In prior analyses of the effectiveness of methylprednisolone for the treatment of patients with
acute traumatic spinal cord injuries (TSCIs), the prognostic importance of patients'
neurological levels of injury and their baseline severity of impairment has not been
considered. Our objective was to determine whether methylprednisolone improved motor
recovery among participants in the Rick Hansen Spinal Cord Injury Registry (RHSCIR). We
identified RHSCIR participants who received methylprednisolone according to the Second …

Dear Editor, In the recently published article by Evaniew and associates, 1 the authors report
a retrospective ''Propensity Score-Matched Cohort''analysis of the neurological outcomes
related to the use of the ''NASCIS II''24 h high dose methylprednisolone (MP) regimen in
acute spinal cord injury (SCI) patients between 2004 and 2014 at 18 of the 31 participating
Canadian sites involved in the Rick Hansen Spinal Cord Injury Registry (RHSCIR). The
outcomes of 44 patients treated with the NASCIS II MP protocol initiated within 8 h were …