title: Upper Trunk Brachial Plexus Palsy Following Chiropractic Manipulation.
abstract: BACKGROUND
  Upper trunk brachial plexus palsy can result from high-energy trauma and has never been reported following spinal manipulation.
  
  
  BACKGROUND
  The case is presented of a patient who developed an acute brachial plexus upper trunk palsy following spinal manipulative therapy.
  
  
  CONCLUSIONS
  Discussion is made on the incidence of complications following manipulation and recommendations to prospectively capture all serious complications.
  
  
  CONCLUSIONS
  Risks exist with spinal manipulative therapy. Neurological injury can occur. Risk assessment and re-examination should occur at every visit. Large rigorous prospective studies are required to identify the true incidence of serious complications resulting from manipulative therapy and the benefit:risk ratio.
authors.affiliation: Department of Orthopaedic Surgery, Royal Melbourne Hospital , Parkville, VIC , Australia.
authors.forename: John
authors.initials: J
authors.lastname: Cunningham
authors.affiliation: Department of Orthopaedic Surgery, Royal Melbourne Hospital, Parkville, VIC, Australia; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia.
authors.forename: Wayne
authors.initials: W
authors.lastname: Hoskins
authors.affiliation: Victorian Plastic Surgery Unit, St Vincent's Private Hospital , East Melbourne, VIC , Australia.
authors.forename: Scott
authors.initials: S
authors.lastname: Ferris
keywords: Erb’s palsy; brachial plexus injury; chiropractic; manipulation; upper trunk