Evidence map›Paper›PMID 40348881›Full record

ReviewSpinal cord2025

Management of pressure injuries with associated osteomyelitis in people with spinal cord injury: a national survey of referral centers in France.

Hélène Le Liepvre, Emma D'Anglejan, Haude Chaussard, Damien Marmouset, Killian Allepot, Frédérique Bouchand, Latifa Noussair, François Genêt, Vincent T Carpentier, Aurélien Dinh

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Spinal cord, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Osteomyelitis.Nature reviews. Disease primers · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hélène Le Liepvre *AP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Physical Medicine and Rehabilitation, Pressure Injury Treatment Unit (UPOH), U1179 END-ICAP, INSERM, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France. helene.leliepvre@aphp.fr.ORCID 0000-0001-7267-300X
Emma D'Anglejan *AP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Infectious Disease, IHU PROMETHEUS, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
Haude ChaussardAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Orthopedic Surgery, Department of Plastic and Reconstructive Surgery, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
Damien MarmousetAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Orthopedic Surgery, Department of Plastic and Reconstructive Surgery, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
Killian AllepotAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Orthopedic Surgery, Department of Plastic and Reconstructive Surgery, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
Frédérique BouchandAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Pharmacy, IHU PROMETHEUS, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
Latifa NoussairAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Laboratory of Microbiology, IHU PROMETHEUS, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
François GenêtAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Physical Medicine and Rehabilitation, Pressure Injury Treatment Unit (UPOH), U1179 END-ICAP, INSERM, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.
Vincent T CarpentierAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Physical Medicine and Rehabilitation, Pressure Injury Treatment Unit (UPOH), U1179 END-ICAP, INSERM, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.ORCID 0000-0002-7239-1202
Aurélien DinhAP-HP. Paris Saclay University, Raymond Poincaré Hospital, Department of Infectious Disease, IHU PROMETHEUS, Versailles Saint-Quentin-en-Yvelines University (UVSQ), Paris Saclay University, Garches, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

OsteomyelitisPressure UlcerSpinal Cord InjuriesAnti-Bacterial AgentsFemaleFranceHumansMaleReferral and ConsultationSurveys and QuestionnairesAnti-Bacterial Agents

Identifiers

PMID40348881
PMCPMC12173937

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.