Table 1.
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.