Abstract
Most of the techniques that have been suggested for closure of sacral pressure sores use musculocutaneous flaps. We report our experience in three patients using the SpaceMaker® balloon dissector. The dissector was inserted into the subgluteal maximus muscle plane to expand the muscle and overlying skin, thereby forming bilateral sliding and tension‐free musculocutaneous flaps. The procedure is simple, safe, bloodless, and combines the advantages of advancement of a muscle flap and expansion.