The clinician managing patients who have suffered trauma to the spine requi
res several questions answered from imaging studies. In the acute stage, a
full assessment of the complete injury to the bony, ligamentous, disc and n
eural tissues will determine the stability of the injury and help decide th
e nature of clinical management, either conservative or surgical, and also
help in determining the surgical approach. Magnetic resonance imaging (MRI)
is established as a vital imaging technique and can answer many of the que
stions posed above. The purpose of this article is to review the current st
atus of MRI in the assessment of acute spinal trauma.