After the man was freed from the car and given emergency treatment, an RAF helicopter flew him to hospital
A 61-year-old man was rescued from his car after it crashed and came to rest in a "precarious position" over an embankment, the fire service has said.
Emergency services were called to the B4391 in Llanfyllin, Powys, just before 1800 BST on Wednesday.
Specialist equipment to help stabilise the car was sent from Aberystwyth and Brecon to aid the three-hour rescue.
After the man was freed from the car and given emergency treatment, an RAF helicopter airlifted him to hospital.
Crews from Newtown, Llandyllin and Oswestry, Shropshire, were also involved in the rescue.
A spokesman for RAF Valley said the car had plunged off the road rolling several times before coming to rest half way down a 400ft (122m), 45-degree slope.
The man had been trapped for some time before the alarm was raised at a farm nearby.
An air ambulance was then scrambled from Cosford, near Telford, Shropshire, which dropped a doctor and paramedic at the foot of the hill.
'Precarious position'
They, along with the fire service, climbed to the car's location and managed to free the man.
The spokesman said the RAF search and rescue helicopter was scrambled because air ambulances have no low level night or winching capability.
The man was flown to Wrexham in under 15 minutes where a waiting ambulance took him to hospital.
A spokesman for Mid and West Wales Fire and Rescue Service said: "One vehicle had left the highway and rolled down the side of the hill.
"There was one casualty in the vehicle which was in a precarious position.
"A Sea King helicopter was requested and they winched the casualty to take them off to hospital."
He said crews would return to deal with the car in daylight.
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