There are several scores available for assessment of disability and ha
ndicap in rehabilitation. In primary treatment most interest has so fa
r been given to the assessment of neurological recovery after operativ
e decompression of the spinal cord. Comparison of the results obtained
with this method and the outcome in patient groups treated conservati
vely revealed no quantitative differences. However, the quality of res
ults was found to be better after surgery, particularly in the functio
nal outcome. Scores should take account of this. The neurological clas
sification of ASIA, IMSOP and DMGP seems to be suitable for assessment
of the course throughout the rehabilitation period.