Long-term efficacy and complications of implantable diaphragm pacer in children with high cervical spinal cord injury: case report and literature review
10.3760/cma.j.cn101070-20230312-00210
- VernacularTitle:植入式膈肌起搏器在高位颈髓损伤患儿中应用的远期疗效及并发症：病例报告及文献复习
- Author:
Yongqi XIE
1
;
Huiming GONG
;
Degang YANG
;
Liang CHEN
;
Yanmei JIA
;
Yang XIE
;
Shuang GUO
;
Liang ZHANG
;
Run PENG
;
Mingliang YANG
Author Information
1. 首都医科大学康复医学院，北京 100068
- Keywords:
Child;
Cervical spinal cord injury;
Implantable diaphragm pacer;
Complication
- From:
Chinese Journal of Applied Clinical Pediatrics
2024;39(2):134-137
- CountryChina
- Language:Chinese
-
Abstract:
The long-term efficacy and complications of implantable diaphragm pacer (IDP) in a child with cervical spinal cord injury (CSCI) in the Department of Spinal and Neural Functional Reconstruction, China Rehabilitation Research Center in September 2022 were retrospective analyzed.A male child had quadriplegia without an obvious cause at the age of 12 years, and he was then lived completely with the assistance of mechanical ventilation.At the age of 14 years, he could wean off the ventilator in unilateral diaphragmatic pacing mode.However, mechanical ventilation was re-given for months after 5 years due to pneumonia, and then the IDP was re-given with the self-felt decreased pacing effect.After hospitalization, the patient was examined with mild diaphragmatic atrophy, secondary flat chest, and mild scoliosis.After optimization of the transdiaphragmatic pacing threshold and rehabilitation, his respiratory function improved.IDP can be used in CSCI for long time, while flat chest and scoliosis that limited the expansion of the lungs should be considered.At the meantime, the increased abdominal spasm affected the abdominal compliance, leading to the decrease in the efficiency of the diaphragm.
