The only simple way for me to put it is its usually down to damage to the Neck or Spine.
Which part of the neck or spine is damaged will be what determinds the location and how badly damaged it is will determined the extent of the paralysis.
For example you can break your neck but if the damage isn’t severe after surgery you can regain most movement, as is the case in a lot of Wrestlers even if their careers are shortened because of the injuries.
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