Children and adolescents with spinal cord injury (SCI) must deal with the multisystem involvement imposed by the injury that is compounded by physical and psychological growth and development, which cause complications not seen in the adult.

Rehabilitation is a process that extends at least until the child is phys­ically and psychosocially an adult. Involvement by a team that is expert in the management of children and adolescents with SCIs should continue throughout this period. This chapter discusses some of the main points to be considered by those who are involved in assisting this rehabilitation process. Advances have been made in the acute management of pediatric SCI, and there is new equipment and technology for reha­bilitation, but the basics of rehabilitation in this area remain the same.