Closure of large myelomeningocele by lumbar artery perforator flaps.

Myelomeningocele is the most complex congenital malformation of the central nervous system that is compatible with life. Different closure techniques are available for defect reconstruction, but wound healing and tension-free closure of the skin in the midline remain major considerations in large myelomeningoceles. In this study, bilateral lumbar artery perforator flaps were used for closure of large myelomeningocele defects. Fifteen infants and neonates with large myelomeningocele defects were enrolled in the study. The lumbar artery perforator flaps were elevated bilaterally or unilaterally and advanced toward the midline without tension and were sutured together. Most of the flaps healed without any major complication. The lumbar artery perforator flaps as is an effective method for closure of large myelomeningocele defects. © Thieme Medical Publishers.