Vertebrobasilar injuries following cervical manipulation

JAMA. 1980 Sep 26;244(13):1450-3.


Four cases of brainstem stroke syndromes followed mechanical cervical manipulation; vascular injury was confirmed angiographically. A comprehensive review of the literature on vertebrobasilar injuries disclosed the various mechanisms of injury and pathogenesis of subsequent vascular complications following cervical manipulation. Emphasis is given to the potentially devastating neurological complications, particularly in view of the increasing utilization of chiropractic therapy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Basilar Artery / diagnostic imaging*
  • Basilar Artery / injuries*
  • Chiropractic*
  • Female
  • Humans
  • Intracranial Embolism and Thrombosis / etiology*
  • Lateral Medullary Syndrome / diagnostic imaging
  • Lateral Medullary Syndrome / etiology*
  • Male
  • Neck*
  • Radiography
  • Vertebral Artery / diagnostic imaging
  • Vertebral Artery / injuries*