Objective: To highlight the importance and incidence of associated injuries with spinal cord trauma. Patients and Methods: Retrospective analysis of 375 spinal cord injury patients admitted to spinal injury unit, from November 2006 to October 2009 was performed. Data were collected from the medical records. Results: The incidence of associated injuries along with spinal cord injury was 40%. Motor vehicle accident was the most common etiology of spinal injury. The most common level of injury was C5-C6 fracture dislocation. The common associated injuries were chest (24%) abdomen (22.7%), limb (21.3%) head (16.7%) and facial trauma (15.3%). Conclusion: An associated injury with spinal cord injuries is a common occurrence and may increase mortality and morbidity.