Reconstruction of a Large Thoracolumbar Defect

Neill, Brett C.; Seger, Edward W.; Rickstrew, Jace; Hocker, Thomas L.

doi:10.1097/dss.0000000000002793

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Flap coverage has shown efficacy and safety [15][16][17] in complex defect reconstruction, offering a more viable solution compared to the use of other products such as dermal matrices. 18 Although different studies are available in the literature reporting the efficacy of flap coverage in defects of the posterior trunk and spine, [19][20][21][22][23][24][25][26][27] they all report the coverage of defects that cannot be closed primarily. In such cases, reconstruction using a local or distant flap is mandatory.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Flap-based Posterior Trunk Reconstruction after Vertebrectomy and Radiation Therapy: A Retrospective Cohort Study

Amendola,

Ghiringhelli,

Mela

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Adjuvant radiation therapy following vertebrectomy is a major risk factor for local wound complications such as dehiscence, infection, and skin necrosis. In selected cases, well-vascularized coverage and modification of tension forces on the wound might reduce the risk of postoperative complications and reoperations. We aimed to demonstrate a reduction in general and specific complications in patients undergoing vertebral resection and flap coverage compared with vertebral resection alone. Methods: We retrospectively analyzed and collected data from patients diagnosed with a tumor involving the spine and requiring a total or partial posterior vertebrectomy between January 2012 and October 2022, referred to a single tertiary-level orthopedic and trauma center. We included only patients in whom primary closure of the wound was possible but judged to be under excessive tension. Results: A total of 145 patients underwent partial or total vertebrectomy for oncological reasons at our tertiary-level trauma hospital. Among these, 73 patients were eventually included according to the inclusion and exclusion criteria: 53 in the orthopedic group and 20 in the orthoplastic group. Considering only patients undergoing radiation therapy, the orthoplastic group showed significantly lower rates of overall complications (33% versus 69%) than the orthopedic group. Conclusions: Primary flap coverage, especially in patients receiving RT, reduces the risk of postoperative complications and avoids a second reconstructive operation, consequently reducing patient discomfort, length of hospital stay, and healthcare costs.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Flap-based Posterior Trunk Reconstruction after Vertebrectomy and Radiation Therapy: A Retrospective Cohort Study

Amendola,

Ghiringhelli,

Mela

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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show abstract

“…Neill and colleagues 1 describe nicely the use of an A-T advancement flap (AF) for the reconstruction of a large thoracolumbar defect. The article illuminates the inherent difficulties a large defect in this anatomic site poses including adherent tissue with low elasticity, lack of microsurgical recipient vessels, and paucity of nearby accessible muscle.…”

mentioning

confidence: 99%

Commentary on Reconstruction of a Large Thoracolumbar Defect

Tolkachjov¹

2021

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Reconstruction of a Large Thoracolumbar Defect

Cited by 2 publications

References 6 publications

Efficacy of Flap-based Posterior Trunk Reconstruction after Vertebrectomy and Radiation Therapy: A Retrospective Cohort Study

Efficacy of Flap-based Posterior Trunk Reconstruction after Vertebrectomy and Radiation Therapy: A Retrospective Cohort Study

Commentary on Reconstruction of a Large Thoracolumbar Defect

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