• Corpus ID: 39707347

Deaths after Chiropractic: A Review of Published Cases

@inproceedings{Grainger2010DeathsAC,
  title={Deaths after Chiropractic: A Review of Published Cases},
  author={Ronald G. Grainger and K Strohecker},
  year={2010}
}
and Introduction Abstract Objective: The aim of this study was to summarise all cases in which chiropractic spinal manipulation was followed by death. Design: This study is a systematic review of case reports. Methods: Literature searches in four electronic databases with no restrictions of time or language. Main outcome measure: Death. Results: Twenty six fatalities were published in the medical literature and many more might have remained unpublished. The alleged pathology usually was a… 

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Critique of review of deaths after chiropractic, 3
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This article discussed 26 published fatal cases following chiropractic treatment, emphasising vascular accidents from vertebral artery dissection (VAD) after cervical spinal manipulative therapy (cSMT), and Ernst suggested that ‘causality is at least likely in such cases’.
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To the Editor: This response (1) confirms that many chiropractors find it impossible to accept the key messages regarding spinal manipulation therapy (SMT), namely that this therapy lacks a plausible
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To the Editor: It is widely acknowledged that the methodology and reporting of systematic reviews of adverse effects need to improve, and the systematic review titled, ‘Deaths after chiropractic: a review of published cases’ by Professor Edzard Ernst is read with interest.
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The authors criticise me for not evaluating the potential benefits of chiropractic and state that chiropractors cause most AEs because they perform most manipulations, a notion that I acknowledge and support in the discussion of my review.
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Reports of fatalities that have occurred after acupuncture, EDTA-chelation therapy, and chiropractic are summarized to highlight the rare but potentially serious nature of adverse events after CAM.
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Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders and the UK evidence report.
The risk associated with spinal manipulation: an overview of reviews
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References

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TLDR
It is concluded that serious cerebrovascular complications of spinal manipulation continue to be reported and large and rigorous prospective studies are necessary in order to define the risks of spinal manipulative therapies accurately.
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Spinal manipulation, particularly when performed on the upper spine, is frequently associated with mild to moderate adverse effects and can also result in serious complications such as vertebral artery dissection followed by stroke.
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TLDR
The Institute for Social Research at Ohio Northern University performed a survey of North American chiropractors, which found that adjustments were believed to improve conditions such as tension headaches, migraines, otitis media, and asthma.
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