title: Chiropractic care of acute low back pain and incidental spina bifida occulta: a case report.
abstract: OBJECTIVE
  The purpose of this case report is to describe chiropractic care of an adolescent with acute low back pain and incidental finding of spina bifida occulta managed with high-velocity low-amplitude manipulation.
  
  
  METHODS
  A 10-year-old boy was referred for chiropractic care by his pediatrician for the management of low back pain after a fall 3 days prior. Examination and medical records revealed the patient also had spina bifida occulta at the level of L5.
  
  
  RESULTS
  High-velocity low-amplitude treatment for lower back pain showed resolution of patient's pain after 6 visits. No adverse effects were reported.
  
  
  CONCLUSIONS
  An adolescent patient with lower back pain and incidental finding of spina bifida occulta improved with a course of care that included with high-velocity low-amplitude manipulation therapy.
authors.affiliation: Assistant Professor, Palmer College of Chiropractic Clinics, Port Orange, FL.
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Cofano
authors.affiliation: Doctor of Chiropractic, Oviedo, FL.
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Anderson
authors.affiliation: Doctor of Chiropractic, Milwaukee, WI.
authors.forename: Eric R
authors.initials: ER
authors.lastname: Stumpff
keywords: Chiropractic; Low back pain; Manipulation; Spina bifida occulta; Spinal