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Practice Guidelines | Open Access

Clinical neurorestorative treatment guidelines for neurological dysfunctions of sequels from vertebral and spinal cord lesions (CANR 2023 version)

Xiaodong Guoa,1Jianzhong Hub,1Shiqing Fengc,d,eXiuwei GaofChangkai SungQiang AohLin CheniLukui ChenjPing ZhangkYiwu DailZuncheng ZhengmHongyun Huangn,o( )On behalf of the Chinese Association of Neurorestoratology (Preparatory) and the China Committee of International Association of Neurorestoratology
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China
Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, Hunan, China
Department of Orthopaedics, Qilu Hospital of Shandong University, Shandong University Centre for Orthopaedics, Advanced Medical Research Institute, Shandong University, Jinan 250012, Shandong, China
Department of Orthopaedics, Tianjin Medical University General Hospital, Tianjin Medical University, International Science and Technology Cooperation Base of Spinal Cord Injury, Tianjin Key Laboratory of Spine and Spinal Cord, Tianjin 300052, China
The Second Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan 250033, Shandong, China
Shandong Junxiu Biotechnology Co., Ltd., Yantai 264006, Shandong, China
Research & Educational Center for the Control Engineering of Translational Precision Medicine (RECCE-TPM), School of Artificial Intelligence, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116024, Liaoning, China
NMPA Key Laboratory for Quality Research and Control of Tissue Regenerative Biomaterial & Institute of Regulatory Science for Medical Device & National Engineering Research Center for Biomaterials, Sichuan University, Chengdu 610064, Sichuan, China
Department of Neurosurgery, Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beijing Neurorestoratologic Industry Innovation Center, Beijing 100700, China
Department of Neurosurgery, Neuroscience Center, Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510315, Guangdong, China
General Hospital of Shenzhen University, Shenzhen 518070, Guangdong, China
Neurosurgery Department, The 7th Medical Center, PLA General Hospital, Beijing 100700, China
The Affiliated Taian City Central Hospital of Qingdao University, Taian 271000, Shangdong, China
Beijing Hongtianji Neuroscience Academy, Beijing 100143, China
Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144, China

1 These authors contributed equally to this work.

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Abstract

Restoring neurological dysfunctions is challenging in patients with the sequels of vertebral and spinal cord lesions. Current guidelines focus on treating the early stage of vertebral and spinal cord lesions, such as tethered cord syndrome, syringomyelia, spinal degenerative diseases, spinal infection, ankylosing spondylitis, myelitis, vertebral and spinal cord vascular malformations, and others, whereas the treatments of the sequels of those lesions have received limited attention. Restoring neurological dysfunctions and damaged structures caused by these lesions could improve patient quality of life. The Chinese Association of Neurorestoratology (Preparatory) and the China Committee of International Association of Neurorestoratology therefore proposed and approved this guideline providing the restorative therapeutic rules and references for physicians to treat patients with neurological dysfunction of sequels from vertebral and spinal cord lesions.

References

1
Benzel EC. Spine Surgery: Technique, Complication, Avoidance, and Management. 2nd ed. Philadelphia: Elsevier; 2005.
2

Horn S, Moses M, Vasquez-Montes D, et al. Tethered cord syndrome in the United States cluster analysis of presenting anomalies and associated. Bull Hosp Jt Dis. 2020;78(3):157-162.

3

Klekamp J. Treatment of syringomyelia related to nontraumatic arachnoid pathologies of the spinal canal. Neurosurgery. 2013;72(3):376-389.

4

Giner J, Pérez López C, Hernández B, et al. Update on the pathophysiology and management of syringomyelia unrelated to Chiari malformation. Neurologia. 2019;34(5):318-325.

5

McCartney S, Baskerville R, Blagg S, et al. Cervical radiculopathy and cervical myelopathy: diagnosis and management in primary care. Br J Gen Pract. 2018;68(666):44-46.

6

Childress MA, Becker BA. Nonoperative management of cervical radiculopathy. Am Fam Physician. 2016;93(9):746-754.

7

Berry JA, Elia C, Saini HS, et al. A review of lumbar radiculopathy, diagnosis, and treatment. Cureus. 2019;11(10):e5934.

8

Manfrè L, Van Goethem J. The Disc and Degenerative Disc Disease. Springer Nature; 2020.

