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Significance Recovery of cutaneous sensation after spinal cord injury relies on reestablishing effective somatotopic pathways from the skin to the cortex. We show that the recovery of cortical activity months after extensive damage to the primary touch pathway in the dorsal column depends on a few surviving primary axons, together with the greater number of preserved axons in a secondary touch pathway from spinal cord neurons. These surviving axons could be targeted for treatments that potentiate their roles in recovery after spinal cord injury.

Second-order spinal cord pathway contributes to cortical responses after long recoveries from dorsal column injury in squirrel monkeys