Chapter 2 describes the current opinion of spine surgeons in the Netherlands on surgical timing of decompression after traumatic spinal cord injury (tSCI), depending on the initial severity of neurological injury. Surgeons were asked to comment on their preferred surgical timing for different scenarios of neurological injury through a survey. The study showed that the initial severity of neurological injury influenced decision-making for the surgical urgency. In Chapter 3, we analysed the current literature on neurological improvement after early (