Neurological complications of cervical spine manipulation | Zendy

Clare Stevinson | Zendy; Will Honan | Zendy; Brian R. Cooke | Zendy; Edzard Ernst | Zendy

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Neurological complications of cervical spine manipulation

Author(s) -

Clare Stevinson,

Will Honan,

Brian R. Cooke,

Edzard Ernst

Publication year - 2001

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/014107680109400302

Subject(s) - medicine , myelopathy , vertebral artery dissection , cervical spine , stroke (engine) , vertebral artery , surgery , cervical vertebrae , spinal cord , mechanical engineering , psychiatry , engineering

To obtain preliminary data on neurological complications of spinal manipulation in the UK all members of the Association of British Neurologists were asked to report cases referred to them of neurological complications occurring within 24 hours of cervical spine manipulation over a 12-month period. The response rate was 74%. 24 respondents reported at least one case each, contributing to a total of about 35 cases. These included 7 cases of stroke in brainstem territory (4 with confirmation of vertebral artery dissection), 2 cases of stroke in carotid territory and 1 case of acute subdural haematoma. There were 3 cases of myelopathy and 3 of cervical radiculopathy. Concern about neurological complications following cervical spine manipulation appears to be justified. A large long-term prospective study is required to determine the scale of the hazard.

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