title: The use of the reverse latissimus dorsi flap in the closure of lower spinal defects.
abstract: Described is the distally based or reverse latissimus dorsi flap. Its use in closing lower spinal defects in four patients with five flaps is presented. With its predictable blood supply, which is rarely damaged by previous surgery, the flap can provide versatile and reliable cover to the lower back.
authors.affiliation: Regional Paediatric Plastic Surgical Unit, Alder Hey Children's Hospital, Liverpool, U.K.
authors.forename: D D
authors.initials: DD
authors.lastname: McGeorge
authors.forename: J H
authors.initials: JH
authors.lastname: Stilwell
mesh_terms: D002648:Child; D006801:Humans; D008297:Male; D008588:Meningocele / Q000601:surgery*; D008866:Microsurgery / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery; D013123:Spinal Fusion; D013524:Surgical Flaps; D013536:Suture Techniques