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Reconstruction of Stage IV Pressure Ulcers Using Delayed Flaps in a Pediatric Patient With Spinal Cord Injury: A Case
Audrey Ulfers1, Genevieve Messa1, Kory Imbrescia2
1Department of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, USA.
Cureus
|March 6, 2026
Summary
Reconstructing pressure ulcers in pediatric patients with spinal cord injury (SCI) requires specialized surgical techniques. Delayed fasciocutaneous flaps offer a viable option for reconstruction, preserving essential muscle function.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Spinal Cord Injury Research
Background:
- Pressure ulcers (PUs) are a significant complication in pediatric patients with spinal cord injury (SCI).
- Reconstruction of large PUs, especially in children with SCI, presents unique surgical challenges to minimize functional deficits.
- Stage IV PUs require complex reconstructive strategies.

