Should we abandon cervical spine manipulation for mechanical neck pain? Yes
- Publisher: BMJ Publishing Group
RC | Vertebrobasilar stroke | Verterbral artery dissection | Risk | Cervical spine manupulation
Cervical spine manipulation (a high velocity, low amplitude, end range thrust manoeuvre) is a common\ud treatment option for mechanical neck pain yet may carry the potential for serious neurovascular\ud complications, specifically vertebral artery dissection and subsequent vertebrobasilar stroke. The nonsuperiority\ud of manipulation to alternative treatments, coupled with concerns regarding safety, renders\ud cervical spine manipulation unnecessary and inadvisable.