Charlottesville, Va.; and Philadelphia, Pa. From the Department of Plastic and Reconstructive Surgery, University of Virginia Health System, and the Division of Plastic and Reconstructive Surgery, Department of Surgery, Thomas Jefferson University Hospital.
Plast Reconstr Surg. 2011 Jul;128(1):148-153. doi: 10.1097/PRS.0b013e3182174075.
The paraspinous muscle flap is often overlooked for use in cervical wounds, as surgeons cite the decreased size and mobility of the muscles in the cervical region. The purpose of this article is to introduce the paraspinous muscle flap technique for reconstruction of cervical spine wounds.
An 11-year, single-institution, retrospective chart review was performed on 14 consecutive patients from 1996 to 2007. All patients underwent paraspinous muscle flap surgery to provide soft-tissue coverage of the cervical spine following wound healing complications resulting in exposed hardware or bone. Variables of interest included demographics, comorbidities, and postreconstruction wound healing complications.
The overall complication rate after paraspinous muscle flap surgery was low [two of 14 (14 percent)] and consisted of two minor wound infections. There was no postreconstruction seroma, a well-known complication of the trapezius muscle flap, which is often thought of as the first-line option for posterior cervical soft-tissue reconstruction.
The paraspinous muscle flap is an expeditious and reliable solution to complex cervical spine wounds.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.(Figure is included in full-text article.).
由于颈椎区域肌肉体积减小且活动度降低，外科医生常忽略使用脊柱旁肌皮瓣来覆盖颈椎伤口。本文旨在介绍脊柱旁肌皮瓣技术，用于重建颈椎伤口。
对 1996 年至 2007 年期间的 14 例连续患者进行了 11 年的单机构回顾性图表分析。所有患者均因伤口愈合并发症导致暴露硬件或骨骼而行脊柱旁肌皮瓣手术，以提供颈椎软组织覆盖。感兴趣的变量包括人口统计学特征、合并症和重建后伤口愈合并发症。
脊柱旁肌皮瓣手术后的总体并发症发生率较低[14 例中有 2 例（14%）]，包括 2 例轻微感染。没有重建后血清肿，这是斜方肌皮瓣的常见并发症，通常被认为是颈椎后部软组织重建的首选方案。
脊柱旁肌皮瓣是治疗复杂颈椎伤口的快速可靠方法。
临床问题/证据水平：治疗，IV。（全文包含图片。）