9

Duarte RM, Vaccaro AR. Spinal infection: state of the art and management algorithm. Eur Spine J. 2013;22(12):2787-2799.

10

Nickerson EK, Sinha R. Vertebral osteomyelitis in adults: an update. Br Med Bull. 2016;117(1):121-138.

11

Zimmerli W. Vertebral osteomyelitis. N Engl J Med. 2010;362(11):1022-1029.

12

Berbari EF, Kanj SS, Kowalski TJ, et al. Infectious diseases society of America (IDSA) clinical practice guidelines for the diagnosis and treatment of native vertebral osteomyelitis in adults. Clin Infect Dis 2015. 2015;61(6):e26-e46.

13

Xie Y, Yang KH, Lyu Q, et al. Practice guideline for patients with ankylosing spondylitis/spondyloarthritis. Zhonghua Nei Ke Za Zhi. 2020;59(7):511-518.

14

Ungprasert P, Chaikijurajai T, Wijarnpreecha K, et al. Clinical characteristics and resource utilization of 19,130 hospitalizations of patients with ankylosing spondylitis in United States: national Inpatient Sample 2018. Jt Bone Spine. 2022;89(3):105313.

15

Beh SC, Greenberg BM, Frohman T, et al. Transverse myelitis. Neurol Clin. 2013;31(1):79-138.

16
Jandial Rahul. Spinal cord arteriovenous malformations. In: Jandial Rahul, ed. Core Techniques in Operative Neurosurgery. 2nd ed. Elsevier; 2020:465-469.
17

Ducruet AF, Crowley RW, McDougall CG, et al. Endovascular management of spinal arteriovenous malformations. J Neurointerventional Surg. 2013;5(6):605-611.

18

Jung SC, Song YS, Cho SH, et al. Endovascular management of aneurysms associated with spinal arteriovenous malformations. J Neurointerventional Surg. 2018;10(2):198-203.

19

Filippi CG, Andrews T, Gonyea JV, et al. Magnetic resonance diffusion tensor imaging and tractography of the lower spinal cord: application to diastematomyelia and tethered cord. Eur Radiol. 2010;20(9):2194-2199.

20

Sixt C, Riether F, Will BE, et al. Evaluation of quality of life parameters in patients who have syringomyelia. J Clin Neurosci. 2009;16(12):1599-1603.

21

Hasz MW. Diagnostic testing for degenerative disc disease. Adv Orthop. 2012;2012:413913.

22

McDonald MA, Kirsch CFE, Amin BY, et al. ACR appropriateness criteria® cervical neck pain or cervical radiculopathy. J Am Coll Radiol. 2019;16(5S):S57-S76.

23

Patel ND, Broderick DF, Burns J, et al. ACR appropriateness criteria low back pain. J Am Coll Radiol. 2016;13(9):1069-1078.

24

Hong SH, Choi JY, Lee JW, et al. MR imaging assessment of the spine: infection or an imitation? Radiographics. 2009;29(2):599-612.

25

Ozpinar A, Weiner GM, Ducruet AF. Epidemiology, clinical presentation, diagnostic evaluation, and prognosis of spinal arteriovenous malformations. Handb Clin Neurol. 2017;143:145-152.

26

Gao SJ, Zhang MW, Liu XP, et al. The clinical application studies of CT spinal angiography with 64-detector row spiral CT in diagnosing spinal vascular malformations. Eur J Radiol. 2009;71(1):22-28.

27

Patchana T, Savla P, Taka TM, et al. Spinal arteriovenous malformation: case report and review of the literature. Cureus. 2020;12(11):e11614.

28

Huang HY, Sharma HS, Saberi H, et al. Spinal cord injury or dysfunction quality of life rating scale (SCIDQLRS) (IANR 2022 version). J Neurorestoratol. 2022;10(3):100016.

29

Rupp R, Biering-Sørensen F, Burns SP, et al. International standards for neurological classification of spinal cord injury: revised 2019. Top Spinal Cord Inj Rehabil. 2021;27(2):1-22.

30

Boruczkowski D, Zdolińska-Malinowska I. A retrospective analysis of safety and efficacy of wharton's jelly stem cell administration in children with spina bifida. Stem Cell Rev Rep. 2019;15(5):717-729.

31

Liem NT, Chinh VD, Thinh NT, et al. Improved bowel function in patients with spina Bifida after bone marrow-derived mononuclear cell transplantation: a report of 2 cases. Am J Case Rep. 2018;19:1010-1018.

