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What I don't understaqnd is how he got the hyperextension of the spinal cord? Is it saying that his face was hit with such impact that his head was thrown back enough to hyperextend the spinal cord? If so, that was quite a force, not enough to happen from a mere fall down those number of steps, in my very humble opinion.
I'm just not seeing him falling down the steps at all, but rather a freefall through the air from the uppermost railing, IMHO.