Pathophysiological changes in the white and gray matter resulting from spinal cord injury can be revealed by magnetic resonance imaging (MRI) techniques that provides sensitive markers of macro-and microstructural integrity with important histological correlates. This review highlights spinal cord pathology in traumatic spinal cord injury (tSCI) and in non-traumatic spinal cord injury (i.e. degenerative cervical myelopathy (DCM)), detected by means of cross-sectional area measurements and spinal cord diffusion tensor imaging (DTI), and outlines the current trends and future directions.Cord MRI findings in these pathologies have provided important insights into the pathophysiological processes not just at the focal injury site, but also rostral and caudal to the spinal injury. Interestingly, although tSCI and DCM have different etiologies, they show similar magnitudes of remote tissue specific cord pathology, which suggests similar secondary degenerative mechanisms in tSCI and DCM.Advanced quantitative MRI protocols sensitive to tissue specific cord pathology have the potential to enhance current diagnosis and, more importantly, predict outcome in patients with traumatic and non-traumatic spinal cord injury. It is a promising area of research ripe for further study.