Abstract. Traumatic spinal cord lesions in children are infrequent. Traffic accidents are responsible for at least 50 per cent, playground accidents and various sports add another 35 per cent. Radiological signs of spinal trauma are less evident than in adults, they may be missing totally. In the initial treatment of spinal cord injury, only con servative measures should be considered, there are no indications for laminectomy or spinal fusions.