Pediatric spinal injuries establishes itself as a separate entity, quite different from its adult counterpart due to wide differences with regards to anthropometrics, biomechanics, injury patterns, clinical presentation, imaging analysis and management principles. Historically, literature addressing these issues was relatively sparse. However, in more recent years, different aspects of the pediatric spine have been better appreciated and hence there has been a plethora of publications on this area. The typical injuries occurring in children include occipitoatlantal or atlantoaxial dissociation, atlantoaxial rotary subluxation, spinal cord injury without radiological abnormality and multiple thoracic compression fracture.