ePlasty: Vol. 8
Technical Changes in Paraspinous Muscle Flap Surgery Have Increased Salvage Rates of Infected Spinal Wounds
Alexander F. Mericli, BS, John H. Moore, Jr., MD, Steven E. Copit, MD, James W. Fox IV, MD, and Gary A. Tuma, MD

Division of Plastic and Reconstructive Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA

Correspondence: TumaMD@jeffersonplasticsurgery.com

Objectives: The objective of this study is to introduce modifications in paraspinous muscle flap surgery and compare this new variation's ability to salvage infected hardware with the classic technique. Infected posterior spine wounds are a difficult problem for reconstructive surgeons. As per experience, hardware retention in infected wounds maintains spinal stability, decreases length of stay, and decreases the wound healing complication rate. Methods: An 11-year retrospective office and hospital chart review was conducted between July 1996 and August 2007. All patients who underwent paraspinous muscle flap reconstruction for postspine surgery wound infections during this time period were included. There were 51 patients in the study representing the largest reported series, to date, for this procedure. Twenty-two patients underwent treatment using the modified technique and 29 patients were treated using the classic technique. Results: There was no statistical difference between the 2 groups in demographics, medical history, or rea .......