During the past two decades with considerable advances in spinal instrumentation techniques, surgeons’ preferences are tilted toward attaining “quick fix” of the spine so that the rehabilitation is expedited. But the definitive indications for surgery in spinal injuries are limited and include worsening neurological deficit, spinal cord compression in the presence of neurological deficit, persistent dislocations and an unstable spine. Also, the morbidity of surgical treatment always exists and undoubtedly, there are avenues where nonoperative treatment can be considered. Such nonoperative interventions can have a role either in the initial management phase or as an adjunct to spinal stabilization or may represent the definitive management of spinal injury. These interventions can be in the form of braces, halo vests, skeletal traction or combinations thereof or simply bed rest and mobilization as pain subsides.