Problems of treatment and rehabilitation of patients with injuries to the spinal cord are considered in the light of experience with 55 such patients since 1956. Decubitus ulcers, spasticity, pain in the trunk and extremities, and genitourinary infections were the most frequent difficulties. The results varied. Not all patients with spinal cord injuries could be returned to their homes, since the persons and means needed to care for them so often were lacking. Nevertheless, the return to home care and to vocational activity was achieved in some cases with the help of surgery, adaptive devices, physical therapy, and special training. In the rehabilitation team, the referring physician plays an important role.
Engel JP. Management of Patients with Spinal Cord Injury. JAMA. 1960;174(10):1263-1265. doi:10.1001/jama.1960.03030100031007