In India, the exact data on the prevalence of people with acquired spine injury is not available, studies done in small cities extrapolate the incidence of spinal injuries to approximately 20,000 new cases a year. Majority of them sustain this injury by fall from heights, motor vehicle accidents, violence and disease or disorders such as a tumor or a viral infection that affects the spinal cord. In the United States, the incidence is estimated to be about 40 new cases per million with motor vehicle accidents the leading cause. During World War I, it was observed that 80% of the spinal cord injury patients succumbed to one of its complications within 2 weeks. Over the years, management of complications and rehabilitation techniques led to decreased morbidity and mortality rates improved. Dr Ludwig Guttmann at Stoke Mandeville was a pioneer in introducing a comprehensive care and an interdisciplinary approach to rehabilitation for persons with SCI, a program which has been widely modeled around the world. Treatment for SCI can be broadly divided into two stages, acute and postacute rehabilitation. The acute phase begins at the time of injury to the time of stabilization. It is very important that the person receives prompt medical care. The postacute rehabilitation phase begins as soon as the person has stabilized and is ready to begin working toward his or her independence. During this phase the goals are to: (i) Educate the person to understand his or her injuries and the care thereafter. (ii) Enable the person to become as independent as possible in activities of daily living, (iii) Get the person learn to accept a new lifestyle, especially pertaining to sexual, recreational and environmental modifications, (iv) Preparing them for vocational rehabilitation.