32

Ahn H, Lee SY, Jung WJ, et al. Treatment of syringomyelia using uncultured umbilical cord mesenchymal stem cells: a case report and review of literature. World J Stem Cell. 2022;14(4):303-309.

33

Vaquero J, Zurita M, Rico MA, et al. Cell therapy with autologous mesenchymal stromal cells in post-traumatic syringomyelia. Cytotherapy. 2018;20(6):796-805.

34

Sakuma T, Yamazaki M, Okawa A, et al. Neuroprotective therapy using granulocyte colony-stimulating factor for patients with worsening symptoms of compression myelopathy, Part 1: a phase Ⅰ and Ⅱa clinical trial. Eur Spine J. 2012;21(3):482-489.

35

Sakuma T, Yamazaki M, Okawa A, et al. Neuroprotective therapy using granulocyte colony-stimulating factor for patients with worsening symptoms of thoracic myelopathy: a multicenter prospective controlled trial. Spine. 2012;37(17):1475-1478.

36

Kato K, Yamazaki M, Okawa A, et al. Intravenous administration of granulocyte colony-stimulating factor for treating neuropathic pain associated with compression myelopathy: a phase Ⅰ and Ⅱa clinical trial. Eur Spine J. 2013;22(1):197-204.

37

Pettine K, Suzuki R, Sand T, et al. Treatment of discogenic back pain with autologous bone marrow concentrate injection with minimum two year follow-up. Int Orthop. 2016;40(1):135-140.

38

Pettine KA, Suzuki RK, Sand TT, et al. Autologous bone marrow concentrate intradiscal injection for the treatment of degenerative disc disease with three-year follow-up. Int Orthop. 2017;41(10):2097-2103.

39

Kumar H, Ha DH, Lee EJ, et al. Safety and tolerability of intradiscal implantation of combined autologous adipose-derived mesenchymal stem cells and hyaluronic acid in patients with chronic discogenic low back pain: 1-year follow-up of a phase Ⅰ study. Stem Cell Res Ther. 2017;8(1):262.

40

Amirdelfan K, Bae H, McJunkin T, et al. Allogeneic mesenchymal precursor cells treatment for chronic low back pain associated with degenerative disc disease: a prospective randomized, placebo-controlled 36-month study of safety and efficacy. Spine J. 2021;21(2):212-230.

41

Siepe CJ, Heider F, Wiechert K, et al. Mid- to long-term results of total lumbar disc replacement: a prospective analysis with 5- to 10-year follow-up. Spine J. 2014;14(8):1417-1431.

42

Furunes H, Storheim K, Brox JI, et al. Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial. Spine J. 2017;17(10):1480-1488.

43

Furunes H, Hellum C, Brox JI, et al. Lumbar total disc replacement: predictors for long-term outcome. Eur Spine J. 2018;27(3):709-718.

44

Atluri S, Murphy MB, Dragella R, et al. Evaluation of the effectiveness of autologous bone marrow mesenchymal stem cells in the treatment of chronic low back pain due to severe lumbar spinal degeneration: a 12-month, open-label, prospective controlled trial. Pain Physician. 2022;25(2):193-207.

45

Shaikh H, Bakalov V, Shaikh S, et al. Coincident remission of ankylosing spondylitis after autologous stem cell transplantation for multiple myeloma. J Oncol Pharm Pract. 2021;27(1):232-234.

46

Huang HY, Chen L, Xi HT, et al. Olfactory ensheathing cells transplantation for central nervous system diseases in 1,255 patients. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009;23(1):14-20.

47

Peng FH, Qiu W, Li J, et al. A preliminary result of treatment of neuromyelitis optica with autologous peripheral hematopoietic stem cell transplantation. Neurol. 2010;16(6):375-378.

48

Greco R, Bondanza A, Oliveira MC, et al. Autologous hematopoietic stem cell transplantation in neuromyelitis optica: a registry study of the EBMT Autoimmune Diseases Working Party. Mult Scler. 2015;21(2):189-197.

49

Aouad P, Li J, Arthur C, et al. Resolution of aquaporin-4 antibodies in a woman with neuromyelitis optica treated with human autologous stem cell transplant. J Clin Neurosci. 2015;22(7):1215-1217.

