A prospective study of 50 patient in span of 2 years for educating regarding surgical benefit for acute spinal cord injury associated with grading of ASIA grading and AO Classification. 33 patients had been operated and 17 patients kept for conservative management. Patient with surgery found out to have better outcome with quad/paraplegic in comparison of pain relief, early ambulation &preventing bedsore. Patient with incomplete neurological deficit, improved motor function with preventing secondary injuries. Our study shows that incomplete deficit and early surgery can provide better functional outcome, complete deficits and surgery will help to alleviate pain and early wheel chair ambulation.