The imaging evaluation of post-traumatic spine and cord injuries is part of the global management of chronically handicapped patients. Diagnosis and follow-up MR imaging of cord lesions allows differentiation of static lesions from progressive lesions that could require surgical intervention. Follow-up CT imaging is helpful in the evaluation of spine lesions to distinguish between late complications (deformity, malunion, pseudoarthrosis, complications related to surgical hardware) and lesions secondary to the handicap (neurogenic spinal arthropathy).