As a spine surgeon, I have seen many patients with surgery-related decubitus ulcers, some of which persist and cause great pain. Let’s look at decubitus ulcers associated with spine surgery. The most common positions used in spine surgery are prone and supine, and the two positions often encounter pressure sores of varying degrees in different areas, as shown below, with sacrococcygeal and heel being the most common areas, accounting for about 80% of all bedsores. So, what are some ways to prevent surgery-related decubitus ulcers? First of all, when placing surgical positions, health care providers focus on protecting areas susceptible to pressure and repeatedly check to ensure that there is no obvious pressure on the skin. However, bed sores become unavoidable in some special positions, excessively long surgical times, and other conditions, for example, when using a plaster bed in the prone position, see the figure below. With the development of material science, “artificial skin” can protect the skin from pressure injuries in the position and effectively prevent the occurrence of bed sores, and after clinical application, no serious surgery-related pressure sores have occurred. The “skin” used in dermal reconstruction is different from the “skin” used in dermal reconstruction, which is a double-layer graft composed of collagen sponge and silicone membrane without ends. The middle mesh structure allows for cell growth and metabolism, and allows for smooth vascularization of the dermis, and the “skin” is gradually absorbed as the new granulation grows in. This type of “skin” requires very high material requirements and is expensive. This “artificial skin” is inexpensive, easy to apply and effective, and provides a strong guarantee to avoid decubitus ulcers associated with spinal surgery.