• Yan Lu, Hai-Long Wu, and Zong-Jian Luo.
• Changchun University of Chinese Medicine, Changchun, Jilin Province, China.
• Medicine (Baltimore). 2024 Jan 26; 103 (4): e37012e37012.

RationaleComplicated pressure injury in paraplegic patients is common and difficult to manage. Previous case studies have documented short-term management; however, little is known regarding suitable approaches to long-term clearing of extensive pressure injury in the sacrococcygeal area under denervation.Patient ConcernsA 53-year-old man was bedridden for 1.5 years owing to cervical vertebral fracture-dislocation (C5-C6), resulting in extensive sacrococcygeal pressure injury.DiagnosesOn admission, he presented with the injury complicated by infection (stage IV necrosis), and his vital signs were unstable.InterventionsThe infection was treated with a range of antibiotics, including clindamycin phosphate, metronidazole, cefoperazone sodium, and sulbactam sodium. Debridement of the pressure injury was performed, helping remove the necrotic tissue and stimulate tissue regeneration.OutcomesThe patient was discharged after 88 days of hospitalization. The extent of the pressure injury at discharge was reduced compared with that at admission. At 4-month follow-up, the injury was nearly healed, with no signs of any further complications.LessonsThis case study suggests that wound debridement is a cost-effective and clinically efficacious approach to long-term complicated pressure injury management.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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