Abstract

DIAZ-ONTIVEROS, J.; MORENO-VILLALBA, R.  and  SANTOYO-GIL, F.. Closure of thoracolumbar defect with reverse latissimus muscle flap: case report. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.3, pp.299-303. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000300013.

For the reconstruction of large thoracolumbar defects, whether congenital or acquired, have been used several surgical techniques such as skin grafts, local flaps, locoregional flaps, distant flaps and free flaps, each one showing its advantages and disadvantages depending not only to cover the defect but the availability of achieving them. A case of a woman of 56-year-old, disc pathology, operated from L1-L5 posterolateral arthrodesis requiring several interventions in the area with debridement of the paraspinal muscles after infection and hematoma, leaving a defect of about 20 x 5 cm that after the failed attempt to heal addressed, is reconstructed by a reverse latissimus dorsi flap. After 2 years of follow-up period has developed well, with complete closure of the defect and without sequels.

Keywords : Thoracolumbar defect; Reverse latissimus dorsi flap.

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