“…The average level of evidence was 4.29, with 4 level 3 studies, 32 level 4 studies, and 20 level 5 studies. Multiple options for reconstruction were described including free style perforator flap, 3–9 lumbar artery perforator (LAP) flap, 6,8,10–12 paraspinous muscle flap, 2,13–17 SGAP, 10,14,18–22 inferior gluteal artery perforator, 19 intercostal artery perforator flap, 8,10,11,20,23,24 gluteus maximus musculocutaneous flap, 1,2,13,25–29 reverse latissimus dorsi flap, 2,7,13,27,30–35 lateral intercostal artery perforator–based latissimus dorsi flap, 36 external oblique musculocutaneous pedicled flap, 37 pedicled omental flap, 38–40 free flap, 7,13,14,41–55 and total leg flap. 56 The most frequently described method of lumbar wound reconstruction was free flap with 18 articles, followed by reverse latissimus dorsi flap reconstruction with 10 articles (Fig.…”