50

Burt RK, Balabanov R, Han XQ, et al. Autologous nonmyeloablative hematopoietic stem cell transplantation for neuromyelitis optica. Neurology. 2019;93(18):e1732-e1741.

51

Khan TR, Zimmern V, Aquino V, et al. Autologous hematopoietic stem cell transplantation in a pediatric patient with aquaporin-4 neuromyelitis optica spectrum disorder. Mult Scler Relat Disord. 2021;50:102852.

52

Burton JM, Duggan P, Costello F, et al. A pilot trial of autologous hematopoietic stem cell transplant in neuromyelitis optic spectrum disorder. Mult Scler Relat Disord. 2021;53:102990.

53

Kajbafzadeh AM, Sharifi-Rad L, Baradaran N, et al. Effect of pelvic floor interferential electrostimulation on urodynamic parameters and incontinency of children with myelomeningocele and detrusor overactivity. Urology. 2009;74(2):324-329.

54

Choi EK, Hong CH, Kim MJ, et al. Effects of intravesical electrical stimulation therapy on urodynamic patterns for children with spina bifida: a 10-year experience. J Pediatr Urol. 2013;9(6 Pt A):798-803.

55

Chen GQ, Liao LM, Deng H. The effect of sacral neuromodulation in ambulatory spina Bifida patients with neurogenic bladder and bowel dysfunction. Urology. 2021;153:345-350.

56

Chen GQ, Wang YM, Ying XQ, et al. Effectiveness and safety of sacral neuromodulation on neurogenic bladder and bowel dysfunction in patients with spina bifida. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021;35(11):1374-1379.

57

Dekopov AV, Tomskiy AA, Isagulyan ED, et al. Chronic sacral neuromodulation for pelvic floor dysfunction in children with spina bifida. Zh Vopr Neirokhir Im N N Burdenko. 2022;86(1):48-55.

58

Milivojevic S, Milic N, Lazovic JM, et al. The influence of bowel management on urodynamic findings in spina bifida children with detrusor overactivity and detrusor sphincter dyssynergia. J Pediatr Urol. 2020;16(5):556. e1-556556.e7.

59

Radojicic Z, Milivojevic S, Milic N, et al. Impact of bowel management in alleviating symptoms of urinary incontinence in patients with spina bifida associated with overactive bladder and detrusor sphincter dyssynergia. BJU Int. 2019;123(1):118-123.

60

Rensing AJ, Szymanski KM, Dunn S, et al. Sacral nerve stimulator success after filum section for refractory dysfunctional voiding. J Pediatr Urol. 2021;17(6):794. e1-794794.e5.

61

Knotkova H, Portenoy RK, Cruciani RA. Transcranial direct current stimulation (tDCS) relieved itching in a patient with chronic neuropathic pain. Clin J Pain. 2013;29(7):621-622.

62

Antal A, Terney D, Kühnl S, et al. Anodal transcranial direct current stimulation of the motor cortex ameliorates chronic pain and reduces short intracortical inhibition. J Pain Symptom Manag. 2010;39(5):890-903.

63

O'Connell NE, Cossar J, Marston L, et al. Transcranial direct current stimulation of the motor cortex in the treatment of chronic nonspecific low back pain: a randomized, double-blind exploratory study. Clin J Pain. 2013;29(1):26-34.

64

Barolat G, Myklebust JB, Wenninger W. Effects of spinal cord stimulation on spasticity and spasms secondary to myelopathy. Appl Neurophysiol. 1988;51(1):29-44.

65

Hamm-Faber TE, Aukes H, van Gorp EJ, et al. Subcutaneous stimulation as an additional therapy to spinal cord stimulation for the treatment of low back pain and leg pain in failed back surgery syndrome: four-year follow-up. Neuromodulation. 2015;18(7):618-622.

66

Hamm-Faber TE, Gültuna I, van Gorp EJ, et al. High-dose spinal cord stimulation for treatment of chronic low back pain and leg pain in patients with FBSS, 12-month results: a prospective pilot study. Neuromodulation. 2020;23(1):118-125.

67

Nissen M, Ikäheimo TM, Huttunen J, et al. Long-term outcome of spinal cord stimulation in failed back surgery syndrome: 20 years of experience with 224 consecutive patients. Neurosurgery. 2019;84(5):1011-1018.

