Neurosurgery is evolving thanks to biomaterials and tissue engineering. These technologies help repair brain and spinal cord, creating safer, customized implants. Scientists use polymers, hydrogels, and 3D‑printed scaffolds to guide nerve cell growth. After head trauma or spinal injuries, new implants can fill gaps, reduce inflammation, and promote regeneration. Another frontier is peripheral nerve regeneration: tiny biomaterial “bridges” can direct nerves toward muscles, improving motor recovery. Yet challenges remain: materials must be biocompatible, avoid immune reactions, and last long term. 3D printing enables patient‑specific implants, while nanotechnology makes surfaces more cell‑friendly. Translating lab breakthroughs to the operating room requires close teamwork among neurosurgeons, biologists, and material engineers. Overcoming clinical translation barriers will bring these innovations to patients. The future of neurosurgery looks smarter and personalized, merging biology and tech to heal injuries once deemed untreatable.
The most promising biomaterials include biodegradable polymers such as PLGA (poly(lactic‑co‑glycolic) acid) and polyhydroxyalkanoates, which degrade controllably while releasing growth factors. Collagen or fibrin-based hydrogels provide a hydrated environment akin to neural tissue, encouraging cell migration. 3D bioprinting with bio‑ink allows deposition of neural stem cells together with scaffolds, creating 3D structures with stiffness gradients that mimic gray and white matter. Nanotechnology introduces gold or silicon nanoparticles to modulate cellular electrical activity, enhancing signal conduction. Moreover, microfluidic chips enable in‑vitro studies of cell‑biomaterial interactions under dynamic flow, simulating intracranial pressure. For spinal cord injuries, conduits coated with neurotrophic factors (BDNF, NT‑3) have demonstrated axonal regeneration in animal models. Yet immune response remains critical: biomaterial surfaces can be functionalized with anti‑inflammatory peptides or “self‑peptide” molecules to dampen microglial activation. The key to clinical translation lies in integrating pre‑clinical data, long‑term safety studies, and GMP‑certified manufacturing protocols.
