“…The flap closure, however, is accompanied with significant morbidity, including extended operative time, blood loss, recurrent infection, dehiscence, flap failure, seroma, donor site morbidity, significant comorbidities and poor tissue characteristics that complicate the wound healing or compromise the chosen flap [18,61,69]. Recently, several authors reported successful management of postoperative infection after spinal instrumentation without flap coverage [12,24,29,33,39,42,51,53,59,61,65,68]. Such a treatment includes repetitive debridements, delayed closure, local irrigation system, antibiotic medication and maintenance of the instrumentation system.…”