Modified fourth lumbar artery local perforator flap: an alternative for reconstruction of nonhealing lumbosacral spinal defects.

ABSTRACT:

Background

The reconstruction of nonhealing lumbosacral spinal defects remains a challenge, with limited options. The aim of this article was to review the authors' technique and experience with the modified fourth lumbar artery local perforator (MFLALP) flap for the coverage of nonhealing lumbosacral defects after spinal surgery.

Methods

Between August 2012 and May 2021, we reviewed all MFLALP flaps performed for lumbosacral spinal defects. Patient demographics, wound aetiologies, surgical characteristics, and outcomes were reviewed retrospectively.

Results

A total of 31 MFLALP flaps were performed on 24 patients during the research period. The median flap size was 152 cm² (range, 84-441 cm²). All flaps survived successfully, although there were

SUBMITTER: Zhao R 

PROVIDER: S-EPMC9840304 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature