AUTHOR=Cunningham John , Hoskins Wayne , Ferris Scott 

TITLE=Upper Trunk Brachial Plexus Palsy Following Chiropractic Manipulation

JOURNAL=Frontiers in Neurology

VOLUME=7

YEAR=2016

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2016.00211

DOI=10.3389/fneur.2016.00211

ISSN=1664-2295

ABSTRACT=<sec id="ST1"><title>Introduction</title><p>Upper trunk brachial plexus palsy can result from high-energy trauma and has never been reported following spinal manipulation.</p></sec><sec id="ST2"><title>Background</title><p>The case is presented of a patient who developed an acute brachial plexus upper trunk palsy following spinal manipulative therapy.</p></sec><sec id="ST3"><title>Discussion</title><p>Discussion is made on the incidence of complications following manipulation and recommendations to prospectively capture all serious complications.</p></sec><sec id="ST4"><title>Concluding remarks</title><p>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.</p></sec>