A spokesman for Idlewild and SoakZone amusement park near Ligonier says the boy was on the ride with his brother Thursday afternoon when he fell. His age wasn't released.
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A Westmoreland County emergency dispatcher says the boy was conscious and airlifted to a hospital.
VIDEO: Boy falls from wooden roller coaster in Pa.
Park spokesman Jeff Croushore says he can't say whether the ride malfunctioned.
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Hospital spokesman Marc Lukasiak says he can't release any information about the boy's condition.
The Rollo Coaster opened in 1938 and takes riders up, down and around a wooded hillside. It doesn't require seat belts.
The fall comes four days after a 10-year-old boy was decapitated as he rode a waterslide at a Kansas water park, and three days after three people were hurt when they fell from a Ferris wheel in Tennessee.