Surgical Ulcer Debridement in a Patient With Spina Bifida Complicated by Osteomyelitis, Obesity, and Diabetes

This case report describes a patient with spina bifida, diabetes, and obesity who developed a severe sacral ulcer complicated by osteomyelitis. The patient's conditions made the ulcer difficult to heal. Surgical debridement using a hydrosurgery system was performed to remove dead tissue, and a loop colostomy was created to prevent stool contamination of the wound. These interventions aimed to improve healing and prevent further complications. The case highlights the challenges of managing complex wounds in patients with multiple health issues and emphasizes the importance of a multidisciplinary approach.

• 1
  The patient had a nonhealing sacral ulcer for one year, complicated by osteomyelitis, despite previous wound care management and antibiotic treatment.
• 2
  Surgical debridement with the VERSAJET™ Hydrosurgery System and subsequent loop colostomy were necessary to address the severe ulcer and prevent further contamination.
• 3
  The sacral bone biopsy confirmed osteomyelitis, and deep cultures were positive for methicillin-resistant Staphylococcus aureus.