Treatment of Stage IV Decubitus Ulceration in Spinal Cord Injury Patients with Skin Substitute, Icelandic Cod Skin: a Care Study

Introduction: Deep pressure ulcers (PU) secondary to spinal cord injury are among the most challenging conditions in public health, both to treat and to prevent. Approximately 1–3 million people in the United States (US) develop pressure ulcers each year. A meta-analysis includ- ing 600078 patients using random effects model showed that a global prevalence of pressure ulcers of 32.36% among patients with spinal cord injured. Methods: Case study of patient with refractory stage IV deuce ulcer- ation treated with icelandic cod matrix with favorable progression to closure after several years without resolution of the ulcers Results: Advance tissue regeneration matrix, icelandic cod matrix, is a acceptable and efficient surgical treatement for patient with full thickness pressure ulcers in patients who also have spinal cord injury Discussion: Skin substitute matrix are an option to full thickness flaps in patient with full thickness pressure ulcers