Paravertebral turnover flaps for closure of large spinal defects following tethered cord repair

Ehud Arad, Yoav Barnea, Eyal Gur, Aharon Amir, David Leshem, Arik Zaretski, Shimon Rochkind, Liana Beny, Shlomi Constantini, Jerry Weiss

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Reconstruction of large congenital spinal defects remains a challenge. We present our experience in closure of difficult spinal defects following repair of tethered cord, using paravertebral fascial or myofascial turnover flaps.Between 1996 and 2005, 23 patients were operated using paravertebral turnover flaps for closure of large spinal defects associated with tethered cord. Fifteen (65%) patients had lipomyelomeningoceles. Eleven (48%) patients had sacral defects, 10 (43%) had lumbosacral defects, and 2 (9%) had lumbar defects. Fourteen (61%) patients underwent closure using fascial turnover flaps. Myofascial turnover flaps were used in 9 (39%) patients. Following surgery, none of the patients developed cerebrospinal fluid (CSF) leaks, pseudomeningoceles, or subcutaneous infection. One patient suffered superficial necrosis and infection of the skin suture line, which healed secondarily.We conclude that fascial or myofascial paravertebral turnover flaps provide reliable coverage of difficult defects of the spinal CNS.

Original languageEnglish
Pages (from-to)642-645
Number of pages4
JournalAnnals of Plastic Surgery
Volume57
Issue number6
DOIs
StatePublished - Dec 2006
Externally publishedYes

Keywords

  • Fascial
  • Myofascial
  • Paravertebral flaps
  • Reconstruction myelomeningocele
  • Spina bifida
  • Tethered cord
  • Turnover flaps

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