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Joint Bone Spine
Volume 71, n° 4
pages 334-337 (juillet 2004)
Doi : 10.1016/S1297-319X(03)00154-4
Received : 14 January 2003 ;  accepted : 26 May 2003
Caudal spinal cord ischemia after lumbar vertebral manipulation

Xavier  Morandi a * ,  Laurent  Riffaud a ,  Jephte  Houedakor b ,  Seyed F.A.  Amlashi a ,  Gilles  Brassier a ,  Philippe  Gallien b
aNeurosurgery Department, Pontchaillou Hospital, 2 rue Henri-Le-Guilloux, 35033 Rennes cedex, France 
bFunctional Rehabilitation Unit, Pontchaillou Hospital, Rennes, France 

*Corresponding author.

Neurological complications after lumbar spine manipulation are uncommon. The cause is usually a herniated disk or displaced bony structure. We report a case of paraplegia that developed a few hours after manipulation of the lumbar spine. Magnetic resonance imaging was consistent with ischemia of the caudal spinal cord. No disk fragment or bony structure impinging on the spinal cord was seen. Spinal cord ischemia may deserve to be added to the list of possible adverse events after lumbar spine manipulation.

Mots clés  : Vertebral manipulation ; Complications ; Spinal cord infarction ; Disk material embolism ; Fibrocartilaginous embolism.

© 2003  Published by Elsevier Masson SAS.

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