Table 4.
Transfer of spinal roots to spinal nerves
| Study | Procedure | Functional recovery (time) |
Evidence | Limitations | Possible application |
|---|---|---|---|---|---|
| Sundin et al. (1972)38 |
L7 d roots → S1 nerves S1 d roots → S2 nerves Secured by tubulation Feline model |
Yes (8–11 months) |
Recovery of micturition and storage reflexes; propagated axon potentials during FES of pudendal and pelvic nerves |
Functional recovery after afferent fibre regeneration is less than in study of efferent fibre regeneration23 |
S SCI, S root or cauda equina injuries |
| Vorstman et al. (1986)40, 41 |
L7 dv roots → S1 nerves Feline model |
Yes (7 months) |
Observed recovered micturition reflex during FES |
Nerve graft might be needed; detrusor muscle should be intact |
SCI in L segments, spina bifida |
Abbreviations: →, transfer to; d, dorsal; dv, dorsal and ventral; FES, functional electrical stimulation; L, lumbar; S, sacral; SCI, spinal cord injury.