Drs Rathore and Mansoor raised several important issues when considering pressure ulcer (PU) in spinal cord-injured patients. We would like to propose the following comments.

Following spinal cord injury (SCI), the most common complication in many developing countries is PU.1, 2 To prevent PU, one of the main barriers is its resources including costs of health service and distribution of health-care centers across the country. Another barrier is service setting in our country, which is the focus of this letter because of the importance and inattention in this issue.

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