**1. Introduction**

The term "spinal shock" was introduced to differentiate arterial hypotension, which is due to hemorrhage. Spinal shock appears following spinal cord injury leading to loss of sympathetic tone which is described in literature for more than 150 years [1–3]. This shock manifests as transient loss or impairment of all or part of spinal reflex activity below the level of the spinal injury that may be due to physiologic or anatomic transection of the spinal cord [4]. In this chapter, we review the basic concepts in the development of spinal shock, clinical presentations, management strategies, follow-up, and outcomes in patients with spinal shock.
