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The accuracy of prognosis for cervical spine injury has always been challenging, and predicting sensory motor recovery requires new tools to determine patient outcomes and support treating therapists and physicians. In this longitudinal, multicenter, retrospective study, the authors explored the prognostic value of preserved spinal tissue bridges — that is, spared neural tissue adjacent to the lesion. The study included 227 patients admitted to centers in Germany (93 patients), Switzerland (43 patients) and Denver (91 patients) with spinal cord injuries (SCI) at vertebrae C1–C7, imaging assessment conducted between 3 and 4 weeks post SCI, and neurologic assessments at baseline, 3 months, and (except in Denver) 12 months by physicians or phy…