1. The pedicled intercostal neurovascular island skin flap for lumbosacral trunk reconstruction 
Matthew C Wong, Keith Allison, Lok Huei Yap, Francis Peart 
British Journal of Plastic Surgery 
Volume 57, Issue 6, Pages (September 2004)
DOI: /j.bjps

2. Figure 1
(A) Patient positioned laterally on table. (B) Skin paddle designed around perforator. (C) Cephalad rib is excised dorsally. (D) Flap is mobilised along its neurovascular stalk (E) Pedicle is tunnelled and flap inset into defect. (F) Donor site.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

3. Figure 2
(A) Donor site 4 years post-operative. (B) Recipient site (proximal scar from subsequent spinal surgery).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

4. Figure 3
(A) 2.5 cm CSF-leaking lumbar defect (B) Healed recipient and donor site 3 years post-operative.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

5. Figure 4
(A) Metalwork visible at base of wound. (B) Radiograph showing spinal metalwork. (C) Flap 9 months post-operative. (D) Donor site 9 months post-operative.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )

6. Figure 5
(A) Defect that needed soft tissue coverage. (B) Flap 6 months post-operative. (C) Donor site hernia.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )