Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute
STUDY DESIGN: Case series. PURPOSE: To describe paraspinal transposition flap for coverage of sacral soft tissue defects. OVERVIEW OF LITERATURE: Soft tissue defects in the sacral region pose a major challenge to the reconstructive surgeon. Goals of sacral wound reconstruction are to provide a durab...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Spine Surgery
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4068850/ https://www.ncbi.nlm.nih.gov/pubmed/24967044 http://dx.doi.org/10.4184/asj.2014.8.3.309 |
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author | Gupta, Sandipan Chattopadhyay, Debarati Agarwal, Akhilesh Kumar Guha, Goutam Bhattacharya, Nirjhar Chumbale, Pawan K Gupta, Souradip Murmu, Marang Buru |
author_facet | Gupta, Sandipan Chattopadhyay, Debarati Agarwal, Akhilesh Kumar Guha, Goutam Bhattacharya, Nirjhar Chumbale, Pawan K Gupta, Souradip Murmu, Marang Buru |
author_sort | Gupta, Sandipan |
collection | PubMed |
description | STUDY DESIGN: Case series. PURPOSE: To describe paraspinal transposition flap for coverage of sacral soft tissue defects. OVERVIEW OF LITERATURE: Soft tissue defects in the sacral region pose a major challenge to the reconstructive surgeon. Goals of sacral wound reconstruction are to provide a durable skin and soft tissue cover adequate for even large sacral defects; minimize recurrence; and minimize donor site morbidity. Various musculocutaneous and fasciocutanous flaps have been described in the literature. METHODS: The flap was applied in 53 patients with sacral soft tissue defects of diverse etiology. Defects ranged in size from small (6 cm×5 cm) to extensive (21 cm×10 cm). The median age of the patients was 58 years (range, 16-78 years). RESULTS: There was no flap necrosis. Primary closure of donor sites was possible in all the cases. The median follow up of the patients was 33 months (range, 4-84 months). The aesthetic outcomes were acceptable. There has been no recurrence of pressure sores. CONCLUSIONS: The authors conclude that paraspinal transposition flap is suitable for reconstruction of large sacral soft tissue defects with minimum morbidity and excellent long term results. |
format | Online Article Text |
id | pubmed-4068850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-40688502014-06-25 Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute Gupta, Sandipan Chattopadhyay, Debarati Agarwal, Akhilesh Kumar Guha, Goutam Bhattacharya, Nirjhar Chumbale, Pawan K Gupta, Souradip Murmu, Marang Buru Asian Spine J Clinical Study STUDY DESIGN: Case series. PURPOSE: To describe paraspinal transposition flap for coverage of sacral soft tissue defects. OVERVIEW OF LITERATURE: Soft tissue defects in the sacral region pose a major challenge to the reconstructive surgeon. Goals of sacral wound reconstruction are to provide a durable skin and soft tissue cover adequate for even large sacral defects; minimize recurrence; and minimize donor site morbidity. Various musculocutaneous and fasciocutanous flaps have been described in the literature. METHODS: The flap was applied in 53 patients with sacral soft tissue defects of diverse etiology. Defects ranged in size from small (6 cm×5 cm) to extensive (21 cm×10 cm). The median age of the patients was 58 years (range, 16-78 years). RESULTS: There was no flap necrosis. Primary closure of donor sites was possible in all the cases. The median follow up of the patients was 33 months (range, 4-84 months). The aesthetic outcomes were acceptable. There has been no recurrence of pressure sores. CONCLUSIONS: The authors conclude that paraspinal transposition flap is suitable for reconstruction of large sacral soft tissue defects with minimum morbidity and excellent long term results. Korean Society of Spine Surgery 2014-06 2014-06-09 /pmc/articles/PMC4068850/ /pubmed/24967044 http://dx.doi.org/10.4184/asj.2014.8.3.309 Text en Copyright © 2014 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Gupta, Sandipan Chattopadhyay, Debarati Agarwal, Akhilesh Kumar Guha, Goutam Bhattacharya, Nirjhar Chumbale, Pawan K Gupta, Souradip Murmu, Marang Buru Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute |
title | Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute |
title_full | Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute |
title_fullStr | Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute |
title_full_unstemmed | Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute |
title_short | Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute |
title_sort | paraspinal transposition flap for reconstruction of sacral soft tissue defects: a series of 53 cases from a single institute |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4068850/ https://www.ncbi.nlm.nih.gov/pubmed/24967044 http://dx.doi.org/10.4184/asj.2014.8.3.309 |
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