Management of pressure injuries with associated osteomyelitis in people with spinal cord injury: a national survey of referral centers in France
Abstract
Pressure injuries are common among individuals with spinal cord injury and often complicated by superinfection, leading to sepsis, hospitalizations, and significant healthcare costs. Osteomyelitis associated with pressure injuries poses diagnostic challenges and requires effective medical and surgical management. To investigate current practices, a national survey of French centers managing over 20 cases annually was conducted. Results revealed significant variability in surgical techniques, antibiotic protocols, and people care pathways. Musculocutaneous and perforator flaps were commonly used, but their application differed among centers. No flaps were performed during acute infections due to failure risks. Bedridden periods and hip flexion protocols varied, with prolonged immobility linked to complications such as thromboembolism and malnutrition. Antibiotic durations ranged from 5-180 days, reflecting differing approaches to infection management. Cure rates within one year ranged from 70-90%. These findings underscore the need for standardized, evidence-based protocols to optimize care for this vulnerable population.
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BibTeX
@article{liepvre2026management,
title = {{Management of pressure injuries with associated osteomyelitis in people with spinal cord injury: a national survey of referral centers in France}},
author = {Hélène Le Liepvre and Emma d'Anglejan and Haude Chaussard and Damien Marmouset and Killian Allepot and Frédérique Bouchand and Latifa Noussair and François Genêt and Vincent T. Carpentier and Aurélien Dinh},
journal = {Spinal Cord},
year = {2026},
month = nov,
doi = {10.1038/s41393-025-01084-y},
url = {https://hal.science/hal-05851898v1},
note = {CC BY},
}
RIS
TY - JOUR
TI - Management of pressure injuries with associated osteomyelitis in people with spinal cord injury: a national survey of referral centers in France
AU - Hélène Le Liepvre
AU - Emma d'Anglejan
AU - Haude Chaussard
AU - Damien Marmouset
AU - Killian Allepot
AU - Frédérique Bouchand
AU - Latifa Noussair
AU - François Genêt
AU - Vincent T. Carpentier
AU - Aurélien Dinh
PY - 2026
DA - 2026/11/04
JO - Spinal Cord
DO - 10.1038/s41393-025-01084-y
UR - https://hal.science/hal-05851898v1
AB - Pressure injuries are common among individuals with spinal cord injury and often complicated by superinfection, leading to sepsis, hospitalizations, and significant healthcare costs. Osteomyelitis associated with pressure injuries poses diagnostic challenges and requires effective medical and surgical management. To investigate current practices, a national survey of French centers managing over 20 cases annually was conducted. Results revealed significant variability in surgical techniques, antibiotic protocols, and people care pathways. Musculocutaneous and perforator flaps were commonly used, but their application differed among centers. No flaps were performed during acute infections due to failure risks. Bedridden periods and hip flexion protocols varied, with prolonged immobility linked to complications such as thromboembolism and malnutrition. Antibiotic durations ranged from 5-180 days, reflecting differing approaches to infection management. Cure rates within one year ranged from 70-90%. These findings underscore the need for standardized, evidence-based protocols to optimize care for this vulnerable population.
SN - 1476-5624
ER -