Response to critiques of deaths after chiropractic

@article{Ernst2011ResponseTC,
  title={Response to critiques of deaths after chiropractic},
  author={Edzard Ernst},
  journal={International Journal of Clinical Practice},
  year={2011},
  volume={65}
}
  • E. Ernst
  • Published 1 January 2011
  • Medicine
  • International Journal of Clinical Practice
To the Editor: These interesting comments merit a short response. Wenban and Bennett are correct in stating that RCTs are insufficient tools for studying adverse effects (AEs). The main reason is that, for rare AEs, one requires sample sizes much larger than those of the average RCT. Specifically for manual therapies, it has recently been noted that about half of all published RCTs fail to report AEs completely (1), an overt omission and violation of research ethics that is likely to distort… 
Deaths after chiropractic spinal manipulations: a reply
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
Deaths after chiropractic: a comment
  • M. Haynes
  • Medicine
    International journal of clinical practice
  • 2011
TLDR
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’.
Safety of Chiropractic Spinal Manipulations: With a Review
TLDR
The aim of this review is to investigate the risk of serious complications of chirporactic spinal manipulations to enlighten further understanding on their prevention.
POTENTIAL VASCULAR COMPLICATIONS OF CHIROPRACTIC CERVICAL MANIPULATIONS: A REVIEW
Chiropractic is a system of complementary medicine based on the diagnosis and manipulative treatment of misalignments of the joints, especially those of the spinal column. During the last decade, the
Screening for the detection of impaired fasting glucose, impaired glucose tolerance and type 2 diabetes in Welfare Homes Residents from south‐eastern region of Poland
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

References

SHOWING 1-9 OF 9 REFERENCES
Deaths after Chiropractic: A Review of Published Cases
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
Chiropractic claims in the English-speaking world.
TLDR
The majority of chiropractors and their associations in the English-speaking world seem to make therapeutic claims that are not supported by sound evidence, whilst only 28% of chiropractor websites promote lower back pain, which is supported by some evidence.
Effectiveness of manual therapies: the UK evidence report
TLDR
Spinal manipulation/mobilization is effective in adults for chronic low back pain and chronic neck pain and it is not effective for infantile colic and asthma when compared to sham manipulation, and for Stage 1 hypertension when added to an antihypertensive diet.
Cervical artery dissection—clinical features, risk factors, therapy and outcome in 126 patients
TLDR
Multivariate analysis showed that the variables stroke and arterial occlusion were the only independent factors associated with a poor outcome, and emphasises the potential dangers of chiropractic manipulation of the cervical spine.
Dissecting aneurysm of the vertebral artery and cervical manipulation
TLDR
A 35-year-old woman with 3 weeks of cervical pain developed ischemia in the badar artery temtory following cervical manipulation, and there was a dissecting aneurysm within the third segment of the right vertebral artery, indicating recurring bleeding.
Chiropractic claims in the Englishspeaking world
  • New Zealand Med J
  • 2010
Vascular accidents after chiropractic spinal manipulation: myth or reality
  • Perfusion
  • 2010
Rupturen und Thrombosen der Arteria vertebralis nach gedeckten mechanischen Insulten
  • Schweiz Arch Neurol Neurorchir Psych
  • 1976