Gupta A, el Masri W S
Midland Centre for Spinal Injuries, Oswestry, England.
J Bone Joint Surg Br. 1989 Aug;71(4):692-5. doi: 10.1302/0301-620X.71B4.2768324.
Spinal injury at more than one level is not uncommon. Awareness of multilevel injury of the spine and associated neurological patterns is important for the proper initial management of the patient. This study presents the incidence, pattern of signs and the neurological consequences of multilevel spinal injury. A review of 935 patients with spinal injuries revealed that lesions occurred in multiple levels in 9.7%; in over half of the cases, neurological lesions were incomplete. Multiple level non-contiguous lesions at more than two levels had the worst prognosis with 70% of patients suffering complete paraplegia.
