Bilateral interconnected latissimus dorsi-gluteus maximus muscular cutaneous flaps for closure of subfascial infections in lumbar spinal surgery. A technical note.

Abstract:

STUDY DESIGN:A surgical technique for primary closure of postoperative subfascial infections is described. OBJECTIVES:To describe the methods and indications for the use of the interconnected latissimus dorsi-gluteus maximus flap. SUMMARY OF BACKGROUND DATA:Closure of subfascial postoperative infection can be complicated by soft tissue defects and retained implants. Healing by secondary intention is expensive and gives unpredictable coverage of retained hardware. METHODS:A bilateral interconnected latissimus dorsi-gluteus maximus flap was used to cover resultant soft tissue defects according to techniques previously described for the delayed primary closure of myelomeningocele defects. RESULTS:Stable, durable, drainage-free soft tissue coverage was obtained in all patients treated with this technique. CONCLUSION:The latissimus dorsi-gluteus maximus flap represents an effective, economical option for the treatment of patients with subfascial infection after instrumented spinal fusion surgery.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Frank CJ,Brantigan J,Cronan J

doi

10.1097/00007632-199703010-00021

subject

Has Abstract

pub_date

1997-03-01 00:00:00

pages

564-7

issue

5

eissn

0362-2436

issn

1528-1159

journal_volume

22

pub_type

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