One hundred and twenty cases of spinal fractures were identified. This constituted 3.2% of all pediatric injuries and 1.3% of traumas at all ages during the period of the study. Mean age was 13.5 years (males 83.8%). There were more spinal injuries with increasing age. The mechanism of injury was significantly variable among different age groups (p=0.002). While Motor Vehicle Collision (MVC) was the commonest cause in the age groups from 12-15.9 yrs (59%) and from 16-18 yrs (80%), pedestrian injury was more common in the younger age groups of 0-5.9 yrs and 6-11.9 yrs at 38.5% and 42% respectively. Overall, MVC was the commonest mechanism of injury (60.8%). Among MVC cases were seat belt status was known, 90.6% did not have seat belts on. Cervical spine was the most commonly affected level (55.8%) with more than one affected spinal level in 23.3%. Spinal cord injury was found in 36.7% of cases. Spinal surgery was performed in 46% of cases. The overall mortality was 8.4%; half of them were pedestrian injuries. 20.8% were discharged with neurological deficit.