Reconstruction of the lower back wound with delayed infection after spinal surgery: A case report

Figure 1 A 75-year-old man with a chronic wound on the lower back.

Figure 2 Intraoperative photographs. A: A 4 cm × 9 cm sized perforator-based island flap was designed; B: Island-type insetting was tried after defatting; C: Authors confirmed no tension to the perforator before skin closure.

Figure 3 Delayed infection was noticed. A: Another abscess formation was noticed in the 11 o’clock region of the flap; B: 1.5T enhanced L-spine magnetic resonance imaging T2 imaging study revealed suspicious soft tissue phlegmon (orange arrow) along the interspinous reconstruction wire.

Figure 4 Infected interspinous reconstruction wire was removed by the spine surgeon.

Figure 5 The patient was discharged without further complications.