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A 45 year old male with presented to his internist with a two-week history of right sided neck pain and tenderness, accompanied by tingling in the hand. The internists’ neurological examination revealed nothing abnormal, except for a decreased range of motion of the right arm. He referred the patient to a chiropractor who performed plain X-rays which apparently showed “mild spasm” (how anyone can see spasm on an X-ray is beyond me!). No magnetic resonance imaging study was done.
http://edzardernst.com/2013/08/another-wheelchair-filled-with-the-help-of-a-c...
The chiropractor proceeded manipulating the patient’s neck on two successive days. By the morning of the third visit, the patient reported extreme pain and difficulty walking. Without performing a new neurological examination or obtaining a magnetic resonance study, the chiropractor manipulated the patient’s neck for a third time.
Thereafter, the patient immediately became quadriplegic. Despite undergoing an emergency C5 C6 anterior cervical diskectomy/fusion to address a massive disc found on the magnetic resonance scan, the patient remained quadriplegic. There seemed to be very little doubt that the quadriplegia was caused by the chiropractic spinal manipulation.
The authors of this report also argue that a major point of negligence in this case was the failure of both the referring internist and chiropractor to order a magnetic resonance study of the cervical spine prior to the chiropractic manipulations. In his defense, the internist claimed that there was no known report of permanent quadriplegia resulting from neck manipulation in any medical journal, article or book, or in any literature of any kind or on the internet. Even the quickest of literature searches discloses this assumption to be wrong. The first such case seems to have been published as early as 1957. Since then, numerous similar reports have been documented in the medical literature.
The internist furthermore claimed that the risk of this injury must be vanishingly small given the large numbers of manipulations performed annually. As we have pointed out repeatedly, this argument is pure speculation; under-reporting of such cases is huge, and therefore exact incidence figures are anybody’s guess.
The patient sued both the internist and the chiropractor, and the total amount of the verdict was $14,596,000.00 the internist’s liability was 5% ($759,181.65).
http://edzardernst.com/2013/08/another-wheelchair-filled-with-the-help-of-a-c...
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This is a reply to # 2,093,593
Other similar quadriplegia reports related to chiropractic which have been documented in the medical literature:
From:
http://edzardernst.com/2013/08/another-wheelchair-filled-with-the-help-of-a-c...
1965 Godlewski S. Assises Med 1965; 23 (2):81-92 Practitioner: Chiropractor. Patient: female. Age 66. Diagnostic des thromboses vertebro-basilaire QUADRIPLEGIA
1980 Schellhas KP, Latchaw RE, Wendling LR, Gold LHA. Vertebrobasilar injuries following cervical manipulation. J.A.M.A. 1980; 244 (13): 1450-3. Practitioner: Chiropractor Patient: female 36. Basilar artery occlusion. SPASATIC QUADRIPLEGIA. LOCK-IN SYNDROME.
1993 Neck911 case file Practitioner: Chiropractor Male age 39. QUADRAPLEGIC
1994 Bridges R. Trial or settlement. Circumstances that prompt the decision. J Chiropr 1994; 31 (I I): 44-7. Chiropractor. Patient: female. QUADRAPLEGIC. LOCKED IN SYNDROME.
1994 Neck911 data R.D. Ontario CANADA Practitioner: Chiropractor Patient: female age 30. QUADRAPLEGIC
1967 Sparks, Sandy California Practitioner: Chiropractor. Patient: female under 40 years. QUADRAPLEGIC
2000 CANADA Norris JW Beletsky V. Sudden neck movement and cervical artery dissection. REVIEW OF 21 CASES All cases are chiropractic. Specific breakdown of age and sex not available A) Vertebral artery dissections B) Carotid artery dissections. A) GENERALLY CAUSED ATAXIAS AND QUADRIPARESIS. B) GENERALLY CAUSE HEMIPARESIS. APHASIA
Dozens more chiropractic injury reports also listed here (including tetrapelgia and Locked-In Syndrome):
http://web.archive.org/web/20060924185308/http://www.chirovictims.org.uk/imag...
And here are two more:
Quadriplegia after chiropractic manipulation in an infant with congenital torticollis caused by a spinal cord astrocytoma:
An infant with congenital torticollis (twisted neck) underwent chiropractic manipulation, and within a few hours had respiratory insufficiency, seizures, and quadriplegia. Journal of Pediatrics (February 1992)
http://www.ncbi.nlm.nih.gov/pubmed/1735825?dopt=Abstract
Catastrophic complication of chiropractic manipulation: A report of quadriparesis: “Spinal manipulative therapy is a frequently applied therapy for back and neck pain. Carotid and vertebral artery trauma, cerebellar and brainstem stroke, fracture of odontoid process, and atlantoaxial dislocation due to chiropractic manipulation have been reported in the literature. We report an occurrence of quadriparesis after chiropractic manipulation…We believe that the manipulation in this patient led to the para central C6-C7 disc protrusion and subsequent quadriparesis due to temporal association with the maneuver, clinical plausibility, and lack of alternate explanation. Although the absolute risk due to neck manipulation is small, the risk-to-benefit ratio of manipulation for neck pain and prolapsed disc is unacceptably high.” American Journal of Medicine (November 2009)
http://www.amjmed.com/article/S0002-9343(09)00583-X/fulltext
One victim has even written a book about his chiropractic quadraplegia injury using a mouth/headstick:
Locked In: Chiropractic adjustment gone wrong
For forty-one year old Scott Tatro, owner of a successful excavation business, the summer of 2000 was typically busy until pain and soreness brought him to see a chiropractor, expecting to be back at work the next day. He would never return, instead relegated to a completely immobile position for months due to a brain stem stroke and resultant Locked-in Syndrome that occurred during treatment. His book, Locked In, completely compiled by using a mouth/headstick to type, details the unimaginable difficulties the condition presents and the heroic courage necessary to function at the most minimal level of movement.
https://scottslockedin.com/Home_Page.html
Readers should bear in mind that the above reports have made it to publication despite chiropractors having either no adverse event reporting systems, or extremely unreliable ones. The true frequency and severity of complications resulting from chiropractic interventions remains unknown.
From:
http://edzardernst.com/2013/08/another-wheelchair-filled-with-the-help-of-a-c...
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