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  4. Guiding Device for Precision Grafting of Peripheral Nerves in Complete Thoracic Spinal Cord Injury: Design and Sizing for Clinical Trial

Guiding Device for Precision Grafting of Peripheral Nerves in Complete Thoracic Spinal Cord Injury: Design and Sizing for Clinical Trial

Frontiers in Neurology, 2018 · DOI: 10.3389/fneur.2018.00356 · Published: May 22, 2018

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

This study focuses on creating a device to help regenerate spinal cords using nerve grafts. The device is designed to guide nerve fibers across the damaged area of the spinal cord. The device's dimensions are based on simulated spinal cord sizes to ensure a good fit. This is to make sure the device works effectively in human spinal cord injuries. The aim is to improve the precision of nerve grafting, a technique where peripheral nerves are used to bridge the gap in the injured spinal cord, potentially restoring some function.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    A set of seven guiding device sizes can accommodate the range of human thoracic spinal cord sizes (T2-T12) with acceptable error.
  • 2
    The mean error-of-fit comparing simulated spinal cord segments to the best elliptical shape was 0.41 and 0.36 mm for transverse and anteroposterior diameter, respectively.
  • 3
    The device design allows for guiding corticospinal axons from the cranial end to gray matter at the caudal end, facilitating nerve regeneration.

Research Summary

This study details the design and sizing of a guiding device for precision grafting of peripheral nerves in complete thoracic spinal cord injury (SCI). The device's design and sizing are compared to a simulation of human spinal cord sizes based on the best available data, ensuring an optimal fit. The computational framework developed can be used with other medical technologies involving the human spinal cord where exact sizes and positioning are of importance.

Practical Implications

Clinical Application

The device can be used in clinical trials to assess the efficacy of peripheral nerve grafting for spinal cord regeneration.

Surgical Precision

The guiding device aids in the precise placement of nerve grafts, potentially improving the outcomes of surgical interventions for SCI.

Future Device Development

The computational framework developed can inform the design of other medical devices targeting the human spinal cord.

Study Limitations

  • 1
    The spinal cord size extrapolation relies on data from a healthy population to the SCI population.
  • 2
    Data on human spinal tracts lack the detail available in studies using experimental animals.
  • 3
    The precision required for successful spinal cord regeneration is unknown.

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