Missed cervical spine fracture: Chiropractic implications

Pathological Cervical Fracture after Spinal Manipulation in a Pregnant Patient

“…5,7 Missed cervical spine fractures after trauma may also be a source for complications in the connection with spinal manipulation. 13 A careful review of the radiographic examination is recommended in patients with previous cervical spine trauma to rule out contraindications for manipulation such as fracture or instability. 14,15 Typical causes for missed contraindications after cervical trauma are initially incomplete or false-negative interpreted radiographs.…”

The pediatric spine: Anatomical and dynamic considerations preceding manipulation

“…Nonetheless, physical forces directed at the spine, such as high-velocity manipulation, can be extremely detrimental to the child, especially an already injured patient [24][25] or one with a reduced tolerance to applied loads, such as Gaucher disease, Down syndrome, hyperparthyroidism, and myelodysplasia, among many others. Some acute spinal fractures may exhibit minimal or no symptoms, further masking diagnosis.…”