Open AccessRevisionary soft tissue reconstruction of posterior midline defects after spinal surgery—plastic reconstructive options including perforator flaps
Author(s) -
Jochen-Frederick Hernekamp,
Nico Leibig,
Tomke Cordts,
Thomas Kremer,
Ulrich Kneser
Publication year - 2021
Publication title -
journal of spine surgery
Language(s) - English
Resource type - Journals
eISSN - 2414-469X
pISSN - 2414-4630
DOI - 10.21037/jss-20-688
Subject(s) - medicine , surgery , soft tissue , complication , lumbar , implant , reconstructive surgery , plastic surgery , perforator flaps
Chronic prevertebral soft tissue defects with exposed metal hardware following spinal surgery represent a challenging complication. Frequently patients underwent multiple previous operations due to wound complications. Surrounding soft tissues are often compromised due to malperfusion, severe subcutaneous scarring, previous local advancement flaps and therefore impair stable wound closure.