Abstract Aim Paediatric spinal cord injuries (SCI), particularly in the low-and middle-income countries (LMICs), present a pressing global health concern. There is a lack of dedicated research protocols for managing these injuries. To address this, we conducted a review to characterise the methods of management strategies of paediatric SCI in LMICs and drew comparisons with established protocols in high-income countries (HICs). Method MEDLINE, Cochrane library, and Global Index Medicus were searched from database inception to August 1, 2023. Studies reporting the management of paediatric SCI from LMICs were included. Randomised control trials and cohort studies reporting the management of Paediatric SCI from HICs were included. Pooled statistics were calculated using measures of central tendency and spread. Results A total of 685 studies were identified, of which 5 were included from LMICs. A total of 286 patients in the LMIC setting were included in our review with age of participants ranging from 0 to 18 years. The number of patients receiving prehospital immobilisation was characterised in one study (n= 6/36; 17%). Patients transported to the hospital by ambulance was characterised in only one study (n= 18/44; 41%). In the studies reporting the data, most patients underwent surgery (n=151/250; 60.4%). Patients receiving methylprednisolone or long-term management data was not present in any of the included studies. Conclusions There is a paucity of studies reporting the management of paediatric SCI in LMICs. There is insufficient data for accurate comparison and analysis. This study calls for more research to develop international guidelines that inform clinical practice.