Inclusion Criteria:

• ≥ 18 years of age.
• Presence of an external traumatic event that results in a spinal cord injury, including surgical procedures, radiation, and medical complications.
• Temporary or permanent loss of sensory and/or motor function as a result of the traumatic event.
• Admission to the database within one year of injury.
• If patient is discharged as Minimal Deficit or Recovered, they must be hospitalized in the system for at least one week before discharge.
• Discharge from the system as:
  • Having completed inpatient acute rehabilitation;
  • Achieving a neurologic status of normal or minimal deficit;
  • Deceased.
• Reside in the geographic catchment area of the system (greater Minnesota, Iowa, North Dakota, South Dakota, and western Wisconsin) at the time of the injury. Patients may be injured outside of the catchment area.
• A US citizen or non-US citizen who is expected to stay in the catchment area.

Exclusion Criteria: 

• Completion of an organized rehabilitation program prior to the admission to the system.
• Patients who are discharged as deceased.