“…Primary injury indicates immediate physical damage to the spinal cord emanating from the contusion, concussion, compression, contraction, shear, and laceration of the neural tissue [ 2 ]. After some minutes following a primary injury, secondary injury is triggered, and it involves changes in the local ionic concentrations, loss of regulation of local and systemic blood pressure, reduced spinal cord blood flow, breakdown of the blood–brain barrier, penetration of serum proteins into the spinal cord, free radicals/lipid peroxidation production, inflammatory responses (alterations in cytokines and chemokines), apoptosis, excitotoxicity, calpain proteases, neurotransmitter aggregation, and imbalance of activated metalloproteinases [ 3 , 4 , 5 ]. These changes invariably lead to ischemia, edema, hypoxia, loss of myelin, necrosis, apoptosis of spinal cord tissue, glial cell proliferation, and the disconnection of living neurons, culminating in the formation of a microenvironment that is unfavorable for nerve regeneration [ 6 , 7 , 8 , 9 ].…”