title: Bilateral interconnected latissimus dorsi-gluteus maximus muscular cutaneous flaps for closure of subfascial infections in lumbar spinal surgery. A technical note.
abstract: METHODS
  A surgical technique for primary closure of postoperative subfascial infections is described.
  
  
  OBJECTIVE
  To describe the methods and indications for the use of the interconnected latissimus dorsi-gluteus maximus flap.
  
  
  BACKGROUND
  Closure of subfascial postoperative infection can be complicated by soft tissue defects and retained implants. Healing by secondary intention is expensive and gives unpredictable coverage of retained hardware.
  
  
  METHODS
  A bilateral interconnected latissimus dorsi-gluteus maximus flap was used to cover resultant soft tissue defects according to techniques previously described for the delayed primary closure of myelomeningocele defects.
  
  
  RESULTS
  Stable, durable, drainage-free soft tissue coverage was obtained in all patients treated with this technique.
  
  
  CONCLUSIONS
  The latissimus dorsi-gluteus maximus flap represents an effective, economical option for the treatment of patients with subfascial infection after instrumented spinal fusion surgery.
authors.affiliation: Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina, USA.
authors.forename: C J
authors.initials: CJ
authors.lastname: Frank
authors.forename: J
authors.initials: J
authors.lastname: Brantigan
authors.forename: J
authors.initials: J
authors.lastname: Cronan
mesh_terms: D005205:Fascia / Q000382:microbiology; D000071938:Fasciotomy; D006801:Humans; D007239:Infections / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D018482:Muscle, Skeletal / Q000601:surgery*; D011182:Postoperative Care; D013524:Surgical Flaps / Q000379:methods*; D013530:Surgical Wound Infection / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery