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Australasian Chiropractic & Osteopathy logoLink to Australasian Chiropractic & Osteopathy
. 2003 Mar;11(1):9–15.

RISK MANAGEMENT FOR CHIROPRACTORS AND OSTEOPATHS

Neck Manipulation & Vertebrobasilar Stroke

John W Reggars, Simon D French, Bruce F Walker, Melainie Cameron, Henry Pollard, Andrew Vitiello, Peter D Werth
PMCID: PMC2051301  PMID: 17987199

Abstract

Although rare, vertebrobasilar stroke is the best known of the possible side effects of cervical manipulation. Due to the serious sequelae that may result from cervical manipulation, chiropractors and osteopaths must take the appropriate steps to ensure the risk is minimised. This article outlines how the astute practitioner can minimise this risk. Practitioners must decide on the options for treatment of a patient with neck problems. Practitioners must also advise the patient of these options as part of an appropriate informed consent.

Keywords: Chiropractic, stroke, manipulation

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