The accurate diagnosis of spine fracture is important to the therapeutic decision and clinical course of patient. CT was more sensitive than any other modality in the diagnosis of spine trauma and now, CT is the method of choice for preoperative evaluation in spine fracture. A retrospective review was made of CT scans of 49 spine fracture patients, who were admitted at Ewha Womens University Hospital from January, 1986 to December, 1988. The results were as follows: 1. Male to female ratio was 2.5 : 1, and the most prevalent age was 20 to 50 years. 2. multiple level injuries were 12 cases(24.55), and the most common cause of injury was falling down (22 cases, 44.95). 3. The frequent site of spine fracture was T11 to l4 level and the most common site was the 1st lumber vertebra (13 cases, 23.25). 4. Simple compression fracture was in 11 cases (19.65), and burst fracture was in 45 cases (80.4%). Neurologic symptoms were appeared in 23 cases (15.15%) of burst fracture. 5. The mos common pattern of the retropulsed fragment in burst fracture was single midline fragment type (19 cases, 42.25) and the most common type of burst fracture was classical from (19 cases, 42.2%). 6. The degree of anterior wedging above the 50% in height of vertebra was in 10 cases (17.9%). 7. Posterior element involvement of vertebra was seen in 34 cases (60.7%) and the most common finding was lamina fracture. 8. degree of spinal canal narrowing and degree of neurological impairment is not directly correlated.