In 1927 Harvey Cushing described the outcome for soldiers with spinal cord injuries sustained during World War I: “Fully 80 percent died in the first few weeks in consequence of infection from bedsores and catheterization. . . . Only those cases survived in which the spinal cord lesion was a partial one”¹. Today, this picture has been completely reversed, and in well-organized systems of care for trauma and spinal cord injuries 94 percent of patients survive the initial hospitalization²,³. National data on people with spinal cord injuries suggest a population of over 200,000, which will increase each . . .