How are pressure ulcers managed in central cord syndrome (CCS)?

Updated: May 21, 2020
  • Author: Michelle J Alpert, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Pressure ulcers

  • Sensory loss, resulting in a patient's decreased awareness of continued pressure and shear forces on the skin, contributes to the formation of pressure ulcers.

  • Prevention involves decreasing the amount of pressure and the length of time that it is applied, as well as eliminating shear. Special mattresses and wheelchair cushions protect bony prominences.

  • Frequent changes in position (ie, turning while in bed, pressure relief when the patient is in a wheelchair) are paramount.

  • The initial treatment of a pressure ulcer is the elimination of pressure, followed by local dressing changes. If the wound progresses, plastic surgery consultation, if indicated, should be considered.

  • Physiatric management should also include patient and/or family education regarding skin care and surveillance.


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