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Item SPINE: An Initiative to Reduce Pressure Sore Recurrence(Wolters Kluwer, 2022-11-15) Brown, Amanda L.; Hassanein, Aladdin H.; Gabriel, Keith; Mailey, Brian A.; Surgery, School of MedicineThe 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.