A retrospective review identified 90 nonambulatory patients with spinal cord injury who underwent reconstruction for persistent decubitus ulcers from 2002 to 2008. Electronic medical records were surveyed for patient comorbidities and postoperative complications. Statistical methods included the Fisher exact test and the Mann-Whitney
Among 90 patients reviewed, 33%(n = 30) received fasciocutaneous flaps and 66%(n = 60) underwent biplanar reconstruction. Comorbidities were the same between cohorts with the exception of a greater prevalence of diabetes in the biplanar group (27%vs 50%;
Biplanar flap reconstruction should be considered for chronically immobilized patients at high risk for recurrent decubitus ulceration.