Proc. Natl. Acad. Sci. USA, 1996 · DOI: · Published: October 1, 1996
Mechanical injury to the adult mammalian spinal cord often results in permanent loss of function below the injury site. This is because the nerve fibers that connect the brain to the spinal cord are severed, and they don't regrow on their own. This study found that using x-ray therapy on the injured spinal cord within a specific time frame after the injury can help the severed nerve fibers regrow. The x-rays modify the environment at the injury site, allowing the nerve fibers to reconnect. When these nerve fibers regrow, they can reestablish connections with the muscles in the hindlimbs, allowing some control of muscle activity to return. This suggests that helping the nerve fibers grow back is enough to restore some function after a spinal cord injury.
Posttraumatic irradiation of the lesioned cord may be a first and essential step of a therapeutic protocol for the prevention of muscle paralysis.
Prevention of tissue degeneration and the establishment of structural continuity is a sufficient requirement for the severed CS axonal tracts to reestablish synaptic connectivity.
Achieving behavioral motor recovery in adult mammals may require exercising, retraining, and/or pharmacological manipulations that affect synaptic remodeling and innervation patterns, in addition to radiation therapy.