Poster 93 The Respiratory Rehabilitation of Long-Term Ventilator-Dependent Patients with High Cervical Spinal Cord Injuries

2012 ◽  
Vol 93 (10) ◽  
pp. e41
Author(s):  
Fumihito Kasai
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
High Cervical ◽  
Respiratory Rehabilitation

scholarly journals Long-term evaluation of phrenic nerve pacing for respiratory failure due to high cervical spinal cord injury

Spinal Cord ◽  
2012 ◽  
Vol 50 (12) ◽  
pp. 895-898 ◽  
Author(s):  
F J Romero ◽  
C Gambarrutta ◽  
A Garcia-Forcada ◽  
M A Marín ◽  
E Diaz de la Lastra ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Respiratory Failure ◽  
Phrenic Nerve ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury ◽  
Term Evaluation ◽  
High Cervical

Recurrent Asystole Resulting from High Cervical Spinal Cord Injuries

2006 ◽  
Vol 72 (6) ◽  
pp. 525-529 ◽  
Author(s):  
D.L. Franga ◽  
M.L. Hawkins ◽  
R.S. Medeiros ◽  
D. Adewumi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Cardiac Pacemakers ◽  
Cord Injury ◽  
Pacemaker Placement ◽  
Level I ◽  
High Cervical ◽  
Short Time ◽  
Injured Patients

Cervical spinal cord injury is a highly morbid condition frequently associated with cardiovascular instability. This instability may include bradyarrhythmias, as well as hypotension, and usually resolves in a relatively short time. However, over a 3-year period (January 2003–December, 2005), 5 of 30 patients with complete cervical spinal cord injuries seen at our Level I trauma center required placement of permanent cardiac pacemakers for recurrent bradycardia/asystolic events. Strong consideration for pacemaker placement should be given for those spinal cord-injured patients with symptomatic bradyarrhythmic events still occurring 2 weeks after injury.

scholarly journals Insertion of magnetically controlled growing rods in a patient with a diaphragmatic pacemaker: case report

2017 ◽  
Vol 43 (4) ◽  
pp. E14 ◽  
Author(s):  
Andrew C. Vivas ◽  
Steven W. Hwang ◽  
Joshua M. Pahys
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Muscle Tone ◽  
Cervical Spinal Cord ◽  
Young Patients ◽  
Growing Rods ◽  
Growing Rod ◽  
Cord Injury ◽  
High Cervical ◽  
Magnetically Controlled Growing Rods

Phrenic stimulators offer an alternative to standard mechanical ventilation as well as the potential for ventilator independence in select patients with chronic respiratory failure. Young patients (< 10 years old) with high cervical spinal cord injuries often develop paralytic scoliosis due to loss of muscle tone caudal to their spinal cord lesion. Growing rod systems allow for stabilization of spinal deformity while permitting continued growth of the spine and thoracic cavity. Magnetically controlled growing rods (MCGRs) offer the advantage of noninvasive expansion, as opposed to the operative expansion required in traditional growing rod systems. To the authors’ knowledge, this is the first reported case of MCGRs in a patient with a diaphragmatic pacemaker (DP). A 7-year-old boy with ventilator dependence after a high cervical spinal cord injury presented to the authors’ institution with paralytic scoliosis that progressed to > 120°. The patient had previously undergone insertion of phrenic nerve stimulators for diaphragmatic pacing. The decision was made to insert MCGRs bilaterally to stabilize his deformity, because the planned lengthening surgeries that are necessary with traditional growing rods would be poorly tolerated in this patient. The patient’s surgery and postoperative course were uneventful. The DP remained functional after insertion and lengthening of the MCGRs by using the external magnet. The DP had no effect on the expansion capability of the MCGRs. In conclusion, the MCGRs appear to be compatible with the DP. Further studies are needed to validate the long-term safety and compatibility of these 2 devices.

Enhancement of Operational Efficiencies for People With High Cervical Spinal Cord Injuries Using a Flexible Integrated Pointing Device Apparatus

2006 ◽  
Vol 87 (6) ◽  
pp. 866-873 ◽  
Author(s):  
Chia-Ling Chen ◽  
Hsieh-Ching Chen ◽  
Pao-Tsai Cheng ◽  
Chih-Yong Chen ◽  
Huang-Chung Chen ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Pointing Device ◽  
High Cervical

Binding the Abdomen Can Improve Speech in Men With Phrenic Nerve Pacers

2002 ◽  
Vol 11 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Jeannette D. Hoit ◽  
Robert B. Banzett ◽  
Robert Brown
Keyword(s):  
Spinal Cord ◽  
Phrenic Nerve ◽  
Muscle Activation ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Neck Muscle ◽  
Behavioral Strategies ◽  
Tracheal Pressure ◽  
The Subject ◽  
High Cervical

Two men with high cervical spinal cord injuries and phrenic nerve pacers were studied with and without an elastic binder around the abdomen. Speech improved with the binder, as determined by listener preference ratings provided by 10 judges and by the subjects themselves. Improvement was substantial in one subject and slight in the other. The subject with the greater improvement exhibited higher peak tracheal pressure, higher sound pressure level, and longer utterance duration with the binder in place. Speech improvement was attributed primarily to augmentation of tidal volume associated with the use of the binder. An abdominal binder can be an effective intervention to improve speech in certain individuals with spinal cord injuries and phrenic nerve pacers. Speech may be further improved by using behavioral strategies, such as neck muscle activation, glossopharyngeal breathing, and pharyngeal or buccal speech production.

scholarly journals Prognosis in acute high cervical spinal cord injuries.

1984 ◽  
Vol 32 (4) ◽  
pp. 1148-1151
Author(s):  
S. Kurose ◽  
N. Tsunoda ◽  
K. Sasaki ◽  
K. Shiba ◽  
E. Gondou ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
High Cervical
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