Journal of Orthopedic Surgery and Rehabilitation

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Unusual site of decubitus in the patients with spinal cord injury due to prolonged sitting on a heated toilet seat

There are few reports about the risk of decubitus consequent to prolonged sitting on a toilet seat with an electric heating system in the literature. In this paper, we present herein two cases with atypical sites of decubitus in the thigh of patients with spinal cord injury (SCI), which presumably resulted from prolonged sitting on a toilet seat with an electric heating system. A 43-year-old and a 32-year-old women with SCI had dorsal thigh decubitus, which resulted from compression and low-temperature burn, consequent to prolonged sitting on a toilet seat with an electric heating system. They were advised not to use heated toilet seat and to use pressure-relieving cushion. Soon their decubitus healed and did not recur up to the present time. As the patients with SCI are vulnerable to develop decubitus, we have to pay attention to burns of the dorsal thigh following prolonged sitting on heated toilet seat during defecation.

Author(s): Kosuke Tsuda, Suguru Ohsawa, Shinji Hirabayashi