Document Detail

Cauda equina syndrome in patients undergoing manipulation of the lumbar spine.
MedLine Citation:
PMID:  1471004     Owner:  NLM     Status:  MEDLINE    
Cauda equina syndrome has been implicated as a potential complication of spinal manipulation. A review of the literature from 1911 to 1989 revealed ten reported cases of cauda equina syndrome in patients undergoing manipulation without anesthesia. This article presents three new cases where a temporal association was found between the onset of cauda equina symptoms and lumbar manipulation. The type of manipulation administered and the relationship between the treatment and symptoms is reviewed. In each of these cases both the chiropractic practitioner and the emergency room physician failed to comprehend the nature of the problem and take appropriate action. As a consequence, the patients went untreated for several days. This may have led to residual symptomatology. It is concluded that patients who present with bowel or bladder disturbances, leg weakness, or rectal and genital sensory changes after manipulation, be recognized as experiencing a cauda equina syndrome.
S Haldeman; S M Rubinstein
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  17     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-28     Completed Date:  1993-01-28     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1469-73     Citation Subset:  IM    
Department of Neurology, University of California-Irvine.
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MeSH Terms
Cauda Equina*
Low Back Pain / therapy
Lumbar Vertebrae*
Middle Aged
Nerve Compression Syndromes / epidemiology,  etiology*

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