Cerebrovascular Complications of Neck Manipulation | Zendy

Maurizio Paciaroni | Zendy; Julien Bogousslavsky | Zendy

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Cerebrovascular Complications of Neck Manipulation

Author(s) -

Maurizio Paciaroni,

Julien Bogousslavsky

Publication year - 2008

Publication title -

european neurology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.573

H-Index - 77

eISSN - 1421-9913

pISSN - 0014-3022

DOI - 10.1159/000180314

Subject(s) - spinal manipulation , medicine , stroke (engine) , vertebral artery dissection , cervical spine , adverse effect , dissection (medical) , manual therapy , cervical artery , physical therapy , physical medicine and rehabilitation , surgery , alternative medicine , pathology , chiropractic , mechanical engineering , engineering

The safety of spinal manipulation is an issue that demands regular and rigorous assessment, as manipulation of the upper spine has been associated with serious adverse events such as cerebrovascular accidents due to cervical artery dissection. A correlation between stroke and cervical manipulation has been reported with increasing frequency, and each new report seems to reignite debate between neurologists and manual therapists. Specific risk factors for cerebrovascular complications related to spinal manipulation have not been identified yet; for this reason, any patient may be at risk, particularly those below 45 years of age. Patients undergoing spinal manipulative therapy need to consent to the possible risk of stroke or vascular injury from the procedure.

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