Introduction: Traumatic spinal cord injury (SCI) is an emerging public health problem reaching epidemic proportions. Reduced functional capacity after SCI not only affects the quality of life (QOL) of the patient, but also creates an added social, financial, and psychological burden on the family. Caregiver is responsible for providing the patient with physical, emotional, and functional support. Therefore, the increasing burden on the caregiver worsens all the domains constituting the QOL of the patient. Thus, the understanding of caregiver burden in terms of demographic profile of caregivers, severity of SCI, cost of care, mode of treatment adopted, and employment and education of the caregiver is important in the rehabilitation of patients with SCI.

Spinal epidural hematomas are rare, and their posttraumatic etiology is still rare. Patients' symptomatology varies from clinically silent to dense neurological deficits. Pathogenesis of progression is unclear. They usually involve multiple spinal segments. Review of the literature showed that early surgical intervention is associated with excellent outcome in patients with significant deficits. Such cases usually require long segment surgical decompression. We present a rare case review of posttraumatic long segment anterior cervical epidural hematoma with significant neurological deficit, which was managed conservatively because the patient was not willing to have any surgical intervention. The patient improved gradually with better functional outcome. Our case shows that conservative treatment may be considered as an alternate management option in the treatment of anterior spinal epidural hematomas, thus avoiding long segment decompressive laminectomy. The mechanism of spontaneous resolution of spinal epidural hematoma is also discussed with a review of the literature.