The Historical Role of the Plastic Surgeon in Spine Reconstruction

Annie Do; Matthew J. Davis; Amjed Abu-Ghname; Sebastian J. Winocour; Edward M. Reece; Scott Holmes; David S. Xu; Alexander E. Ropper; Scott L. Hansen

doi:10.1055/s-0041-1722852

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2021; 35(01): 003-009
DOI: 10.1055/s-0041-1722852

Review Article

The Historical Role of the Plastic Surgeon in Spine Reconstruction

Annie Do

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, California

,

Matthew J. Davis

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

³Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Amjed Abu-Ghname

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

³Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Sebastian J. Winocour

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

,

Edward M. Reece

²Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

³Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Scott Holmes

⁴Department of Surgery, Baylor College of Medicine, Houston, Texas

,

David S. Xu

⁵Department of Neurosurgery, Baylor College of Medicine, Houston, Texas

,

Alexander E. Ropper

⁵Department of Neurosurgery, Baylor College of Medicine, Houston, Texas

,

Scott L. Hansen

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, California

› Author Affiliations

Abstract

Wound complications occur in up to 19% of patients undergoing complex spine surgery. The role of the plastic surgeon in complex and redo spine surgery is important and evolving. Classically, plastic surgeons have been involved in the management of patients who develop wound complications following surgery. This involves reconstruction of posterior trunk defects with locoregional fasciocutaneous, muscle, and free tissue transfers. There has also been an increasing role for plastic surgeons to become involved in prophylactic closures of complex and/or redo spine surgeries for high-risk populations. Identification of patients with comorbidities and likelihood for multiple reoperations who are prophylactically treated with complex closure with or without local muscle flaps could significantly decrease the postoperative wound complications.

Keywords

spine surgery - complications - plastic surgery - complex closure

Full Text

References

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