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This study aims to review, identify and study the determinations of the main orthopedic aspects in SCI patients. A total of 80 articles from PUBMED and three theses (MSc. /DSc.) were examined. The results refer to the most essential joints. There is a chronic overload on the shoulder girdle due to the use of the upper limb as a supporting joint. The elbow presents osteoarthritis, subclinical, acute and chronic pain, mainly in quadriplegic patients. In the hand and wrist joints there are cases of paralysis, osteoporosis and osteoarthritis