Deaths after chiropractic: a review of published cases

@article{Ernst2010DeathsAC,
  title={Deaths after chiropractic: a review of published cases},
  author={Edzard Ernst},
  journal={International Journal of Clinical Practice},
  year={2010},
  volume={64}
}
  • E. Ernst
  • Published 1 July 2010
  • Medicine, Political Science
  • International Journal of Clinical Practice
Objective:  The aim of this study was to summarise all cases in which chiropractic spinal manipulation was followed by death. 
Deaths after Chiropractic: A Review of Published Cases
TLDR
All fatalities which occurred after chiropractic spinal manipulation and were published in the medical literature are summarized to provide the basis for an open discussion of the facts.
Critique of review of deaths after chiropractic, 2
TLDR
E Ernst states, ‘When carefully evaluating the known facts, one does arrive at the conclusion that causality is at least likely’, which is indeed a conclusion that may be contrived if you are selective in the facts you consider for your research.
Clinical and cost-effectiveness of manual therapy for the management of a variety of musculoskeletal and non-musculoskeletal conditions : a systematic review and narrative synthesis
TLDR
Title level Cost-effectiveness and cost-utility specific inclusion/exclusion criteria and state-of-the-art implementation and performance criteria.
The Case for Utilizing Prolotherapy as a Promising Stand-Alone or Adjunctive Treatment for Over-Manipulation
TLDR
This manual procedure, also known as ‘Grade V Mobilization,’ ‘adjustment,�’ and ‘spinal manipulation therapy’ is performed.
Low‐level laser therapy may be more effective and less risky than chiropractic manipulative therapy in the management of cervical facet dysfunction
TLDR
Chiropractic manipulative therapy and low-level laser therapy in the management of cervical facet dysfunction and J Manipulative Physiol Ther 2011; 34: 153–63.
Effect of the Chiropractic Adjustment on an Underrecognized Risk Factor for Stroke
TLDR
Some risk factors for stroke are well-known to the lay public and the health care practitioner community, but a less widely recognized risk factor – reduced lung volumes – is considered.
Death due to extensive cervicomedullary infarction following iatrogenic vertebral artery occlusion
  • Marian Wang
  • Medicine
    Forensic Science, Medicine, and Pathology
  • 2012
An 85 year old female with a medical history of hypertension and hyperlipidemia was newly diagnosed with carcinoma of the right breast with metastasis to the spine, resulting in a pathological
Is spinal manipulation effective for pain? An overview of systematic reviews.
TLDR
Collectively, these data fail to demonstrate that spinal manipulation is an effective intervention for pain management.
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References

SHOWING 1-10 OF 52 REFERENCES
Vertebral Artery Injuries Following Chiropractic Cervical Spine Manipulation —Case Reports
Four patients undergoing cervical spinal manipulations for nonneurologic diseases and with no previous neurologic signs or symptoms all developed significant neurologic deficits, one fatal, following
Complications of cervical manipulation: a case report of fatal brainstem infarct with review of the mechanisms and predisposing factors.
TLDR
This case report should alert the forensic pathologist to the possibility of cervical manipulation as a cause of acute brainstem infarction, and the mechanism and the predisposing factors to injury should be reviewed.
Safety in chiropractic practice, Part I; The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978-1988.
TLDR
Although the incidence of CVA after chiropractic SMT was confirmed to be low, there seems to be sufficient evidence to justify a firm policy statement cautioning against upper cervical rotation as a technique of first choice.
Cerebellar and spinal injuries after chiropractic manipulation.
TLDR
3 cases including necropsy observations in which cerebellar and spinal injury occurred are described in which at least 2 of these are unique, as no other comparable cases have been found.
Neurologic Complications of Head and Neck Manipulations: Report of Two Cases
TLDR
Two cases of neurological injury during manipulation of the head and neck are described: a 33-year-old woman who had already had one chiropractic manipulation, suddenly vomited during a second manipulation, became comatose, and died 3 days later.
Vertebral-basilar distribution infarction following chiropractic cervical manipulation.
TLDR
Although a causal relationship may be difficult to establish in individual cases, cervical manipulation seems to be the major identifiable factor in the pathogenesis of stroke in some patients.
Adverse effects of spinal manipulation.
TLDR
I find Professor Ernst's conclusion wildly overstated: the paper is embarrassing seen with international eyes.
Cerebrovascular Complications Associated with Spinal Manipulation
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.
Chiropractic: a critical evaluation.
  • E. Ernst
  • Medicine
    Journal of pain and symptom management
  • 2008
Abrupt Change in Head Position and Cerebral Infarction
Eight patients are described who developed infarctions in the rertebral-basilar artery distribution following chiropractic neck manipulation or spontaneous head turning. The angiographic and autopsy
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