Non-surgical management of spinal cord injury.
Spinal cord injury remains a devastating neurological condition with limited therapeutic opportunities. Since decompressive surgery and high-dose methylprednisolone have limited utility for most patients, spinal cord injury clearly represents a major medical challenge. Experimental evidence has suggested that secondary cellular injury processes may be a realistic target for therapeutic intervention with the goal of inhibiting the progression of detrimental changes that normally follows traumatic injury to the cord. Preventing or reducing this delayed cellular injury may alone improve neurological recovery or facilitate future regenerative approaches to the injured cord. This review summarises recent advances in the development of pharmacological agents targeting the acute phase of spinal cord injury as well as potential strategies to facilitate regeneration of the spinal cord.
Legos
Jeffrey J
JJ
Hign Throughput Biology, Discovery Research, GlaxoSmithKline, King of Prussia, PA, USA.
Gopez
Jonas J
JJ
Young
William F
WF
D002986:Clinical Trials as Topic; D015316:Genetic Therapy; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D007473:Ion Channels / Q000187:drug effects / Q000502:physiology; D008775:Methylprednisolone / Q000627:therapeutic use; D009416:Nerve Regeneration / Q000187:drug effects / Q000502:physiology; D018696:Neuroprotective Agents / Q000627:therapeutic use*; D013119:Spinal Cord Injuries / Q000188:drug therapy* / Q000503:physiopathology / Q000601:surgery
D007473:Ion Channels; D018696:Neuroprotective Agents; D008775:Methylprednisolone