Spinal cord injuries (SCIs) have numerous effects on one's health; all of which impact psychological well-being, social and family relationships, and overall quality of life (QoL).1 It has been estimated over 250,000 individuals in the USA currently live with an SCI.2 Of those with a SCI, approximately 33 percent experience a Jefferson's fracture, a bursting fracture typically occurring in the C-1,2 vertebrae.3 Post-injury, individuals are faced with difficult rehabilitation and long-term health effects.4,5 One essential concept that may influence a person's ability to recover post-SCI is self-empowerment, self-efficacy, and/or the belief in one's ability to succeed in specific situations. It has been observed that those who are involved in the decision making process and are able to set their own goals, report lower levels of depression and higher levels of empowerment and self-efficacy.6 Through taking an active role in treatment, self-empowered individuals possess the ability to play a major role in how they approach goals, tasks, and challenges during rehabilitation. Indeed self-efficacy has the potential to improve QoL, decrease health care stay, and positively influence compliance with post-SCI care.7 An interdisciplinary approach involving the neurosurgery team, rehabilitative services, and the support of family and friends, is essential to ensure the best standard of care and recovery.