J Reconstr Microsurg 2005; 21(4): 251-255
DOI: 10.1055/s-2005-871752
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Using Methylprednisolone to Supplement Direct Current Electrical Field in Promoting Spinal-Cord Regeneration

Ning-jiang Shen1 , Yu-tian Wang1 , Qin-biao Lin1 , Ji Cai1
  • 1Department of Orthopedics, People's Hospital of Hainan Province, Haikou, Hainan, China
Further Information

Publication History

Accepted: January 24, 2004

Publication Date:
21 June 2005 (online)

ABSTRACT

In order to compensate for the fact that direct current electrical fields could not reduce or correct spinal-cord edema after trauma, methylprednisolone was used 2 hr after spinal-cord injury to promote the efficacy of the direct current electrical field. Thirty-three dogs were randomly divided into three groups and their spinal cords were injured with the Allen method (weight-dropping technique). Group A, a control group; Group B, implantation of an electrical stimulator 6 hr after spinal-cord injury; and Group C, given an injection of a large dose of methylprednisolone 2 hr after injury. Electric stimulators were implanted into the dogs' bodies 6 hr post-injury. The nerve functions, evoked potential cortical somatosensory and three kinds of nerve morphometric changes, were observed 1 to 3 months after injury. The indexes of Groups B and C were much better than Group A (p < 0.05). The results in Group C were better than in Group B. Differences were statistically significant. The combination of direct current electrical field and an injection of a large dose of methylpredwisolone could effectively treat spinal cord injury, promoting earlier recovery of nerve function.

REFERENCES

  • 1 Shen N J, Wang S C. Using a direct current electrical field to promote spinal-cord regeneration.  J Reconstr Microsurg. 1999;  15 427-431
  • 2 Bracken M B, Shepard M D, Holford T R et al.. Administration of methylprednisolone for 24 or 48 hours or tirilazed mesylate for 48 hours in the treatment of acute spinal cord injury.  JAMA. 1997;  227 1597-1604
  • 3 Wallace M C, Tator C H, Piper I. Recovery of spinal cord function induced by direct current stimulation of the injured rat spinal cord.  Neurosurgery . 1987;  20 878-884
  • 4 Fehlings M G, Tator C H. The effect of direct current field polarity on recovery after acute experimental spinal cord injury.  Brain Research. 1992;  579 32-42
  • 5 Khan T, Myklebust J, Swiontek T et al.. Electrical field distribution within the injured cat spinal cord: injury potentials and field distribution.  J Neurotrauma. 1994;  11 699-710
  • 6 McCaig C D, Rainicek A M. Electrical fields, nerve growth and nerve regeneration.  Exp Physiol. 1991;  76 473-479
  • 7 Gabler C. Clinical experiences and result of high dosage methylprednisolone therapy in spinal cord trauma.  Spine. 1995;  20 20-27
  • 8 Zhang Q, Liao W H, Wu Y et al.. Effect of high dose methylprednisolone on cell apoptosis after spinal cord injury.  Chin J Traumatol. 2001;  17 89-92

Ning-jiang ShenM.D. 

Department of Orthopedics, People's Hospital of Hainan Province

Xiu Hua Road, Hainan, 570311, China

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