Advances in anatomical imaging have greatly improved the capacity todetect pathological processes in head and spine following trauma. Fall fromheight is the second most common cause of traumatic head and spinalinjuries. Radiology is essential for the accurate understanding,documentation and depiction of different injuries that occur in differenttype of head and spinal injuries after fall from height. CT scanning isclearly the procedure of choice in the evaluation of the head-injuredpatients and probably has significantly improved outcome after headinjury.CT is superior than MR in detection of fractures of spines. MR is theimaging modality of choice in assessing soft tissue injuries, spinal cordinjuries and inter-vertebral discs and ligaments.