## 4 Discussion  
Rehabilitation following an acute SCI is often considered to improve a person's clinical outcomes. However, the complexity of the interventions used has made their evaluation difficult. Interdisciplinary rehabilitation refers to the treatment of multiple individuals. It can be challenging to determine which intervention can improve a person's recovery. Compared to standard rehabilitation programs, interdisciplinary programs involve the simultaneous care of multiple people. The content of rehabilitation varies depending on the context, jurisdiction, funding, or health care policy. For instance, the type of facility that accepts patients varies depending on the region and population [3]. The conditions of rehabilitation are also affected by the environment and the population. For instance, the BRST rehabilitation center is located in a region that is near the Black Sea. The facility has been providing rehabilitation services to injured individuals for over a century. Its location and services are also influenced by the area's natural cure factors. In our hospital, the daily treatment is standard: hot saline bath prescribed and performed daily as the only major hydrokinetic therapy procedure, at 35 \({}^{\circ}\)C, 3-4 electrotherapy procedures (direct current, low-frequency currents/pulses, functional electrical stimulation, ultrasound therapy, extracorporeal shockwave therapy, low-level laser therapy), massage therapy, and physical therapy [7]. A retrospective study was carried out to evaluate the effects of various factors on the functional and psychological outcomes of patients with severe SCIs who were admitted to a rehabilitation program. In our study, 45.77% of the patients were traumatic SCI patients. There are a few studies in the literature about the demography, incidence, and prevalence of this type of patient, and our results are in agreement with the studies already published [8; 9; 10]. Similar to the literature [8], in our study, the average age of the traumatic group was lower than the average age of the nontraumatic group. In both groups, the number of men is higher, with a proportion of 75% in the T-SCI group, probably due to the factors that commonly affected these individuals, which included falls from a high place and motor vehicle accidents. Even though in the majority of the studies men are dominant in T-SCI or in NT-SCTI patients' etiology, we found just one study which showed significant differences in the sex distribution between the different etiologies, with women more likely to have a benign tumor than men [11]. Various studies have shown that the majority of patients with severe SCIs who experienced a traumatic event were employed, while in the nontraumatic group, there was a higher number of retired patients [12]. In our study, we found similar results in nonworking, working, or retired patients. Moreover, we found the same ratio of the patients who had a disability certificate according to Romanian law. The majority of the patients are from rural areas, probably due to higher physical demands than in urban areas, as well as higher risks of accidents. Figure 6: The distribution of FIM scores across categories of etiology (T-SCI/NT-SCI). In the study, the leading factor that affected the patients with severe SCIs was road/work accidents (43.08%), followed by falls (29.23), and direct aggression (27.69%), as in other studies [8, 10, 13]. The major cause of injury in NT-SCI patients consisted of myelopathy with spondylosis or disc disorders, but we also identified the rare cause of NT-SCI, such as poliomyelitis sequelae (2.60%), syringomyelia (1.30%), or Morb Pott-operated sequelae (2.60%) [12, 14]. Regarding the American Spinal Injury Association impairment scale (AIS), in the literature we found different results of neurological deficit, probably according to the type of hospitals in which they are treated, or due to the lengths of the disease, whether acute or chronic [15, 16].