IN THE year 1946, in planning the organization of the treatment of patients with injuries of the spinal cord and cauda equina in the first Veterans Administration Hospital to be administered by a university dean's committee, it was decided that these patients were properly the responsibility of the department of neurology. Consultants in neurological surgery, general surgery, medicine, and physical medicine were appointed to this service. Each, with a staff of residents and attending surgeons, was responsible for the problems in that particular specialty which arose among these patients.
Since then, 1,242 patients with injuries of the spinal cord or cauda equina have been treated upon the special wards set aside for these patients. I wish to relate a fragment of the observations and experience of all of the consultants and physicians who have been associated in the treatment of these patients, and to that end I have drawn freely