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Updated: Nov 16, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Published on: November 8, 2024

Malpractice Litigation Involving Chiropractic Spinal Manipulation.

Davis A Hartnett¹, John D Milner¹, Dominic T Kleinhenz²

¹Warren Alpert School of Medicine of Brown University, Providence, Rhode Island, USA.

World Neurosurgery

|February 25, 2021

Summary

This summary is machine-generated.

Chiropractic malpractice cases predominantly alleged neurological injury, often requiring surgery. Despite claims of overaggressive treatment, most trials resulted in defense verdicts for chiropractors.

Keywords:

CAM Chiropractic Malpractice Manipulation Medicolegal Spinal injury Stroke

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Area of Science:

Legal Medicine
Chiropractic Medicine
Medical Malpractice Litigation

Background:

Medical malpractice litigation involving chiropractors presents complex medicolegal challenges.
Understanding trends in these cases is crucial for both practitioners and patients.

Purpose of the Study:

To evaluate the relationship between chiropractic spinal manipulation and medical malpractice claims.
To analyze the characteristics and outcomes of chiropractic malpractice lawsuits.

Main Methods:

A legal database (VerdictSearch) was queried for cases involving chiropractors and "medical malpractice" from 1988 to 2018.
Data collected included legal outcomes, payment amounts, claim nature, and injury types.

Main Results:

Forty-eight cases were identified, with 93.8% alleging spinal manipulation injuries.
The defense prevailed in 70.8% of cases; 66.7% alleged neurological injury, often requiring surgery.
Overaggressive manipulation was the most frequent allegation, with C5-C6 disc herniation being the most common specific injury.

Conclusions:

Chiropractic malpractice litigation frequently involves allegations of neurological injury and surgical intervention.
While plaintiffs often alleged overaggressive treatment, the majority of legal outcomes favored the defense.
Analysis of malpractice trends offers insights into the complexities of chiropractic care and patient safety.