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. Author manuscript; available in PMC: 2015 Feb 11.
Published in final edited form as: Nat Rev Urol. 2015 Feb 10;12(2):100–118. doi: 10.1038/nrurol.2015.4

Table 1.

Homotopic root repair surgeries

Study Procedure Functional
recovery
(time)
Evidence Limitations Possible application
Carlsson
et al.
(1968)23
S1 or S2 v, bilateral
Intradural, secured by
tubulation
Feline model
Yes
(4–6 months)
Recovery of
micturition reflex
and axonal
regrowth across
repair site
Small study (n = 2
per type of repair);
limited utility of
tubulation
S root or cauda equina
injuries
Meier et al.
(1977,
1978)53, 54
L5 or S1 dv, bilateral
Intradural
Porcine model
Not tested
(3 months)
Axonal regrowth
across repair site
(v > r)
Bladder function not
assessed
S root or cauda equina
injuries
Conzen
et al.
(1982)25
S2–S4 v, bilateral
S2 and S3 dv, unilateral or
bilateral
S2, dv, unilateral or bilateral
Intradural
Porcine model
Yes
(4–7 months)
Recovery of
micturition reflex
after complete
decentralization or
sacral de-
efferentation and
bilateral dv repair;
axonal regrowth
across repair site
Function assessed in
1 animal per type
of repair; unilateral
repair less effective
than bilateral
S root or cauda equina
injuries
Ruggieri
et al.
(2006)36
S1 and S2 v, bilateral
extradural; bilateral FES,
unilateral BDNF
canine model
Yes
(5–12
months)
Increased bladder
pressure and/or
flow of saline out
of urethra after
FES
axonal regrowth
from spinal cord
across repair site
to bladder
NCE failure in
several dogs; BDNF
induced neuroma
formation at repair
site
S root or cauda equina
injuries

Abbreviations: BDNF, brain-derived neurotrophic factor; d, dorsal; dv, dorsal and ventral; FES, functional electrical stimulation; L, lumbar; NCE, nerve cuff electrode; S, sacral; SCI, spinal cord injury; v, ventral.