An improved method of supercharged transposed latissimus dorsi flap with the skin paddle for the management of a complicated lumbosacral defect

E. Cigna, S. Mardini, H. C. Chen, Özkan, P. Sassu, Christopher Salgado, Y. T. Lieu, I. Ponzo, D. Ribuffo, N. Scuderi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

OBJECTIVE: Treatment of non-healing wounds of lower back often poses a powerful challenge. We present one of the first report of treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle.

CASE REPORT: We report a case of a 59 year-old man with myeloma of the sacral spine who underwent radiotherapy and chemotherapy and subsequently, laminectomies and placement of hardware for ongoing paresis and spine instability. Then, he developed an open wound and osteomyelitis of the spine with culture positive tuberculous granulomas. After multiple surgical debridement, he presented to our service and was treated with a single stage debridement followed by the performance of a latissimus dorsi musculocutaneous flap based on paraspinal perforators and supercharged.

RESULTS: This solution, allowed for augmentation of blood flow to the muscle with the inferior gluteal artery, provided coverage of the defect resistant to the pressure, and simplified post-operative management of the patient.

CONCLUSIONS: Alternative treatment options, including free tissue transfer, posed difficulties in finding suitable recipient vessels near the defect, in inserting the flap so as to restore its original length without compromising blood flow, and in postoperative care of the patient. Treatment of a lumbosacral defect with a supercharged latissimus dorsi flap with the skin paddle may represent a milestone procedure for complicated lower spine wounds.

Original languageEnglish (US)
Pages (from-to)921-926
Number of pages6
JournalEuropean Review for Medical and Pharmacological Sciences
Volume19
Issue number6
StatePublished - 2015
Externally publishedYes

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Superficial Back Muscles
Spine
Skin
Debridement
Wounds and Injuries
Myocutaneous Flap
Laminectomy
Postoperative Care
Paresis
Osteomyelitis
Therapeutics
Granuloma
Radiotherapy
Arteries
Pressure
Drug Therapy
Muscles

ASJC Scopus subject areas

  • Medicine(all)

Cite this

An improved method of supercharged transposed latissimus dorsi flap with the skin paddle for the management of a complicated lumbosacral defect. / Cigna, E.; Mardini, S.; Chen, H. C.; Özkan; Sassu, P.; Salgado, Christopher; Lieu, Y. T.; Ponzo, I.; Ribuffo, D.; Scuderi, N.

In: European Review for Medical and Pharmacological Sciences, Vol. 19, No. 6, 2015, p. 921-926.

Research output: Contribution to journalArticle

Cigna, E, Mardini, S, Chen, HC, Özkan, Sassu, P, Salgado, C, Lieu, YT, Ponzo, I, Ribuffo, D & Scuderi, N 2015, 'An improved method of supercharged transposed latissimus dorsi flap with the skin paddle for the management of a complicated lumbosacral defect', European Review for Medical and Pharmacological Sciences, vol. 19, no. 6, pp. 921-926.
Cigna, E. ; Mardini, S. ; Chen, H. C. ; Özkan ; Sassu, P. ; Salgado, Christopher ; Lieu, Y. T. ; Ponzo, I. ; Ribuffo, D. ; Scuderi, N. / An improved method of supercharged transposed latissimus dorsi flap with the skin paddle for the management of a complicated lumbosacral defect. In: European Review for Medical and Pharmacological Sciences. 2015 ; Vol. 19, No. 6. pp. 921-926.
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