 Title of my study is role of MRI in spinal trauma introduction MRI plays a crucial role in evaluating and detecting spinal trauma occult fractures soft tissue and spinal cord abnormalities which may not be apparent on other imaging modalities can be easily detected on MRI. The aim of the study is to evaluate the role of MRI as a noninvasive tool in patient with spinal trauma and to correlate the MRI findings with the neurological status of the patient. Methods the study was conducted on 50 patients in the department of rated diagnosis GMC Jammu and we took detailed history and examination was done according to the American Spinal Cord Injury Association impairments scale. So there are five grades grade A is complete motor and sensory impairment grade E is no motor or sensory deficit in grade B C and E the sensory function is intact in grade B there is complete motor impairment in C there the power is less than three and in grade E the power is more than three. So MRI the protocol consisted of T1 and T2 weighted sagittal T2 and T1 and T2 weighted sequences in sagittal and axial plane stir in sagittal pain and g are in C and g re sequence was applied whenever required. So this these are the inclusion and the exclusion criteria. Now the imaging. So the first case is traumatic anterior lysis of L5 over F1. Then in the second case we see there is compression fracture of the L2 vertebra. There is a dark sclerotic band that is commonly seen in these compression fractures with central wedging. So this case there is a dislocation of C5 vertebral body with the retropulsion of the fracture fragment. And we see that there is a breach in the continuity of the ligaments the ALL the PLL and the ligament and flavor as depicted by the arrows along with the chord hyper intensity suggestive of chord edema. Then in this case we see that the vertebral bodies they look normal there is no evidence of any obvious fractures but on observing closely we see that there is a breach in the continuity of the ligament and flavor posteriorly as depicted by the red arrow. And edema in the posterior ligament is complex and hyper intensity is noted within the chord suggestive of chord edema and subtle hyper intensity is are also noted in the vertebral body. As depicted by the orange arrow this is suggestive of bony contusion. Then in this case we see there is destruction fracture dislocation of the C6 vertebra with disruption of all the three columns of the ligament the ALL PLL and the posterior ligament is complex. Then there is chord edema along with a tiny pre-vertebral collection that is depicted by the arrow. Then in this case we see that there is a burst fracture of the D12 vertebra with retropulsion of the fracture fragment and it is seen causing moderate canal stenosis. We can clearly see in the actual image that there is moderate canal stenosis associated with the marrow edema and also noted there is a heterogeneous signal intensity within the chord. On T2 there is hyper intensity surrounded by the hyper intensity. So this is suggestive of chord hemorrhage. Then this is another case. Again we see there is a fracture dislocation of the C5 vertebra and we see that there is disruption of all the three columns of the ligaments and note here that there is a hyper intensity noted within the chord surrounded by the hyper intensity. So this is suggestive of hemorrhage and this was confirmed on the GRE sequence to be hemorrhage seen as focaccia of blooming as pointed by the red arrows. Then this case we see there is an epidural hematoma that is seen causing compression of the chord. Extrusion. Then this was the case of kyphotic spine following trauma there was a burst fracture with traumatic disc extrusion. Now this is seen compressing the chord but there was no associated signal abnormality within the chord. Then this is a case of complete chord transaction just like a epidural hematoma it is very rare because spine is mostly flexible. So here we see that there is disruption of the ALL, PLL and the posterior ligament is complex and total breach in the continuity of the chord suggestive of complete chord transaction. So the results the mean age of the patients was 45 years, 35 males, 15 females. The mode of injury in our study was RTA fall from height and slip injuries in 22 patients it was RTA majority of the injuries occur in this cervical spine. So this is a table depicting my results. Then again the commonest site of injury was cervical spine isolated fractures were seen in 10 patients. The other findings we saw were chord injury, disc rupture, paravortable collection, epidural hematoma and ligament injury. In chord injury we had chord edema, hemorrhage and transaction. Then patients with no chord abnormality there was improvement in 35 out of the 38 patients. In cases of chord edema all nine patients showed improvement. In chord hemorrhage in both the patients there was no improvement. In chord transaction there was one case and the patient expired and chord in patients with only fracture all 10 showed improvement. So this is the distribution of the patients of the study according to the AIS at the time of admission and at the time of discharge. So using the AIS the most common pattern was incomplete spinal injury. Second most common was spinal trauma without chord injury and least common was complete chord injury. The most commonly observed MRI pattern that is chord edema was seen in 75% of the people. Chord hemorrhage was seen in 16.6%. Chord hemorrhage was associated with complete spinal cord injury in both subjects. One expired and followed up and the other showed no improvement. Chord edema was associated with complete spinal cord injury in one patient and incomplete in eight patients. On follow up there was complete recovery in six and the other two showed good functional recovery. So the discussion the study by Gupta at all in the study by Gupta at all the most common cause was spinal trauma was RT and the most common site was the vicar spine. In the study Parchari conducted a study on 62 patients and again the patients undergoing MRI they were analyzed according to the AIS. And his study demonstrated that the presence of sizable focus of hemorrhage had larger chord edema and more severe initial grade with AIS and poor recovery at follow up. Then there was another study by Miyangi and it showed that there was a significant correlation between the severity of the spinal cord injury and the presence or absence of chord hemorrhage edema soft tissue injuries etc. So in conclusion the various MRI findings in acute spinal cord injury they correlate well with the initial clinical findings according to the AIS and can be helpful to the clinician in predicting the outcome and extent of recovery in patients with spinal cord injury. So these are my references. Thank you.