The article presents the multi-stage treatment of severe decubitus ulcers in a male patient, 26 years of age, with posttraumatic tetraplegia resulting from a cervical spinal cord injury that had occurred 8 years prior to admission. The patient presented with extensive and deep ulcerations in the sacral region and both trochanteric regions. Due to the destruction of the joint bilateral hip resection was also necessary. The entire hospital stay lasted 7 months and resulted in complete healing of all three decubitus lesions. There was no recurrence of pressure ulcers during the 2-year observation period.