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Safety of Chiropractic Medicine |
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Risk of Vertebrobasilar Stroke and Chiropractic Care
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- 10 year study
- Population: 109,020,875 persons included in study
- No evidence of excess risk of VBA stroke associated with D.C. vs. PCP care
- The increased risks of VBA stroke associated with chiropractic and PCP visits is likely explained by patients with VBA related neck pain and headache consulting both chiropractors and PCP’s prior to their VBA stroke
- Spine. 2008; 33(4S): 176-83
Journal of Manipulative and Physiologic Therapeutics. 2004 Mar-Apr;27(3):197-210.
Risk of spinal manipulation causing a clinically worsening disk herniation or cauda equina syndrome in a patient is less then 1 in 3.7 million
RAND Study. Appropriateness of Mobilization and Manipulation of the Cervical Spine. 1996.
TREATMENT RISKS IN PERSPECTIVE
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Treatment
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Complication
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Incidence
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Cervical spine manipulation
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VAD or Neuro
Major impairment
Death
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1.46/1,000,000
6.39/10,000,000
2.68/10,000,000
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Cervical spine surgery
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Neuro complication
Death
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15.6/1000
2.6/1000
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NSAID’S
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Serious GI events
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1/1000
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Eisenburg, D. Harvard Medical School Dept of Cont. Ed. Alternative Medicine: Implication for Clinical Practice
TREATMENT RISKS IN PERSPECTIVE
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Treatment
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Complication
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Incidence
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Lumbar manip.
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Cauda equina syn
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1 per 100 mil
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Cervical manip.
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VBD/CVA
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1 per 1 mil
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Cervical manip.
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Death
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1 per 4 mil
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NSAID GI-bleed
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Death
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400 per 1 mil
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Cervical spine surgery
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Death
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700 per 1 mil
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Pennsylvania Malpractice Rates – A True Assessment of Risk
- Chiropractic Malpractice
- First Year Chiropractic Physician
- 30 year Chiropractic Physician
- Medical Malpractice
- General Surgeon
- Internist
- Ob/Gyn
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Connect with the Hetrick Center for information and assistance.
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