Bilateral Gluteus Maximus advancement flap for reconstruction of sacrectomy defect- A Case report and Review of Literature

Objective -Complex tissue defects following excision of sacral tumor often present a clinical challenge to the reconstructive surgeon. In this article, we present the bilateral gluteus maximus advancement muscle flap for immediate reconstruction of the extensive sacral defect after resection of large sacral chordomas.Materials and Methods We describe a case of a 54 -year-old man who presented with a longstanding history of sacral chordoma. He underwent mid sacral amputation creating a large sacral defect of size 15cm x 20 cm. Bilateral gluteus maximus advancement based on the superior gluteal artery was done.Results No complication was observed during the postoperative period. The patient was healthy and no recurrence was observed during the 03 month follow-up period.Conclusion The bilateral gluteus maximus advancement flap based on superior gluteal artery provides a reliable solution for the surgical reconstruction of large sacral defect following sacral chordoma excision.