Though a cure for Spinal Cord Injury (SCI) remains elusive, a strong emphasis should rightfully be placed on injury prevention efforts, especially since so many of these injuries affect young patients injured under commonly avoidable circumstances. As demonstrated in several case examples, legislative actions have demonstrably shown reduction of injury rates. The controversies of choosing a specific type of surgical intervention in patients with complex cervical spine fractures are addressed in the second portion of this program.