I know only too well the concern when you have a smash that affects the spine from experience.
Anyway, was there after the air ambulance took this guy away and the ambulance guy there on the ground was talking of concern about the spine obviously. In this case they will be extremely cautious, keep absolutely immobilised, neck brace, back brace, the lot and certainly the air ambulance is a necessity.
Paralysis is not a certainty, but a concern. All depends on any damage to the spinal nerve, the extent if any and if and how it heals. Complex stuff.
Regardless of the trail and experience, anyone can have this kind of injury. You could have it falling out of bed, tripping up in the street, anything.
We simply wish him the best and hope he’s okay.