{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:00:35Z","timestamp":1789912835339,"version":"4.0.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Necrotizing fasciitis (NF) is a life-threatening soft tissue infection requiring urgent debridement. Although infection control is paramount, timely reconstruction is equally critical to restore physiological stability and achieve durable closure. A 38-year-old woman with uncontrolled type 2 diabetes mellitus presented with extensive posterior trunk NF complicated by septic shock and diabetic ketoacidosis. Radical debridement created a 40\u2009\u00d7\u200930\u00a0cm defect with exposed ribs, scapula, and thoracolumbar spinous processes. Reconstruction was staged. Rib corticotomy was performed to promote granulation, prominent spinous processes were reduced and covered with paraspinal muscle advancement, and definitive closure was achieved using two-stage 3:1 meshed split-thickness skin grafting. Postoperative management emphasized glycemic control, nutritional optimization, and pressure offloading. Complete graft take was achieved without donor-site complications. Staged reconstruction combined with structured postoperative care can achieve reliable closure in extensive posterior trunk NF, even in resource-limited settings.<\/jats:p>","DOI":"10.1093\/jscr\/rjag759","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:18:51Z","timestamp":1788520731000},"source":"Crossref","is-referenced-by-count":0,"title":["Multistage reconstruction following extensive necrotizing fasciitis of the posterior trunk in a resource-limited setting: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Emmanuel","family":"Girma","sequence":"first","affiliation":[{"name":"Department of Surgery, Black Lion Comprehensive Specialized Hospital, MCM Comprehensive Specialized Hospital , Addis Ababa ,","place":["Ethiopia"]},{"name":"Children\u2019s Burn and Wound Care Foundation, MCM Comprehensive Specialized Hospital , Bole Subcity, Addis Ababa 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Plastic Surgery, MCM Comprehensive Specialized Hospital , Bole Subcity, Addis Ababa ,","place":["Ethiopia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"2026092009062307700_ref1","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.2106\/00004623-200308000-00005","article-title":"Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality","volume":"85","author":"Wong","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"2026092009062307700_ref2","doi-asserted-by":"publisher","first-page":"705","DOI":"10.1086\/511638","article-title":"Necrotizing soft-tissue infection: diagnosis and management","volume":"44","author":"Anaya","year":"2007","journal-title":"Clin Infect Dis"},{"key":"2026092009062307700_ref3","doi-asserted-by":"publisher","first-page":"36","DOI":"10.3389\/fsurg.2014.00036","article-title":"Current concepts in the management of 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