Post traumatic concomitant spinal hematomas are rare. Early decompressive surgery before the interference with blood supply to the cord occurs, favors a good prognosis. Outcome depends on time to operation and prognosis is impacted by age and preoperative deficit. Because of the high risk of poor outcome without treatment, EDH should always be a diagnostic consideration in patients whose presentation is even slightly suggestive. Rapid, appropriate treatment of these patients can often lead to complete recovery of function, whereas any delay in appropriate treatment can be catastrophic. Surgical evacuation of the hematomas is safer and would relieve symptoms.