N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and Orthopedics0869-86782658-6738Eco-Vector4792510.17816/vto201017122-24Plasty with Pedicle Muscular Flaps at Treatment of Infectious Complications after Stabilizing Operations on the SpineLisitskiyI Yuwww.doclis73.73@mail.ruBoevM V-EvsyukovA A-15032010171222420102020Copyright © 2010, Eco-Vector2010Experience in use of transferred pedicle muscular flaps for the treatment of 7 patients with infectious complications after previously performed stabilizing operations on the spine is presented. Revision interventions showed failure of implanted transpedicular constructions on the background of osteomyelitis with vast infected cavities. To compensate for vast wound defects with soft tissue deficit that remained after removal of stabilizing systems and necrectomy plasty with transferred muscular flaps was performed. Primary wound healing was achieved in all cases. At follow up from 1 to 4 years relapse of pyo-inflammatory process in the zone of intervention was detected in no one case.spinestabilizing operationsinfectious complicationsplasty of soft tissue defectspedicle muscular flapsпозвоночникстабилизирующие операцииинфекционные осложненияпластика дефектов мягких тканеймышечные лоскуты на питающей ножке[Никитин Г.Д., Рак А.В., Линник С.А. и др. Хирургическое лечение остеомиелита. - СПб, 2000.][Никитин Г.Д., Карташев И.П., Рак А.В. и др. Пластическая хирургия хронических и нейротрофических язв. - СПб, 2001.][Dumanian G.A., Ondra S.L., Liu J. et al. Muscle flap salvage of spine wounds with soft tissue defects or infection //Spine. - 2003. - Vol. 28. - P. 1203-1211.][Frank C.J., Brantigan J., Cronan J. Bilateral inter-connected latissimus dorsi - gluteus maximus muscular cutaneous flaps for closure of subfascial infections in lumbar spinal surgery: A technical note //Spine. - 1997. - Vol. 22. - P. 564-567.][Manstein M.E., Manstein C.H., Manstein G. Paraspinous muscle flaps //Ann. Plast. Surg. - 1988. - Vol. 40. - P. 458-462.][Meiners T., Flieger R., Jungclaus M. Use of the reverse latissimus muscle flap for closure of complex back wounds in patients with spinal cord injury //Spine. - 2003. - Vol. 28. - P. 1893-1898.][Mitra A., Harlin S. Treatment of massive thoracolumbar wounds and vertebral osteomyelitis following scoliosis surgery //Plast. Reconstr. Surg. -2004. - Vol. 113. - P. 206-213.][Seyfer A.E. The lower trapezius flap for recalcitrant wounds of the posterior skull and spine //Ann. Plast. Surg. - 1988. - Vol. 20. - P. 414-418.][Vitaz T.W., Oishi M., Welch W.C. et al. Rotational and transpositional flaps for the treatment of spinal wound dehiscence and infections in patient populations with degenerative and oncological disease //J. Neurosurg. Spine. - 2004. - Vol. 100. - P. 46-51.]