title: Multiple seizure-induced thoracic vertebral compression fractures: a case report.
abstract: BACKGROUND
  Musculoskeletal injuries stemming from forceful muscular contractions during seizures have been documented in the literature. Reports of multiple seizure-induced spinal fractures, in the absence of external trauma and without risk factors for fracture, are rare.
  
  
  METHODS
  A 28-year-old male, newly diagnosed with epilepsy, presented to a chiropractic clinic with the complaint of mid-thoracic pain beginning after a tonic-clonic seizure with no associated external trauma. Radiographs revealed the impression of five new vertebral compression fractures from T4 to T8.
  
  
  CONCLUSIONS
  This report highlights the importance of a complete history and examination of patients with a history of tonic-clonic seizures and back pain, especially when considering spinal adjustments.
  
  
  CONCLUSIONS
  This case report presents an argument that a tonic-clonic seizure, in the absence of external trauma or significant risk factors for fracture, resulted in multiple vertebral compression fractures.
authors.affiliation: Dalhousie University.
authors.forename: Peter
authors.initials: P
authors.lastname: Stilwell
authors.affiliation: Dalhousie University.
authors.forename: Katherine
authors.initials: K
authors.lastname: Harman
authors.affiliation: Canadian Memorial Chiropractic College.
authors.forename: William
authors.initials: W
authors.lastname: Hsu
authors.affiliation: Private practice, Halifax, NS.
authors.forename: Brian
authors.initials: B
authors.lastname: Seaman
keywords: back pain; chiropractic; compression fracture; seizure; spinal manipulation; thoracic