Brown, Amanda L.Hassanein, Aladdin H.Gabriel, KeithMailey, Brian A.2023-09-282023-09-282022-11-15Brown AL, Hassanein AH, Gabriel K, Mailey BA. SPINE: An Initiative to Reduce Pressure Sore Recurrence. Plast Reconstr Surg Glob Open. 2022;10(11):e4625. Published 2022 Nov 15. doi:10.1097/GOX.0000000000004625https://hdl.handle.net/1805/35862The recurrence rate after pressure sore reconstruction remains high. Primary inciting factors can be organized into efforts aimed at wound prevention: spasticity relief, pressure off-loading, infection and contamination prevention, nutrition optimization, and maximizing extremity function. This article presents our detailed protocol, SPINE, to address each inciting factor with a summary of cases at our facility and review best practices from evidence-based medicine in the literature.en-USAttribution-NonCommercial-NoDerivatives 4.0 InternationalPressure sore reconstructionWound preventionUlcer recurrenceSpinal cord injuriesArticle