caa a22 4500 445833416 CHVBK 20180317145322.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1443-5 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1443-5 Acute paraplegia after chiropraxis [Elektronische Daten] [Antonio Lopez-Gonzalez, Maria Peris-Celda] Spinal manipulation is a form of back and other musculoskeletal pain treatment that often involves a high-velocity thrust, a technique in which the joints are adjusted rapidly. The main objective of chiropractors is to correct spinal malalignment and relieve the nerves, allowing them to function optimally (Ernst In: Expert Rev Neurother 7:1451-1452, 2007; Oppenheim et al. In: Spine J 5:660-666, 2005). The evidence for the effectiveness of this treatment based on randomized clinical trials still remains uncertain (Cassidy et al. In: Spine 33(4 suppl): S176-S183, 2008; Dupeyron et al. In: Ann Readapt Med Phys 46:33-40, 2003; Ernst et al. In: Expert Rev Neurother 7:1451-1452, 2007; Hurwitz et al. In: J Manipulative Physiol Ther 27:16-25, 2007; Thiel et al. In: Spine 32: 2375-2378, 2007). Several case reports and series have been focusing on the risks of chiropraxis, especially on the cervical spine, although the risk/benefit ratio for certain selected patients could be acceptable (Powell et al.In: Neurosurgery 33:73-78, 1993). We describe the case of a 45-year-old woman who suffered complete paraplegia shortly after a chiropractic maneuver in the thoracic spine. Dorsal CT showed a calcified disc herniation at the T8-T9 level and MRI revealed a diffuse spinal cord ischemia from T6 to the conus medullaris without spinal cord compression at the level of herniation. Despite a normal arteriography, authors suggest a vascular injury as the cause of the deficit. Springer-Verlag, 2010 Chiropraxis nationallicence Spinal cord ischemia nationallicence Acute paraplegia nationallicence Herniated disc nationallicence Lopez-Gonzalez Antonio Department of Neurosurgery, Hospital Universitario La Fe, avda. Campanar, 21, 46009, Valencia, Spain aut Peris-Celda Maria Department of Neurosurgery, Hospital Universitario La Fe, avda. Campanar, 21, 46009, Valencia, Spain aut European Spine Journal Springer-Verlag 20(2011-07-01), 143-146 0940-6719 20<143 2011 20 586 https://doi.org/10.1007/s00586-010-1443-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1443-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lopez-Gonzalez Antonio Department of Neurosurgery, Hospital Universitario La Fe, avda. Campanar, 21, 46009, Valencia, Spain aut NATIONALLICENCE 700 1- Peris-Celda Maria Department of Neurosurgery, Hospital Universitario La Fe, avda. Campanar, 21, 46009, Valencia, Spain aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 143-146 0940-6719 20<143 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer