Closure of Thoracic and Lumbar Dysgraphic Defects Using Bilateral Latissimus Dorsi Myocutaneous Flap Transfer with Extended Gluteal Fasciocutaneous Flaps

Abstract

The latissimus dorsi-gluteal myofasciocutaneous flap has been successfully employed in closure of 6 large thoracolumbar myelomeningoceles in newborn infants. Good wound healing was attained in all cases. The technique of flap mobilization and closure is outlined and possible pitfalls are explained.