title: Ruptured cervical disc after spinal manipulation therapy: report of two cases.
abstract: METHODS
  Case reports of ruptured cervical disc after spinal manipulation therapy.
  
  
  OBJECTIVE
  To present the rare cases of ruptured cervical disc temporally related to spinal manipulation therapy.
  
  
  BACKGROUND
  The complication of ruptured cervical disc was rare in the literature.
  
  
  METHODS
  Two patients developed cervical myelopathy or radiculopathy after spinal manipulation therapy, and magnetic resonance imaging showed herniated cervical discs at C4-C5 and C6-C7, respectively.
  
  
  RESULTS
  Anterior cervical discectomy was performed, and ruptured disc fragments were removed in these two patients. Both patients had good neurologic recovery after operation, and no neurologic deficits were noted after 15 and 6 months of follow-up, respectively.
  
  
  CONCLUSIONS
  The experience of these two patients reminds us that cervical disc rupture can occur during a course of cervical spinal manipulation. Full neurologic recovery is achievable if accurate diagnosis and prompt surgical treatment are done.
authors.affiliation: Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan. tsh@ha.mc.ntu.edu.tw
authors.forename: Sheng-Hong
authors.initials: SH
authors.lastname: Tseng
authors.forename: Swei-Ming
authors.initials: SM
authors.lastname: Lin
authors.forename: Yun
authors.initials: Y
authors.lastname: Chen
authors.forename: Chih-Hsien
authors.initials: CH
authors.lastname: Wang
mesh_terms: D000328:Adult; D017586:Diskectomy; D006801:Humans; D007403:Intervertebral Disc / Q000473:pathology / Q000601:surgery; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D020393:Manipulation, Spinal / Q000009:adverse effects*; D009333:Neck; D019838:Neck Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011843:Radiculopathy / Q000209:etiology; D020127:Recovery of Function; D012421:Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013118:Spinal Cord Diseases / Q000209:etiology