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OCR: We should x-ray elsewhere (?automatically??) 212 with spinal iniuries 64% had double level injuries. Delay in Dx 28%. Concl lus ion: high energy CNS change check the whole thing identify one area check all areas (?referral bias ortho for simple L-spine?) Powell Toronto Trauma 46 1989 400 patients 2/3 had other FX average Charton etal JAMA 242: 1073 1979 Miller 41 Am J Roent 130: 659 1978 63 spine injuries 8% had injuries at multiple levels. al.Montreal J Trauma 28:1282 1988 817 with spinal Fx .4% had discontiguous injuries. Possi ible that more were diagnosed later. Traum 30:489 1990 Possible