Traumatic spinal injuries are perhaps the most devastating orthopedic injury. They produce dramatic change in the patient's life. Rehabilitation of these injuries has increasingly important role, and nurses are the key person in directing successful rehabilitation effort to assure patients attain functional capabilities, avoid further disabilities, and prevent complications. Therefor, in this book the author determine the impact of a designed protocol of nursing care on acute spinal injuries patient's outcomes including, functional status, life satisfaction & patients, complications. A sample of thirty adult patients (as own control) with acute spinal injuries was selected from different orthopedic wards at El Manial University Hospital affiliated to Cairo University. The total sample was received a suggested protocol of nursing care. The author found that patient who received the protocol of nursing care had high improvement in functional status, life satisfaction and exposed to minimal secondary complications. So, comprehensive protocol of nursing care for acute spinal injuries patient is recommended to be available in all orthopedic wards to improve patient's outcome