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  4. Outcomes of Pressure Sore Surgery in Patients with Spinal Cord Injury and Spasticity

Outcomes of Pressure Sore Surgery in Patients with Spinal Cord Injury and Spasticity

PRS Global Open, 2024 · DOI: 10.1097/GOX.0000000000005632 · Published: March 1, 2024

Spinal Cord InjuryNeurologySurgery

Simple Explanation

Spasticity, a common issue after spinal cord injury, can complicate pressure sore treatment. This study looks at how spasticity affects the outcomes of reconstructive surgery for pressure sores. The study reviewed cases of pressure sore surgery in patients with spinal cord injury and spasticity to identify complication rates and recovery times. The findings suggest that spasticity can increase the risk of complications after pressure sore surgery, highlighting the need for specialized care and collaboration between surgeons and spasticity specialists.

Study Duration
October 2013 and March 2022
Participants
46 people with spasticity, 54 PSs were treated
Evidence Level
Retrospective study

Key Findings

  • 1
    The overall incidence of postsurgical complications was 48.1%, and the incidence of major complications was 13%.
  • 2
    Compared with other reports in the literature of pressure sore reconstruction in patients with spinal cord injury/disease, we found higher rates of overall, minor, and major complications.
  • 3
    Median length of hospital stay was 3.8 versus 1.8 months, resulting in a higher stay in patients affected by spasticity.

Research Summary

This retrospective study examined the outcomes of pressure sore reconstruction in patients with spinal cord injury and spasticity, revealing a higher rate of postsurgical complications compared to previous studies. Spasticity was found to significantly impact the incidence of both overall and major complications, as well as increasing the length of hospital stay. The study emphasizes the importance of a multidisciplinary approach, involving plastic surgeons and spasticity specialists, to optimize treatment and reduce postoperative complications.

Practical Implications

Specialized Care

Patients with SCI/D and spasticity require specialized medical attention to manage spasticity effectively before and after pressure sore surgery.

Multidisciplinary Approach

Collaboration between plastic surgeons and spasticity specialists is crucial for defining optimal treatment strategies and minimizing postoperative complications.

Treatment Optimization

Adjusting spasticity treatment based on clinical evaluation of spasms, potentially including botulinum toxin injections before surgery, can improve outcomes.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Single-center study
  • 3
    Lack of standardized spasticity treatment protocols

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