{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:55:17Z","timestamp":1780102517955,"version":"3.54.0"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>The authors report a case of functional improvement of the paralyzed diaphragm in high cervical quadriplegia via phrenic nerve neurotization using a functional spinal accessory nerve. Complete spinal cord injury at the C-2 level was diagnosed in a 44-year-old man. Left diaphragm activity was decreased, and the right diaphragm was completely paralyzed. When the level of metabolism or activity (for example, fever, sitting, or speech) slightly increased, dyspnea occurred. The patient underwent neurotization of the right phrenic nerve with the trapezius branch of the right spinal accessory nerve at 11 months postinjury. Four weeks after surgery, training of the synchronous activities of the trapezius muscle and inspiration was conducted. Six months after surgery, motion was observed in the previously paralyzed right diaphragm. The lung function evaluation indicated improvements in vital capacity and tidal volume. This patient was able to sit in a wheelchair and conduct outdoor activities without assisted ventilation 12 months after surgery.<\/jats:p>","DOI":"10.3171\/2011.3.spine10911","type":"journal-article","created":{"date-parts":[[2011,5,6]],"date-time":"2011-05-06T14:21:00Z","timestamp":1304691660000},"page":"190-194","source":"Crossref","is-referenced-by-count":25,"title":["Functional restoration of the paralyzed diaphragm in high cervical quadriplegia via phrenic nerve neurotization utilizing the functional spinal accessory nerve"],"prefix":"10.3171","volume":"15","author":[{"given":"Ming-liang","family":"Yang","sequence":"first","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-jun","family":"Li","sequence":"additional","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shao-cheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"3Department of Orthopedic, Changhai Hospital, Shanghai; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang-jie","family":"Du","sequence":"additional","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Gao","sequence":"additional","affiliation":[{"name":"4Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Li","sequence":"additional","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-ming","family":"Wang","sequence":"additional","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui-ming","family":"Gong","sequence":"additional","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Cheng","sequence":"additional","affiliation":[{"name":"1Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center;"},{"name":"2Faculty of Rehabilitation Medicine, Capital Medical University, Beijing;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine10911","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20036"},{"key":"b2-spine10911","doi-asserted-by":"publisher","DOI":"10.1016\/j.resp.2009.09.008"},{"key":"b3-spine10911","first-page":"1255","volume":"4","author":"Krieger LM","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"b4-spine10911","doi-asserted-by":"crossref","first-page":"1870","DOI":"10.1016\/j.athoracsur.2006.05.098","volume":"82","author":"Loukas M","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"b5-spine10911","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.resp.2009.09.002","volume":"169","author":"Mantilla CB","year":"2009","journal-title":"Respir Physiol Neurobiol"},{"key":"b6-spine10911","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2004.16.5.6"},{"key":"b7-spine10911","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/0014-4886(91)90012-2","volume":"111","author":"O'Hara TE","year":"1991","journal-title":"Exp Neurol"},{"key":"b8-spine10911","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1002\/ca.20376","volume":"20","author":"Pruksakorn D","year":"2007","journal-title":"Clin Anat"},{"key":"b9-spine10911","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1007\/s00381-008-0650-4","volume":"24","author":"Tubbs RS","year":"2008","journal-title":"Childs Nerv Syst"},{"key":"b10-spine10911","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20545"},{"key":"b11-spine10911","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.103.3.0464"},{"key":"b12-spine10911","first-page":"325","volume":"11","author":"Xu-Hhui Z","year":"2003","journal-title":"Orthop J Chin"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/15\/2\/article-p190.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/15\/2\/article-p190.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T23:16:32Z","timestamp":1605309392000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/15\/2\/article-p190.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2011,8]]},"references-count":12,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2011.3.spine10911","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2011,8]]}}}