Reconstruction after resection of a large sacral neoplasm

The gluteus maximus musculocutaneous flap is a useful flap for sacral reconstruction. Many variations have been described. The flap can be raised simply, quickly and with minimal blood loss. This flap was used for closure of a large defect of the sacrum in a 44-year-old woman with an advanced neoplasia of the sacrum. The surgery, performed in a third world country, required a procedure which was unlikely to fail. The technique and the results are presented.