The aim of this review is to present an update of the management considerations of spinal injuries in the growing child. The current literature on spinal injuries in children was reviewed. Management of spinal column injuries in children should take the remaining growth potential into consideration. Most spinal column injuries can be nonoperatively managed with or without closed reduction and immobilization in cast or a brace. In cases in which open reduction is necessary, an effort should be made to use a nonfusion stabilization method. Recent case reports suggest that growth of the spinal column and discs could be spared with temporary stabilization. However, fusion is the preferred method for rare cases of unstable injuries with ligamentous disruption.