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Related Experiment Video

Updated: May 25, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
06:45

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Published on: September 16, 2022

Reconstruction of posterior trunk defects.

Geoffrey G Hallock

    Seminars in Plastic Surgery
    |February 2, 2012
    PubMed
    Summary

    Flap reconstruction offers superior long-term outcomes for posterior trunk defects. This guideline aids in selecting local muscle and fasciocutaneous flaps for spine and thorax reconstruction.

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    Prefabricated Expanded Skin Flap With the Serratus Branch of the Thoracodorsal Artery for Extensive Facial Resurfacing.

    Plastic and reconstructive surgery. Global open·2026

    Area of Science:

    • Reconstructive surgery
    • Plastic surgery
    • Orthopedic surgery

    Background:

    • The posterior trunk, including the upper back and lumbar region, presents unique reconstructive challenges.
    • Superior long-term outcomes in treating spinal and bony thoracic defects are achieved with flap-based reconstructions.
    • A variety of local muscle and fasciocutaneous flaps are available for defect coverage.

    Purpose of the Study:

    • To propose a guideline for selecting appropriate flap options for posterior trunk defects.
    • To establish a systematic approach for choosing primary and secondary flap reconstructions based on anatomical regions.

    Main Methods:

    • Development of a guideline based on arbitrary anatomical territories of the posterior trunk.
    • Categorization of flap options according to their suitability for different back regions.
    • Review of commonly used local flaps, including muscle, fasciocutaneous, and perforator flaps.

    Main Results:

    • The latissimus dorsi and trapezius muscles are identified as primary workhorse flaps for the upper back.
    • Perforator flaps are highlighted as a valuable alternative to free flaps for lumbar region reconstruction.
    • The guideline facilitates the selection of suitable flaps based on defect location and flap availability.

    Conclusions:

    • A structured approach to flap selection improves reconstructive outcomes for posterior trunk defects.
    • Local flaps provide effective and reliable options for spine and bony thorax reconstruction.
    • The proposed guideline serves as a practical tool for surgeons managing complex posterior trunk defects.
    Keywords:
    Posterior trunkbacklatissimus dorsiperforator flapstrapezius muscles

    Related Experiment Videos

    Last Updated: May 25, 2026

    Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
    06:45

    Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

    Published on: September 16, 2022