Bilateral Ischial Defect after Treatment of Pressure Ulcers in a Patient with Spinal CORD Injury: Case Report

Abstract

Pressure ulcers are extremely common in individuals with spinal cord injuries, especially ischial pressure ulcers, which have a higher rate of recurrence and are more difficult to treat than those in other regions of the body. We report a case of a 69-year-old man with bilateral ischial defects due to surgical treatment of pressure ulcers. Previous reports have shown that when surgical resection of pressure ulcers extends beyond the ischial tuberosity to the pubic symphysis and acetabulum, the superior psoas and piriformis muscles are easily dislocated, and the pelvic ring can be unstable. Therefore, the region of resection must not extend beyond the acetabulum and pubic symphysis to achieve a stable sitting position. In this article, we discuss an anatomically safe ischial tuberosity resection.

Keywords

• spinal cord injury
• pressure ulcers
• ischia
• osteomyelitis
• ischiectomy