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This study retrospectively evaluates whether ligamentous injury or disk disruption after spinal cord injury correlates with lesion length. Length of lesion, disk disruption, ligamentous injury association, and extent of spinal cord injury were statistically assessed. The number of ligaments affected had a positive correlation with the extension of the lesion. Thus, in cervical spine trauma, a specific pattern of ligamentous injury correlates with the length of the spinal cord lesion.