tailieunhanh - báo cáo khoa học: "Partial tetraplegic syndrome as a complication of a mobilizing/manipulating procedure of the cervical spine in a man with Forestier’s disease: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Partial tetraplegic syndrome as a complication of a mobilizing/manipulating procedure of the cervical spine in a man with Forestier’s disease: a case report | Hartel et al. Journal of Medical Case Reports 2011 5 529 http content 5 1 529 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Partial tetraplegic syndrome as a complication of a mobilizing manipulating procedure of the cervical spine in a man with Forestier s disease a case report 1 21 3 2 Maximilian J Hartel Ulrich Seidel Lukas Iselin Aristomenis K Exadaktylos and Lorin M Benneker Abstract Introduction Even if performed by qualified physical therapists spinal manipulation and mobilization can cause adverse events. This holds true particularly for the cervical spine. In light of the substantial risks the benefits of cervical spine manipulation may be outweighed by the possibility of further injury. Case presentation We present the case of a 56-year-old Caucasian man with Forestier s disease who went to see a physiotherapist to relieve his aching neck while on a holiday trip. Following the procedure he was transferred to a local hospital with a partial tetraplegic syndrome due to a cervical 6 7 luxation fracture. Reportedly the physiotherapist took neither a detailed history nor adequate diagnostic measures. Conclusions This case highlights the potentially dangerous complications associated with cervical spine mobilization manipulation. If guidelines concerning cervical spine mobilization and manipulation practices had been followed this adverse event could have been avoided. Introduction Even if performed by qualified physical therapists spinal manipulation and mobilization of the cervical spine in particular can cause severe adverse events. There has been doubt that the benefits of manipulation and mobilization at the cervical spine outweigh the risks linked to it 1-4 . Several potentially life-threatening complications following spinal manipulation have been reported 5-11 . Here we describe an example of a severe non-vascular complication. The adverse event may likely have been avoided if the physical therapist had taken a .