This narrative review on Spinal Cord Injuries (SCI) highlights the increasing incidence, particularly among young individuals, posing a signicant societal burden. It explores the epidemiology, causes, and risk factors, emphasizing demographic shifts, such as the vulnerability of the aging population. The pathophysiology of SCI involves both primary and secondary injuries, with a crucial understanding for effective interventions. Clinical presentation varies, ranging from complete injuries to specic syndromes. The review addresses initial management in emergency settings and underscores the importance of ongoing assessments and treatments. Imaging techniques are thoroughly explored, and a comprehensive guide is provided for SCI management, spanning from diagnosis to surgical interventions and innovative treatments. The review advocates for cautious optimism in prognosis, acknowledging the individual complexity of each case. It emphasizes holistic approaches and ongoing advancements in research and neurorehabilitation to enhance the quality of life in spinal cord injury management.