title: Paraspinal transposition flap for reconstruction of sacral soft tissue defects: a series of 53 cases from a single institute.
abstract: METHODS
  Case series.
  
  
  OBJECTIVE
  To describe paraspinal transposition flap for coverage of sacral soft tissue defects.
  
  
  BACKGROUND
  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.
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Sandipan
authors: S
authors: Gupta
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Debarati
authors: D
authors: Chattopadhyay
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Akhilesh Kumar
authors: AK
authors: Agarwal
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Goutam
authors: G
authors: Guha
authors: Department of General Surgery, Nilratan Sircar Medical College and Hospital, Kolkata, India.
authors: Nirjhar
authors: N
authors: Bhattacharya
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Pawan K
authors: PK
authors: Chumbale
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Souradip
authors: S
authors: Gupta
authors: Department of Plastic Surgery, Medical College, Kolkata, India.
authors: Marang Buru
authors: MB
authors: Murmu
keywords: Pressure ulcer; Sacral defect; Transposition flap