This chapter has well written text and 18 well illustrated diagrams and pictures showing thoracic and thoraco-lumbar injuries. Epidemiology and aetiology, classification, predisposing factors, clinical features and assessment, investigations, and management of thoracic and thoraco-lumbar injuries are given in detail. Total 9 tables are added to highlight nomenclature, classification, assignment of point value in TLICS system, modified Frankel scale for thoracic and thoraco-lumbar injuries. A flow chart for algorithm for thoracolumbar injuries is added. 107 references are given for further reading to conclude this chapter.