For cervical SCI, the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS) trial demonstrated improved American Spinal Injury Association (ASIA) Impairment Scale (AIS) in patients who underwent decompression surgery within 24 hours of injury.Early decompression is also shown to be more cost effective for patients with motor complete and incomplete SCI. 15 Furthermore, at 12-month follow up, patients who were treated within 24-hour window had a 2.8 times greater odds of improvement AIS compared with those treated after the 24 hours window. 16 Recently, the benefits of surgical decompression with in first 8 hours of injury have been investigated. A study evaluating 70 patients with cervical SCI (35 patients each in early [