脊髓损伤的新进展:介绍性概述。

IF 2.5 Q3 CLINICAL NEUROLOGY
Brain & spine Pub Date : 2025-06-25 eCollection Date: 2025-01-01 DOI:10.1016/j.bas.2025.104307
Michael G Fehlings, Shintaro Honda, Peter Vajkoczy, Narihito Nagoshi
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引用次数: 0

摘要

脊髓损伤(SCI)仍然是一种毁灭性的疾病,治疗方案有限。本刊重点介绍了从院前协调到新疗法的脊髓损伤连续治疗的最新临床和转化进展。文章涵盖损伤后早期阶段的多学科策略,包括急性院前护理和医疗资源有限的实用替代方案。从历史角度对手术时机的演变和对脊髓中央综合征病理生理学的全面重新评估提供了有价值的临床背景。新兴的诊断创新具有突出的特点,包括新的生物标志物,如脑脊液压力动力学,定量MRI和导航经颅磁刺激,它们提供了改进诊断和个性化预测的潜力。与此同时,新兴的治疗技术,如3d打印手术指南和干细胞治疗的临床应用,在解决长期挑战方面取得了重大进展。本期还包括对脊柱骨折和退行性颈椎病的当前分类系统和诊断标准的全面回顾。总之,这些贡献提供了SCI研究和护理发展前景的多学科概述,将基础科学与不同医疗保健环境中的临床实践联系起来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emerging advances in spinal cord injury: An introductory overview.

Spinal cord injury (SCI) remains a devastating condition with limited treatment options. This Focus Issue highlights recent clinical and translational advances across the continuum of SCI care from prehospital coordination to novel therapeutics. The articles cover multidisciplinary strategies during the early post-injury phase, including acute pre-hospital care and pragmatic alternatives for settings with limited medical resources. A historical perspective on the evolution of surgical timing and a comprehensive reappraisal of the pathophysiology of central cord syndrome provide valuable clinical context. Emerging diagnostic innovations are prominently featured, including novel biomarkers such as cerebrospinal fluid pressure dynamics, quantitative MRI, and navigated transcranial magnetic stimulation, which offer the potential to refine diagnosis and personalize prognostication. In parallel, emerging therapeutic technologies such as 3D-printed surgical guides and clinical applications of stem cell therapies represent significant advances in addressing long-standing challenges. The issue also includes comprehensive reviews of current classification systems and diagnostic criteria for both spine fractures and degenerative cervical myelopathy. Together, these contributions provide a multidisciplinary overview of the evolving landscape in SCI research and care, bridging basic science with clinical practice across diverse healthcare settings.

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来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
71 days
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