long enough for regeneration to occur. Treatment of spinal cord injury can be summarized as follows: prevent further cord injury, maintain blood flow, relieve spinal cord compression, and provide secure vertebral stabilization so as to allow mobilization and rehabilitation, none of which achieves functional recovery. Previous studies have focused on analyzing the pathogenesis of secondary injury that extends from the injury epicenter to the periphery, as well as the tissue damage and neural cell death associated with secondary injury. Now, there are hundreds of current experimental and clinical regenerative treatment studies. One of the most popular treatment method is cell transplantation in injured spinal cord. For this purpose bone marrow stromal cells, mononuclear stem cells, mesenchymal stem cells, embryonic stem cells, neural stem cells, and olfactory ensheathing cells can be used. As a result, cell transplantation has become a promising therapeutic option for spinal cord injury patients. In this paper we discuss the effectiveness of stem cell therapy in spinal cord injury.
脊髓损伤是一种破坏性的创伤事件,主要发生在年轻人中。直到现代,脊髓损伤的致死速度如此之快,以至于没有严重受伤的人能够存活足够长的时间让再生发生。脊髓损伤的治疗可以概括为以下几点:防止进一步的脊髓损伤,保持血流,缓解脊髓压迫,并提供安全的椎体稳定,以便能够进行活动和康复,但这些都不能实现功能恢复。以前的研究主要集中在分析从损伤中心向外周延伸的继发性损伤的发病机制,以及与继发性损伤相关的组织损伤和神经细胞死亡。现在,有数百项当前的实验和临床再生治疗研究。最受欢迎的治疗方法之一是在损伤的脊髓中进行细胞移植。为此,可以使用骨髓基质细胞、单核干细胞、间充质干细胞、胚胎干细胞、神经干细胞和嗅鞘细胞。因此,细胞移植已成为脊髓损伤患者有前途的治疗选择。本文讨论了干细胞疗法在脊髓损伤中的有效性。