Evidence map›Paper›PMID 34184402›Full record

ArticleCNS neuroscience & therapeutics2021

Transplantation of a vascularized pedicle of hemisected spinal cord to establish spinal cord continuity after removal of a segment of the thoracic spinal cord: A proof-of-principle study in dogs.

Shuai Ren, Weihua Zhang, HongMiao Liu, Xin Wang, Xiangchen Guan, Mingzhe Zhang, Jian Zhang, Qiong Wu, Yan Xue, Dan Wang and 3 more

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Shuai RenHand and Microsurgery Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID 0000-0001-8741-3913
Weihua ZhangGlobal Initiative to Cure Paralysis (GICUP), Columbus, OH, USA.ORCID 0000-0003-2406-0852
HongMiao LiuDepartment of Pathology, The General Hospital of Heilongjiang Farms & Land Reclamation Administration Harbin, Harbin, China.
Xin WangDepartment of Pathology, The General Hospital of Heilongjiang Farms & Land Reclamation Administration Harbin, Harbin, China.
Xiangchen GuanHand and Microsurgery Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Mingzhe ZhangHand and Microsurgery Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Jian ZhangHand and Microsurgery Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Qiong WuDepartment of MR Diagnosis, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Yan XueDepartment of Orthopaedics, The Fifth Hospital of Harbin, Harbin, China.
Dan WangDepartment of Pathology, The General Hospital of Heilongjiang Farms & Land Reclamation Administration Harbin, Harbin, China.
Yong LiuDepartment of Orthopaedics, The Fifth Hospital of Harbin, Harbin, China.
Jianyu LiuHand and Microsurgery Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Xiaoping RenGlobal Initiative to Cure Paralysis (GICUP), Columbus, OH, USA.
Harbin Medical University · CNHeilongjiang Academy of Land Reclamation Sciences · CNGuangxi University of Chinese Medicine · CNWuhan University · CN

Funding

Harbin Medical University Scientific Research and Practice Innovation Project Fund YJSKYCX2019-49HYDNational Natural Science Foundation of China 81971828National Natural Science Foundation of China 82060874National Natural Science Foundation of China 8206150249
6 · The paper itself

Abstract

introductionGlial scar formation impedes nerve regeneration/reinnervation after spinal cord injury (SCI); therefore, removal of scar tissue is essential for SCI treatment.

aimsTo investigate whether removing a spinal cord and transplanting a vascularized pedicle of hemisected spinal cord from the spinal cord caudal to the transection can restore motor function, to aid in the treatment of future clinical spinal cord injuries. We developed a canine model. After removal of a 1-cm segment of the thoracic (T10-T11) spinal cord in eight beagles, a vascularized pedicle of hemisected spinal cord from the first 1.5 cm of the spinal cord caudal to the transection (cut along the posterior median sulcus of the spinal cord) was transplanted to bridge the transected spinal cord in the presence of a fusogen (polyethylene glycol, PEG) in four of the eight dogs. We used various forms of imaging, electron microscopy, and histologic data to determine that after our transplantation of a vascular pedicled hemisection to bridge the transected spinal cord, electrical continuity across the spinal bridge was restored.

resultsMotor function was restored following our transplantation, as confirmed by the re-establishment of anatomic continuity along with interfacial axonal sprouting.

conclusionTaken together, our findings suggest that SCI patients-who have previously been thought to have irreversible damage and/or paralysis-may be treated effectively with similar operative techniques to re-establish electrical and functional continuity following SCI.

Indexed as

AnimalsAxonsDogsFemaleGliosisMagnetic Resonance ImagingNerve RegenerationNeurogliaRecovery of FunctionRegional Blood FlowSpinal CordSpinal Cord InjuriesThoracic VertebraeTransplantation, AutologousTreatment OutcomeGEMINIpolyethylene glycolspinal cordspinal cord fusionspinal cord graftingspinal cord injury

Identifiers

PMID34184402
PMCPMC8446222
OpenAlexW3193904127

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.