The NASCIS studies reported improved long-term neurological recovery when high dose methylprednisolone was administered following spinal cord injury. To determine if there is correct implementation of the NASCIS protocols. Prospective observational study. The admission Frankel grade and ASIA neurological classification were recorded. 100 patients with complete or incomplete spinal cord injuries were studied during a 24 month period. Outcome Measures: Correct administration of methyprednisolone. The mean ASIA score was 192 and median Frankel grade was C. Only 25% of the patients received methyl-prednisolone according to the NASCIS regime. “Evidence Based Medicine” is not being adopted.
