STUDY DESIGN: A retrospective review of 64 medicolegal records describing @entity63 after cervical spine manipulation was conducted. OBJECTIVES: To describe 64 cases of cerebrovascular accidents temporally associated with cervical spine manipulation therapy in terms of @entity1 characteristics, potential risk factors, nature of complication, and neurologic sequelae. SUMMARY OF BACKGROUND DATA: Approximately 117 cases of postmanipulation @entity63 have been reported in the English language literature. Proposed risk factors include age, gender, @entity2704 , @entity101 , @entity6 , birth control pills, @entity4720 , and smoking. It is often assumed that these complications may be avoided by clinically screening @entity1 and by premanipulation positioning of the head and neck to evaluate the patency of the vertebral arteries. METHODS: Three researchers using a uniform data abstraction instrument performed an independent review of 64 previously unpublished medicolegal records describing @entity63 after cervical spine manipulation. These cases were referred to a single physician for review over a 16-year period from across the United States and Canada. Descriptive statistics were calculated for characteristics of the @entity1 and the complications. Means and standard deviations were computed for continuous variables. Frequencies and proportions were calculated for categorical variables. RESULTS: This study was unable to identify factors from the clinical history and physical examination of the @entity1 that would assist a physician attempting to isolate the @entity1 at risk of @entity2806 after cervical manipulation. CONCLUSION: @entity64 after manipulation appear to be unpredictable and should be considered an inherent, idiosyncratic, and rare complication of this treatment approach.

Unpredictability of XXXX associated with cervical spine manipulation therapy: a review of sixty-four cases after cervical spine manipulation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['Cerebrovascular accidents'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity63 :: ('MESH:D007511', 'Disease') :: ['cerebrovascular ischemia'] @entity2806 :: ('MESH:D002545', 'Disease') :: ['cerebral ischemia'] @entity2704 :: ('MESH:D008881', 'Disease') :: ['migraine headaches'] @entity4720 :: ('MESH:D055009', 'Disease') :: ['cervical spondylosis']
@entity63 :: (MESH:D007511,Disease) :: ['cerebrovascular ischemia']
