Spine trauma is an important cause of morbidity and mortality in pediatric patients and constitute almost 2–5% of pediatric musculoskeletal injuriers. Special attention is mandatory in this population as there are several unique features of the growing pediatric spine which distinguish these patients from adult patients. These injuries are generally due to high-energy trauma, and related to concurrent thoracic or abdominal injuries that require coordinated multidisciplinary care. Pediatric spine trauma may lead to compression fractures, burst fractures, flexion-distraction injuries such as Chance fracture, fracture-dislocation injuries, apophyseal fractures/herniations, and spinous and transverse process fractures. Depending on the mechanism of the injury and the patient`s level of skeletal maturity, spinal injuries may have considerable potential for healing and remodelization. Because the impact of pediatric spinal injury pediatric may lead to serious consequences and severe complications, appropriate early diagnosis and management, as well as long-term follow-up, are essential.