Caudal spinal cord ischemia after lumbar vertebral manipulation.
Neurological complications after lumbar spine manipulation are uncommon. The cause is usually a herniated disk or displaced bony structure. We report a case of paraplegia that developed a few hours after manipulation of the lumbar spine. Magnetic resonance imaging was consistent with ischemia of the caudal spinal cord. No disk fragment or bony structure impinging on the spinal cord was seen. Spinal cord ischemia may deserve to be added to the list of possible adverse events after lumbar spine manipulation.
Morandi
Xavier
X
Neurosurgery Department, Pontchaillou Hospital, 2 rue Henri-Le-Guilloux, 35033 Rennes cedex, France. xavier.morandi@chu-rennes.fr
Riffaud
Laurent
L
Houedakor
Jephte
J
Amlashi
Seyed F A
SF
Brassier
Gilles
G
Gallien
Philippe
P
D002420:Cauda Equina / Q000293:injuries* / Q000473:pathology; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000473:pathology; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D026882:Manipulation, Chiropractic / Q000009:adverse effects*; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000473:pathology; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology; D013119:Spinal Cord Injuries