Vertibobasilar Artery

Vertebral Artery Injuries in Cervical Spine Surgery

David J. Lunardini, MD Abstract Background Context Vertebral artery injuries (VAI) are rare but serious complications of cervical spine surgery, with the potential to cause catastrophic bleeding, permanent neurologic impairment and even death. The current literature regarding incidence of this complication is largely comprised of single surgeon or small multi-center case series. Purpose We sought […]

Vertebral Artery Injuries in Cervical Spine Surgery

David J. Lunardini, MD Abstract Background Context Vertebral artery injuries (VAI) are rare but serious complications of cervical spine surgery, with the potential to cause catastrophic bleeding, permanent neurologic impairment and even death. The current literature regarding incidence of this complication is largely comprised of single surgeon or small multi-center case series. Purpose We sought […]

Effect of Selected Manual Therapy Interventions for Mechanical Neck Pain on Vertebral and Internal Carotid Arterial Blood Flow and Cerebral Inflow.

Effect of Selected Manual Therapy Interventions for Mechanical Neck Pain on Vertebral and Internal Carotid Arterial Blood Flow and Cerebral Inflow. http://www.ncbi.nlm.nih.gov/m/pubmed/23813088/ Thomas LC, et al. Show all Journal Phys Ther. 2013 Jun 27. [Epub ahead of print] Affiliation L.C. Thomas, DipPhys, GradDipAppSc(ManipPhty), MMedSc (Physiotherapy), Discipline of Physiotherapy, School of Health Sciences, Faculty of Health, […]

Transient isolated brainstem symptoms preceding posterior circulation stroke: a population-based study

The Lancet Neurology Volume 12, No. 1, p 65–71, January 2013 Published: 01 December 2012 Background Transient isolated brainstem symptoms (eg, isolated vertigo, dysarthria, diplopia) are not consistently classified as transient ischaemic attacks (TIAs) and data for prognosis are limited. If some of these transient neurological attacks (TNAs) are due to vertebrobasilar ischaemia, then they […]

Vertebral artery strains during high-speed, low amplitude cervical spinal manipulation

W. Herzog Journal of Electromyography and Kinesiology Volume 22, Issue 5 , Pages 740-746, October 2012 Journal Reference Abstract Spinal manipulative therapy (SMT) has been recognized as an effective treatment modality for many back, neck and musculoskeletal problems. One of the major issues of the use of SMT is its safety, especially with regards to […]

The Safety of Cervical Manipulation: Putting Stroke Risk in Perspective, Part 2

By Anthony Rosner, PhD, LLD [Hon.], LLC Dynamic Chiropractic – June 3, 2011, Vol. 29, Issue 12 To date, the assessment options for vertebrobasilar artery risk have significant drawbacks and as a whole have been unable to identify any particular factor that is useful for screening.61-62 Provocation tests in particular are problematic in that in several […]

Spinal Manipulation is Not an Emerging Risk Factor for Stroke Nor is it Major Head/Neck Trauma. Don’t Just Read the Abstract!

Dean L Smith Open Neurol J. 2011; 5: 46–47. Published online May 30, 2011 PubMed Reference Dear Editor, We read with interest the article by Micheli et al. [1] describing the emerging risk factors for cervical artery dissection. In their abstract, the authors’ state, “Other known risks factors for CAD are major head/neck trauma like […]

The Safety of Cervical Manipulation: Putting Stroke Risk in Perspective, Part 1

By Anthony Rosner, PhD, LLD [Hon.], LLC Dynamic Chiropractic – May 20, 2011, Vol. 29, Issue 11 Relative Activity Risks Several studies have attempted to link chiropractic manipulation to adverse events, the most serious and widely studied being strokes following dissections of the vertebral artery.1-6 To begin to shed light on this problem, several retrospective studies against […]

Death by Chiropractic: Another Misbegotten Review

Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC ChiroACCESS The title of one of Edzard Ernst’s most recent articles, “Deaths after chiropractic: A review of published cases”,1 seems to have wasted no time in creating a worst-case scenario, frightening the reader from a profession which has successfully treated patients for 115 years and for which evidence supporting its […]

Risk of Vertebrobasilar Stroke and Chiropractic Care

Results of a Population-Based Case-Control and Case-Crossover Study J. David Cassidy, DC, PhD Journal of Manipulative and Physiological Therapeutics Volume 32, Issue 2, Supplement , Pages S201-S208, February 2009 Abstract Study Design Population-based, case-control and case-crossover study. Objective To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary […]