Abstract

A report is given of successful healing of artificially produced intramedullary wound surfaces and outgrowth of nerve fibres in the experimental dog by simple application of the basic physiological principles valid in wound repair in general, namely to bring such surfaces into long-lasting, close and tensionless contact. This contact was established by utilization of the biomechanical phenomenon that on extension of the spine the spinal cord slackens and its tissue is telescoped. Such contact suppressed practically all adverse reactions of the medullary tissue, namely, formation of an intramedullary pial-glial scar, intramedullary cysts and autotomy of the spinal cord. As a result a biological reconstruction of the injured spinal cord could be realized and the validity of the principles of functional neurosurgery put forward a couple of years ago by our biomechanical school [4] could be corroborated.

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