Introduction: In traumatic spinal cord injury, the presence of comorbidities, complications and associated injuries have an impact on the internal environment modified by aging and as a consequence increases mortality in the elderly. Objective: To expose the repercussion of these factors in the mortality of the elderly with traumatic spinal cord injury. Methods: A prospective study of 38 geriatric patients with spinal cord trauma treated from January 2018 to January 2021 with a mean age of 71.26 was conducted. The investigation consisted of two stages: the collection of data such as comorbidities, causes and intensity of the accident, medical complications and associated injuries and another, where follow-up was carried out for three months, mortality was considered as a dependent variable.