Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience

Background: Stem Cell Therapy (SCT) although in vogue since the early seventies for Hematological malignancies, is slowly evolving and extending into other fields. In Spinal Cord Injury its indications and uses are still getting refined.Materials and methods: In our centre, after extensive review of...

Full description

Bibliographic Details
Main Authors: Jos G Jasper, Sankaranarayanan S, Baskar S, Senthil KR, Senthilnagarajan, Murugan P, Abraham S
Format: Article
Language:English
Published: GN Corporation Limited 2008-11-01
Series:Journal of Stem Cells and Regenerative Medicine
Subjects:
Online Access:http://www.pubstemcell.com/monthly/004010700007.htm
_version_ 1818056497447305216
author Jos G Jasper
Sankaranarayanan S
Baskar S
Senthil KR
Senthilnagarajan
Murugan P
Abraham S
author_facet Jos G Jasper
Sankaranarayanan S
Baskar S
Senthil KR
Senthilnagarajan
Murugan P
Abraham S
author_sort Jos G Jasper
collection DOAJ
description Background: Stem Cell Therapy (SCT) although in vogue since the early seventies for Hematological malignancies, is slowly evolving and extending into other fields. In Spinal Cord Injury its indications and uses are still getting refined.Materials and methods: In our centre, after extensive review of literature drew up our own inclusion/ exclusion criteria which was approved by our ethics committee. we selected six patients with Dorsal Spinal Cord Injury for this study. Epidemiological and clinical data was collected and Videography of the patient’s initial presentation was done. Clinical assessment was carried out by a team of specialist including the Neurosurgeon, Neurologist, Urologist and Physiotherapist.100 ml of Bone marrow harvested from the posterior iliac crest was sent in cold preservation to NCRM, Chennai. Bone Marrow Mono Nuclear cells were isolated and CD34+ cells quantified using FACS. The isolated cells were injected through lumbar puncture. One of the six patients received two sittings of SCT, while all others have undergone only one sitting. The patients were followed on a monthly basis during which regular neurological reassessment was done and domiciliary physiotherapy was also given. Result: One patient who was given two sittings of SCT made very good improvement and is now ambulant with the aid of an Orthosis. Two other patients who received one sitting of SCT had objective sensory and mild motor improvement; Three other patients had no improvement. There were no adverse reactions in any of them.Conclusion: SCT is an evolving option for Spinal Cord Injury patients and although it is too early to comment, results as of date show a positive influence. The numbers of variables are many, but the results are promising and definitely warrant further clinical trials.
first_indexed 2024-12-10T12:29:47Z
format Article
id doaj.art-9e617b1c24324f9d8c4b24eb4b66ad2a
institution Directory Open Access Journal
issn 0973-7154
language English
last_indexed 2024-12-10T12:29:47Z
publishDate 2008-11-01
publisher GN Corporation Limited
record_format Article
series Journal of Stem Cells and Regenerative Medicine
spelling doaj.art-9e617b1c24324f9d8c4b24eb4b66ad2a2022-12-22T01:48:51ZengGN Corporation LimitedJournal of Stem Cells and Regenerative Medicine0973-71542008-11-01411415Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial ExperienceJos G JasperSankaranarayanan SBaskar SSenthil KRSenthilnagarajanMurugan PAbraham SBackground: Stem Cell Therapy (SCT) although in vogue since the early seventies for Hematological malignancies, is slowly evolving and extending into other fields. In Spinal Cord Injury its indications and uses are still getting refined.Materials and methods: In our centre, after extensive review of literature drew up our own inclusion/ exclusion criteria which was approved by our ethics committee. we selected six patients with Dorsal Spinal Cord Injury for this study. Epidemiological and clinical data was collected and Videography of the patient’s initial presentation was done. Clinical assessment was carried out by a team of specialist including the Neurosurgeon, Neurologist, Urologist and Physiotherapist.100 ml of Bone marrow harvested from the posterior iliac crest was sent in cold preservation to NCRM, Chennai. Bone Marrow Mono Nuclear cells were isolated and CD34+ cells quantified using FACS. The isolated cells were injected through lumbar puncture. One of the six patients received two sittings of SCT, while all others have undergone only one sitting. The patients were followed on a monthly basis during which regular neurological reassessment was done and domiciliary physiotherapy was also given. Result: One patient who was given two sittings of SCT made very good improvement and is now ambulant with the aid of an Orthosis. Two other patients who received one sitting of SCT had objective sensory and mild motor improvement; Three other patients had no improvement. There were no adverse reactions in any of them.Conclusion: SCT is an evolving option for Spinal Cord Injury patients and although it is too early to comment, results as of date show a positive influence. The numbers of variables are many, but the results are promising and definitely warrant further clinical trials.http://www.pubstemcell.com/monthly/004010700007.htmProceedings of Annual Symposium on Regenerative Medicine
spellingShingle Jos G Jasper
Sankaranarayanan S
Baskar S
Senthil KR
Senthilnagarajan
Murugan P
Abraham S
Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience
Journal of Stem Cells and Regenerative Medicine
Proceedings of Annual Symposium on Regenerative Medicine
title Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience
title_full Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience
title_fullStr Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience
title_full_unstemmed Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience
title_short Autologous Stem Cell Therapy in Spinal Cord Injury - Our Initial Experience
title_sort autologous stem cell therapy in spinal cord injury our initial experience
topic Proceedings of Annual Symposium on Regenerative Medicine
url http://www.pubstemcell.com/monthly/004010700007.htm
work_keys_str_mv AT josgjasper autologousstemcelltherapyinspinalcordinjuryourinitialexperience
AT sankaranarayanans autologousstemcelltherapyinspinalcordinjuryourinitialexperience
AT baskars autologousstemcelltherapyinspinalcordinjuryourinitialexperience
AT senthilkr autologousstemcelltherapyinspinalcordinjuryourinitialexperience
AT senthilnagarajan autologousstemcelltherapyinspinalcordinjuryourinitialexperience
AT muruganp autologousstemcelltherapyinspinalcordinjuryourinitialexperience
AT abrahams autologousstemcelltherapyinspinalcordinjuryourinitialexperience