TG and Adrenal insufficiency: This may reflect differences in sympathetic nervous system disruption, particularly given the location of sympathetic outflow in the thoracic spine.20,21 In addition, we also identified increased risk of endocrine disorders, including adrenal insufficiency and pituitary dysfunction.22 Previous studies suggested altered testosterone and thyroid hormone levels after TSCI but were underpowered to detect rare conditions.22,23 Our larger sample enabled identification of these associations.