PMC6382243_01
PMC6382243_02
PMC6382243_03
PMC6382243_04
Intraoperative photographs of case 4 demonstrating patient in prone position with head to right of each image. A, Large 24 x 8 cm lumbar defect in an irradiated field with exposed posterior instrumentation and bone allograft. B, Elevated SGAP flap illustrating adequate volume of adipofasciocutaneous tissue. C, Arrow indicates SGAP pedicle outside the zone of injury and radiation. D, Flap inset and primary closure resulting in tension-free closure.
gox-7-e2089-g003.jpg
PMC6382243_04_gox-7-e2089-g003.jpg
F2
A 34-year-old ambulatory man with L4 chordoma status post L4 corpectomy, L2-S1 posterior fusion and radiation who went on to develop recurrent chordoma requiring L2-L3 spondylectomy with anterior and posterior fusion with femoral ring allograft placement presented with hardware failure requiring hardware revision (Fig. 2).
PMC6382243_05