RESULTS: Sixty-two motor complete CSCI patients (M:55, F:7) were identified. Traumatic causes of SCI accounted for 93.5% (n=58), and mean age at SCI onset was 47.6 ± 15.8 yrs. Sixty patients (96.8%) had undergone tracheostomy and the other 2 received endotracheal intubation during acute phase management. All patients succeeded in decannulation/extubation after employing mechanically assisted coughing (MAC) and noninvasive mechanical ventilation (NIV). Mean time since tracheostomy to decannulation was 7.0 ± 14.5 months. Of the 60 tracheostomized patients, 12 succeeded in decannulation without applying long-term NIV, 31 switched to continuous NIV after decannulation. Fifteen patients totally weaned off from ventilators after NIV. Two patients who once succeeded in decannulation was re-tracheostomized due to unexpected emergencies. For the 31 patients with continuous NIV, mean hours of daily need for ventilatory support had reduced from initial 15.3 ± 8.0 hrs to 5.7 ± 5.7 hrs at final follow ups.