Evidence map›Paper›PMID 40952749›Full record

ArticleThe journal of spinal cord medicine2026

Continuous low-frequency pelvic nerve stimulation for therapy of intractable gluteal/heel pressure ulcers in persons with spinal cord injury.

Possover Marc

Abstract readCase Reports
In one paragraph

Article in The journal of spinal cord medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

1 author.

Possover MarcDepartment of OBGYN, University of Cologne, Cologne, Germany.ORCID 0000-0002-0697-3394

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCase report.

objectivesPressure ulcers (PUs) affect many spinal cord-injured individuals and can result in serious life-threatening complications including infections and gangrene. Treatment is lengthy and extremely expensive due to recurrent and prolonged hospitalization and multiple surgeries. Consequently, for both medical and economic reasons, intensive efforts in prophylaxis and new effective therapeutic options are mandatory. This report presents the positive effects of pelvic nerve stimulation on the healing of gluteal and heel PUs.

settingHospital in Zürich/CH.

methodsFive patients with spinal cord injuries with PUs underwent continuous low-frequency electrostimulation (10 Hz) of the sciatic and femoral nerves by means of laparoscopic implantation of a neuroprosthesis via the LION procedure. This procedure is primarily performed in persons with chronic spinal cord injuries to facilitate voluntary electrically assisted walking function. Evaluations included quadriceps muscle thickness, regional skin temperature, and subjective healing reports. Evaluations were conducted at baseline and after three months of stimulation.

resultsThe LION procedure significantly increased the healing process of gluteal (

conclusionsPelvic somatic nerve stimulation showed promise as a treatment for pressure ulcers in patients with spinal cord injuries by enabling gluteal pressure relief, peripheral vasodilation, and muscle building.

Indexed as

Electric Stimulation TherapyPressure UlcerSpinal Cord InjuriesAdultButtocksFemaleHeelHumansMaleMiddle AgedLION procedureLow frequency stimulationPressureSpinal cord injuryulcers

Identifiers

PMID40952749
PMCPMC12931345

What OpenQuestion holds

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Registered trials

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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.