68

Labaran L, Jain N, Puvanesarajah V, et al. A retrospective database review of the indications, complications, and incidence of subsequent spine surgery in 12,297 spinal cord Stimulator patients. Neuromodulation. 2020;23(5):634-638.

69

Pastor D. Use of electrical stimulation and exercise to increase muscle strength in a patient after surgery for cervical spondylotic myelopathy. Physiother Theory Pract. 2010;26(2):134-142.

70

Popovic MR, Zivanovic V, Valiante TA. Restoration of upper limb function in an individual with cervical spondylotic myelopathy using functional electrical stimulation therapy: a case study. Front Neurol. 2016;7:81.

71

Martinez Villegas HX, Hallo A, Cruz-Loor S, et al. Spinal cord stimulator for neuropathic pain in a patient with severe disability due to transverse myelitis. BMJ Case Rep. 2021;14(5):e242522.

72

Reddy R, Prasad R, Rejai S, et al. Relief of neuropathic pain after spinal cord Stimulator implantation in a patient with idiopathic thoracic transverse myelitis: a case report. In Pract. 2019;13(11):409-412.

73

Hamid B, Haider N. Spinal cord stimulator relieves neuropathic pain in a patient with radiation-induced transverse myelitis. Pain Pract. 2007;7(4):345-347.

74

Laffey JG, Murphy D, Regan J, et al. Efficacy of spinal cord stimulation for neuropathic pain following idiopathic acute transverse myelitis: a case report. Clin Neurol Neurosurg. 1999;101(2):125-127.

75

Lee C, Cho JH, Yang HJ, et al. Spinal cord stimulation for neuropathic pain following idiopathic transverse myelitis: a case report. Korean J Anesthesiol. 2009;56(3):358-361.

76

McGeoch PD, Ramachandran VS. Vestibular stimulation can relieve central pain of spinal origin. Spinal Cord. 2008;46(11):756-757.

77

Klingler D, Kepplinger B, Gerstenbrand F, et al. Epidural spinal electrostimulation (ESES) in patients with chronic pain and central motor disturbances (author's transl) (in German). Wien Klin Wochenschr. 1981;93(22):688-695.

78

Lee JM, Lee D, Christiansen S, et al. Spinal cord stimulation in special populations: best practices from the American society of pain and neuroscience to improve safety and efficacy. J Pain Res. 2022;15:3263-3273.

79

Yang TF, Lee SS, Lin PH, et al. Effect of selective posterior rhizotomy on transverse myelitis in a patient with systemic lupus erythematosus. Am J Phys Med Rehabil. 2002;81(6):467-468.

80

Mazarakis NK, Ughratdar I, Vloeberghs MH. Excellent functional outcome following selective dorsal rhizotomy in a child with spasticity secondary to transverse myelitis. Childs Nerv Syst. 2015;31(11):2189-2191.

81

Xiao CG, Du MX, Li B, et al. An artificial somatic-autonomic reflex pathway procedure for bladder control in children with spina bifida. J Urol. 2005;173(6):2112-2116.

82

Tuite GF, Homsy Y, Polsky EG, et al. Urological outcome of the Xiao procedure in children with myelomeningocele and lipomyelomeningocele undergoing spinal cord detethering. J Urol. 2016;196(6):1735-1740.

83

Tuite GF, Polsky EG, Homsy Y, et al. Lack of efficacy of an intradural somatic-to-autonomic nerve anastomosis (Xiao procedure) for bladder control in children with myelomeningocele and lipomyelomeningocele: results of a prospective, randomized, double-blind study. J Neurosurg Pediatr. 2016;18(2):150-163.

84

Fehlings MG, Badhiwala JH, Ahn H, et al. Safety and efficacy of riluzole in patients undergoing decompressive surgery for degenerative cervical myelopathy (CSM-Protect): a multicentre, double-blind, placebo-controlled, randomised, phase 3 trial. Lancet Neurol. 2021;20(2):98-106.

Journal of Neurorestoratology
Article number: 100070
Cite this article:
Guo X, Hu J, Feng S, et al. Clinical neurorestorative treatment guidelines for neurological dysfunctions of sequels from vertebral and spinal cord lesions (CANR 2023 version). Journal of Neurorestoratology, 2023, 11(3): 100070. https://doi.org/10.1016/j.jnrt.2023.100070

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Received: 09 June 2023
Accepted: 05 July 2023
Published: 26 July 2023
© 2023 The Authors.

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

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