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Fig. 3 | BMC Surgery

Fig. 3

From: Modified fourth lumbar artery local perforator flap: an alternative for reconstruction of nonhealing lumbosacral spinal defects

Fig. 3

Nonhealing lumbosacral defect after lumbar spinal stenosis (LSS) surgery. A Posterior midline lumbosacral defect after LSS surgery (prior to debridement). B After wound debridement, a unilateral MFLALP flap (20 cm × 9 cm) was designed. C-D The flap was harvested and transferred to cover the wound, with primary donor-site closure. E Two weeks postoperatively. F Five years postoperatively

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