Navigating the complexities of spinal cord injury: an overview of pathology, treatment strategies and clinical trials

Abstract

Spinal cord injury (SCI) is a debilitating neurological condition characterized by sensory and motor deficits. It significantly affects patient quality of life and poses a substantial socioeconomic burden. The complex and multifaceted pathophysiology of SCI complicates its effective treatment. Following the primary mechanical insult, a secondary injury cascade disrupts the microenvironment at the injury site, exacerbating the tissue damage. Despite extensive research, no fully effective treatment is currently available. This review explores current pharmacological and non-pharmacological treatment strategies at the preclinical and clinical stages, providing insights into promising interventions. The findings highlight potential avenues for future research aimed at improving SCI management.