Relevant facts (combined with domestic and international reports): incidence rate of 40/million; more than 1.5 million existing patients in China, with about 50,000 new ones added every year; car accidents and fall injuries are the main causes of injury. About 60% of spinal trauma accompanied by spinal cord injury, cervical spine injury accounted for 3/4 of the total number of patients, most patients can not fully self-care; due to so far, there is no effective treatment, so spinal cord injury is known as catastrophic trauma, which leaves the injured with varying degrees of disability, which affects the future of health, life and social activities and so on. Therefore, the early medical needs of spinal and spinal cord injuries are multilevel and multidisciplinary, and our response should also be a systematic project focusing on the prevention and mitigation of disability and multidisciplinary intervention at the same time. Early clinical problems of spine and spinal cord injury stabilization of vital signs: cardiopulmonary resuscitation or life-threatening conformity injury treatment (brain, thoracic trauma, etc.). 1, spinal trauma treatment: according to the starting point of permanent rehabilitation, relieve nerve compression, rebuild spinal stability, mobility. Spinal cord injury drug treatment: rational application of hormone and dehydration drugs. 2.Compound injury treatment: limb fracture fixation, create conditions for early functional training. 3.Early rehabilitation: respiratory training, urination training, early joint active/passive activities, promote nerve regeneration. Countermeasures for spinal cord injury: systematic engineering based on the spinal cord injury unit The aforementioned clinical problems require that the management of spinal cord trauma, spinal surgery alone is not enough technology. It also includes collaboration with other departments to complete first aid, until vital signs are stable. Only then can the management of spinal cord injuries and compound injuries begin. Decompression, repositioning, and immobilization techniques for spinal trauma have been popularized in China. However, it is important to note that spinal cord injuries will result in varying degrees of disability, and the patient’s subsequent movement patterns will change drastically, increasing the demands on spinal function. Therefore, it is necessary to understand the prognosis of spinal cord injuries of varying degrees, and to take into account the changes in rehabilitation and movement patterns that the patient will receive in order to accurately rebuild the spinal stability and mobility. Failure to do so will increase the amount of revision surgery. The cure for spinal cord injury makes it especially important to prevent and reduce dysfunction and promote functional recovery through rehabilitation. The existing model of rehabilitation medicine originated in England after World War II. It was widely recognized and gradually promoted globally because it showed a great role in the treatment of the injured, functional recovery and return to society. Since then, rehabilitation medicine has gone through the model of setting up several rehabilitation centers within the country to the model of setting up rehabilitation departments in general hospitals, and now the two models coexist. However, the two existing models in China cannot fulfill the medical needs of multidisciplinary and simultaneous interventions for spinal cord injuries. Isolating spinal trauma management and spinal cord injury rehabilitation. Ultimately, it is the large number of injured patients who suffer. Exploration of the Spinal Cord Injury Unit Model The Spinal Cord Surgery Department of the China Rehabilitation Research Center (CRRC) in Beijing is trying out a new integrated treatment model. The model consists of a full-time rehabilitation physician within the spinal surgery department. After the surgeon receives the patient, while treating the spinal trauma, he/she issues a consultation order to the full-time rehabilitation physician. The full-time rehabilitation physician is then responsible for convening and organizing a rehabilitation team to initiate rehabilitation. The team holds regular bedside rehabilitation evaluation meetings to flexibly adjust rehabilitation measures. The bedside surgeon will participate in the evaluation meetings and communicate closely with the rehabilitation physician, so that treatment and rehabilitation can be combined organically. The roles of the rehabilitation physician and surgeon in the department rotate regularly. This model is characterized by: dedicated rehabilitation physician in a short period of time to understand the full picture of the disease and specific rehabilitation needs, can quickly convene the relevant professionals, so that early rehabilitation early intervention. team scope is small, efficient and targeted. Doctors rotate regularly, facilitating active communication and learning, enriching knowledge in both treatment and rehabilitation, and naturally completing the training of spinal cord injury professionals. It takes about 1-3 months to be admitted to the hospital in the acute phase of spinal cord injury. This is a critical period for determining the patient’s prognosis. During this period, every problem that needs to be solved, as mentioned earlier, can develop to the extent that it hinders functional recovery and even jeopardizes the patient’s life. The characteristics of the injury require us to focus on both treatment and rehabilitation to create favorable conditions for a quick and smooth transition to late recovery. After the authors tried this model, they received obvious results. The patients all entered late rehabilitation in good condition. The complication rate is close to zero. From our experience, this model can maximize the mobilization of existing rehabilitation resources, organic integration with treatment, meet the needs of patients, in line with the development trend of rehabilitation medicine, and is worthwhile to learn from the general spinal surgery of spinal cord injury.