Spinal Cord Injury (SCI) is a devastating condition often managed in orthopaedics due to its profound impact on the musculoskeletal system. Resulting from trauma or disease, SCI can lead to varying degrees of paralysis and sensory impairment. Orthopedic assessments in SCI patients focus on evaluating spinal stability, deformities, and the potential for functional recovery. Orthopedic interventions in spinal cord injury may involve surgical procedures to stabilize the spine, correct deformities, or address complications such as pressure ulcers. Fractures, dislocations, or ligamentous injuries associated with SCI may require prompt orthopedic management to prevent further damage. Rehabilitation after SCI in orthopaedics is critical and often involves a multidisciplinary approach, including physical therapy, occupational therapy, and assistive devices to enhance mobility and independence. Orthopedic surgeons work closely with neurologists and rehabilitation specialists to optimize outcomes for individuals with spinal cord injuries, aiming to improve function, prevent complications, and enhance overall quality of life.