Abstract
Traumatic spinal cord injuries
(TSCI) are life-changing events from medical, physical, psychological, social,
financial, vocational, environmental & matrimonial effects. The combination
of consequent generalized physiological impairment, multi-system malfunction,
multiple disabilities, wide range of potential complications, sensory
impairment together with the non-medical effects impose challenges to patients,
carers and clinicians.1 Early prediction of ambulation is important to the
patient especially during the early stages following injury. Neurological
Recovery is not uncommon following spinal cord damage and is predictable.
Neurological recovery does not entirely depend on the method of management of
the spinal injury. The prognostic indicators of neurological recovery, its
extent and the factors that enhance, prevent or cause neurological
deterioration will be discussed. I be demonstrate that the management of the
multi-system physiological impairment and malfunction is as important as the
management of the injured spine is an optimum recovery is to be expected.