SPINE: An Initiative to Reduce Pressure Sore Recurrence

Author:

Brown Amanda L.1,Hassanein Aladdin H.2,Gabriel Keith3,Mailey Brian A.4

Affiliation:

1. Division of Plastic Surgery, St. Louis University, St. Louis, Mo.

2. Division of Plastic Surgery, Indiana University School of Medicine, Indianapolis, Ind.

3. Division of Orthopedic Surgery, Southern Illinois University, Springfield, Ill.

4. Plastic and Reconstructive Surgery, Chief Pediatric Plastic Surgery, Cardinal Glennon Childrens Hospital, Pandrangi Endowed Professor St. Louis University, St Louis, Mo.

Abstract

Summary: The recurrence rate after pressure sore reconstruction remains high. Primary inciting factors can be organized into efforts aimed at wound prevention: spasticity relief, pressure off-loading, infection and contamination prevention, nutrition optimization, and maximizing extremity function. This article presents our detailed protocol, SPINE, to address each inciting factor with a summary of cases at our facility and review best practices from evidence-based medicine in the literature.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Surgery,General Medicine

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3. Lessons learned while conducting research on prevention of pressure ulcers in veterans with spinal cord injury.;Guihan;Arch Phys Med Rehabil,2007

4. Recurrence of initial pressure ulcer in persons with spinal cord injuries.;Niazi;Adv Wound Care,1997

5. Spasticity mechanisms – for the clinician.;Mukherjee;Front Neurol,2010

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