Sunday, October 26, 2014

Cure for Spinal Cord Paralysis: World First as Man with Completely Severed Spine Walks Again

British Doctors have managed to stimulate the regeneration of spinal cord neurons to enable sensation in paralyzed Darek Fidyk’s lower body. This new technique may lead millions of paralyzed people around the world on a new road for treatment and improvement. A revolutionary implant of regenerative cells has knitted back together the spinal cord of wheelchair-bound firefighter, Fidyk, who was paralyzed from the chest down in a knife attack, restoring sensation and muscle control to his legs. What is the secret?

Well, the unique technique was developed by researchers at University College London and put into practice by surgeons in the Polish city of Wroclaw. It uses specialist human cells which repair damage to nasal nerves to enable spinal nerve fibres to re-grow and bridge a severed cord. Nasal nerves? Yes, nerve cells from the nose were surgically implanted in Darek’s spinal cord to help with regrowth. These cells are known as olfactory ensheathing cells (OECs), which were inserted into an 8mm gap in Fidyk’s spinal cord. He had a less than one percent chance of even the slightest recovery. Dr Pawel Tabakow developed the technique to implant cultured OECs harvested from a patient’s own olfactory bulb - and another type of nasal cell known as a fibroblast - on the stumps of a severed spinal cord. A scaffolding of nerve tissue was taken from the ankle to join the two ends of the cord to encourage bridging by the cells.


However, the OEC implants eventually began to regenerate the “stumps” on the spinal cord, which returned feeling to Fidka’s legs. Professor Geoffrey Raisman, the head of UCL’s Institute of Neurology who conducted the groundbreaking research into OECs, told The Independent: “I believe this is the first time that a patient has been able to regenerate severed long spinal nerve fibres across an injury and resume movement and feeling. I believe we have now opened the door to a treatment of spinal cord injury which will get patients out of wheelchairs. Our goal is to develop this first procedure to a point where it can be rolled out as a worldwide general approach.”


He added: “We believe that this procedure is the breakthrough which, as it is further developed, will result in a historic change in the currently hopeless outlook for people disabled by spinal cord injury.” Within 19 months of the operation, Darek was able to discern the direction of movement in his feet up to 85% accuracy. In a documentary, he stated “When it starts coming back, you feel as if you start living your life again, as if you are born again.”



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