For patients with chronic SCI and functional plateau despite rehabilitation, investigational neural stem-cell transplantation represents a reasonable option if trials are accessible and centre expertise is verified. Acute SCI patients should consider trial participation within the acute-phase window (first 2 weeks) if available, given potential for greater recovery. Cost-benefit requires honest assessment of realistic outcome expectations (partial rather than complete recovery), commitment to prolonged rehabilitation, and willingness to accept surgical and immunological risks inherent in cell transplantation.
Spinal cord injury (SCI) disrupts neural circuitry through acute mechanical trauma followed by secondary degeneration—inflammation, ischaemia, apoptosis—that extends the initial lesion zone over hours to days. Neurogenic stem cells and neural progenitor cells derived from umbilical cord or fetal sources can differentiate into oligodendrocytes (restoring myelin) and astrocytes (stabilising the lesion core), whilst also secreting neurotrophic factors (BDNF, NGF, NT-3) that promote axonal plasticity and regeneration. Placental mesenchymal stem cells provide complementary neuroprotection and angiogenesis. Sixty-nine registered trials and eight actively recruiting centres explore cell transplantation, often combined with rehabilitation, in both acute (<2 weeks) and chronic (>6 months) SCI populations.
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Revizuit medical de echipa editorială a StemCellAtlas cu Kiian Nadiia, MD, PhD (Paediatric Neurologist · Medical Director, CSM Clinic Network · 12+ yrs in Autism Spectrum Disorders) ale clinicii partenere Stem Plus (Sofia), în funcție de orientările ISSCR, FDA și EMA. Educational information, not medical advice; figures indicative.
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