en Spine Case report <strong>Background and Importance:</strong> Spinal cord injury without radiographic abnormality (SCIWORA) is predominantly reported in pediatric populations, especially involving the cervical spine. In adults, particularly in the thoracic region, such injuries are exceedingly rare due to the biomechanical rigidity of the thoracic vertebrae. This case report presents an adult patient with a complete spinal cord transection at the T7&ndash;T8 level in the absence of any vertebral fracture or dislocation.<br> <strong>Case Presentation</strong>: A 25-year-old male was admitted to the intensive care unit following a highenergy motor vehicle accident. Although the initial computed tomography (CT) of the thoracic spine showed no signs of vertebral injury, the patient developed complete paraplegia upon regaining consciousness. Magnetic resonance imaging (MRI) revealed a full-thickness transection of the spinal cord at the T7&ndash;T8 level. No surgical intervention was indicated due to the absence of compressive or unstable elements.<br> <strong>Conclusion:</strong> Adult thoracic SCIWORA is an exceptionally rare clinical entity. In cases of severe neurological deficit with negative radiographs and CT scans, a prompt MRI is crucial for diagnosis. This case highlights the need for refined classification systems that incorporate MRI findings and biomechanical assessments to characterize such presentations better and inform clinical management. Spinal cord injury, SCIWORA, Thoracic spine, Adult trauma, Spinal cord transection, Magnetic resonance imaging 0 0 http://irjns.org/browse.php?a_code=A-10-241-4&slc_lang=en&sid=1 Vaner Köksal 100319475328460012711 100319475328460012711 Yes Department of Neurosurgery, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Türkey. Cem Demirel 100319475328460012712 100319475328460012712 No Department of Neurosurgery, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Türkey. Melih Van 100319475328460012713 0009-0005-2638-799X No Department of Neurosurgery, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Türkey. Fatih Tomakin 100319475328460012714 100319475328460012714 No Department of Neurosurgery, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Türkey. Recai Engin 100319475328460012715 100319475328460012715 No Department of Neurosurgery, Faculty of Medicine, Samsun Training and Research Hospital, Samsun University, Samsun, Türkey.