title: Bilateral split latissimus dorsi V-Y flaps for closure of large thoracolumbar meningomyelocele defects.
abstract: Closure of large meningomyelocele wounds and defects always requires durable and safe coverage of the dural repair. A new technical method for the reconstruction of large thoracolumbar meningomyelocele defects is described in which bilateral musculocutaneous flaps are advanced and transposed medially in a V-Y sliding manner, based on the thoracolumbar perforatiors of the latissimus dorsi. This procedure provides a reliable, well-vascularized soft tissue coverage over the neural repair with minimum donor-site morbidity. Additionally, this method is particularly appropriate to the thoracolumbar area, as it preserves the lateral adjacent regions of the defect, for later alternative and/or reconstructive options.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ankara Hastanesi, Ankara, Turkey.
authors.forename: Nedim
authors.initials: N
authors.lastname: Sarifakioglu
authors.forename: Ferruh
authors.initials: F
authors.lastname: Bingül
authors.forename: Ahmet
authors.initials: A
authors.lastname: Terzioglu
authors.forename: Levent
authors.initials: L
authors.lastname: Ates
authors.forename: Gürcan
authors.initials: G
authors.lastname: Aslan
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007738:Kyphosis / Q000601:surgery*; D008591:Meningomyelocele / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing