en Nursing پژوهشي Research <div style="text-align: justify;"><strong>Background and objectives</strong>: One of the adverse effects of prone positioning in spine surgery is the occurrence of skin damage. Due to the high rate of spine surgeries and the frequent use of prone positioning during these procedures, we aimed to investigate postoperative skin complications after spine surgery in the prone position.<br> <strong>Methods</strong>: This descriptive cross-sectional study was performed in 2016-2017 on 160 patients undergoing spine surgery in the prone position at a teaching hospital in Tehran, Iran. The patients&#39; body parts were examined for presence any redness, ecchymosis and pressure ulcers before discharge from the hospital. Collected data were analyzed in SPSS software (version 19) using descriptive statistics, Chi-square test, Mann&ndash;Whitney U test and Kendall&#39;s correlation coefficient.<span dir="RTL"></span><br> <strong>Results</strong>: Almost all patients had skin damage, especially redness, in the postoperative stage. Age, gender, duration of surgery, height, weight and body mass index were significantly associated with incidence of skin damage (P<0.05).<br> <strong>Conclusion</strong>: Our results indicated that the incidence of postoperative skin damage is relatively high in patients undergoing spine surgery in the prone position. Therefore, it is recommended to take appropriate precautions in order to prevent these complications.<span dir="RTL"></span></div> Skin damages, Spine surgery, Prone position 18 24 http://jcbr.goums.ac.ir/browse.php?a_code=A-10-44-4&slc_lang=en&sid=1 Ali Baradaran Bagheri علی برادران باقری 10031947532846002206 10031947532846002206 No Department of Neurosurgery, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran Leila Sadati لیلا ساداتی 10031947532846002207 10031947532846002207 Yes Operating Room Department, Faculty of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran Alireza Beyrami علیرضا بیرامی 10031947532846002208 10031947532846002208 No Operating Room Department, Faculty of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran Sajad Fatollahi سجاد فتح الهی 10031947532846002209 10031947532846002209 No Imam Khomeyni Hospital, Tehran University of Medical Sciences, Tehran, Iran Zahra Nouri Khanegah زهرا نوری خانگاه 10031947532846002210 10031947532846002210 No Operating Room Department, Faculty of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran Hojjat Torkamandi حجت ترکمندی 10031947532846002211 10031947532846002211 No Operating Room Department, Faculty of Paramedicie, Alborz University of Medical Sciences, Karaj, Iran