Secondary damage management of acute traumatic spinal cord injury in low and middle-income countries: A survey on a global scale (Part III).

•In LMICs, several factor may affect the applicability of guidelines for secondary damage control of spinal cord injury.•In LMICs, the use of steroids for spinal cord injury is heterogeneous and admissions to an intensive care units are limited.•The delays for surgical decompression of spinal cord injury can be significan and vary across income and geographic region.•Transfer times seem to be the most common reason for surgical delay in all income and geographic regions.•Costs for surgery for spinal trauma may be a significant barrier to guideline adherence, especially in low-resource settings.

© 2022 The Authors.

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.