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  4. NeuroRegen Scaffolds Combined with Autologous Bone Marrow Mononuclear Cells for the Repair of Acute Complete Spinal Cord Injury: A 3-Year Clinical Study

NeuroRegen Scaffolds Combined with Autologous Bone Marrow Mononuclear Cells for the Repair of Acute Complete Spinal Cord Injury: A 3-Year Clinical Study

Cell Transplantation, 2020 · DOI: 10.1177/0963689720950637 · Published: January 1, 2020

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

This study explores a new treatment for acute complete spinal cord injury (SCI) using NeuroRegen scaffolds combined with the patient's own bone marrow cells. The researchers surgically implanted these scaffolds, loaded with bone marrow mononuclear cells (BMMCs), into the damaged spinal cord area after cleaning the necrotic tissue. Over a 3-year follow-up, the treatment appeared safe, with some patients showing improvements in sensory and autonomic functions, though motor function recovery was not observed.

Study Duration
3 Years
Participants
7 male patients with acute complete SCI
Evidence Level
Not specified

Key Findings

  • 1
    Implantation of NeuroRegen scaffolds combined with BMMCs appeared safe, with no adverse events related to the scaffold or stem cell implantation observed during the 3-year follow-up.
  • 2
    Some patients experienced partial improvements in shallow sensory and autonomic nervous functions, such as defecation sensation, physiological erection and enhanced sweating.
  • 3
    MRI scans suggested that the NeuroRegen scaffold implantation supported the continuity of the injured spinal cord after the treatment.

Research Summary

This study investigated the safety and efficacy of using NeuroRegen scaffolds combined with autologous bone marrow mononuclear cells (BMMCs) to treat acute complete spinal cord injury (SCI). Seven patients underwent surgical cleaning of necrotic spinal cord tissue followed by implantation of the NeuroRegen scaffolds loaded with BMMCs, and were monitored for 3 years. The study found the treatment to be safe, with some improvements in sensory and autonomic functions, but no motor function recovery. MRI suggested improved spinal cord continuity.

Practical Implications

Potential Treatment Option

NeuroRegen scaffolds combined with BMMCs may represent a safe and promising clinical treatment for acute complete SCI, warranting further investigation.

Improved Quality of Life

Observed improvements in sensory and autonomic functions, along with increased FIM and ADL scores, suggest a potential for enhancing the quality of life for SCI patients.

Further Research Needed

More research is required to determine the therapeutic effects, optimal application methods, and long-term outcomes of this treatment approach.

Study Limitations

  • 1
    Small sample size of seven patients
  • 2
    Lack of a control group
  • 3
    No significant improvement in motor function was observed

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