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Compression fractures in patients undergoing spinal manipulative therapy.
1Department of Neurology, University of California, Irvine.
Journal of Manipulative and Physiological Therapeutics
|September 1, 1992
Summary
Chiropractic care for elderly patients with osteoporosis carries risks. Spinal adjustments may worsen compression fractures, increasing pain and disability. X-rays before treatment are recommended for at-risk individuals.
Area of Science:
- Geriatric medicine
- Orthopedics
- Chiropractic care
Background:
- Elderly patients increasingly seek chiropractic care.
- Osteoporosis of the spine is common in the elderly, increasing fracture risk.
- Chiropractic adjustments are a common intervention for spinal issues.
Observation:
- Four cases of compression fractures following chiropractic adjustments are presented.
- These cases raise concerns about the link between adjustments and fractures.
- Failure to diagnose existing fractures before adjustment is noted.
Findings:
- Chiropractic adjustments applied to areas with compression fractures can exacerbate symptoms.
- Delayed diagnosis and inappropriate treatment prolong recovery and disability.
- The relationship between spinal manipulation and fracture occurrence requires careful consideration.
Implications:
- Radiographic evaluation (X-ray) is crucial before chiropractic treatment for elderly osteoporotic patients, especially after falls or injuries.
- Practitioners should exercise caution when treating elderly patients with known or suspected osteoporosis.
- This highlights the importance of differential diagnosis in geriatric chiropractic care.