The relation between the spatial distribution of vertebral artery compromise and exposure to cervical manipulation

Journal of Neurology
Gregory N KawchukMichael D Hill

Abstract

The vertebral artery is made up of four segments, one of which (V3) is connected to highly mobile cervical vertebrae. This connection underlies the common assumption that persons with pre-event histories of mechanical neck movements, such as cervical spine manipulation (cSMT), should experience increased V3 dissection. Two of the largest case series of vertebral artery dissection describing subjects with and without a specific history of cSMT were reassessed to determine which segment(s) of the vertebral artery was most commonly compromised. The V3 segment was the most commonly involved vertebral artery segment in both the +cSMT group (e.g., V3 vs. V1 prevalence ratio (PR) = 8.46) and the -cSMT group (V3 vs. V1 PR = 4.00). However, V3 vulnerability was augmented by the effect of cSMT. The joint effect of V3 location and exposure to cSMT was greater than if each effect were simply combined. In addition,multiple site lesions were significantly more common than single sites in both the +cSMT group (PR = 2.67, p = 0.008) and the -cSMT group (PR = 2.44, p = 0.0008). In prior studies which identified vertebral artery compromise, those with a history of cSMT were more likely to have involvement of the V3 segment. Although this study d...Continue Reading

References

Sep 1, 1977·Archives of Neurology·S H HanusD H Harter
Jul 1, 1992·Journal of Neurology·E Josien
Nov 1, 1987·Stroke; a Journal of Cerebral Circulation·J L MasD Laplane
Jun 1, 1988·Neurology·B MokriD G Piepgras
Mar 1, 1985·Archives of Neurology·M B KatirjiR E Latchaw
Jan 1, 1981·Stroke; a Journal of Cerebral Circulation·D G ShermanJ D Easton
Apr 28, 1993·JAMA : the Journal of the American Medical Association·M I Weintraub
Feb 1, 1996·Stroke; a Journal of Cerebral Circulation·E Bartels, K A Flügel
Mar 1, 1996·Journal of Computer Assisted Tomography·J M ProvenzaleD Gress
May 1, 1997·Neuroradiology·M MascalchiD Inzitari
Oct 23, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·W ShowalterS O Henderson
Dec 22, 1999·Forensic Science International : Synergy·J T GrayM A Green
Nov 4, 2000·Journal of Child Neurology·T E Lotze, J Paolicchi
Nov 30, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·A B SaeedD Emery
Dec 12, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·J H ShinH K Leei
Sep 6, 2001·Stroke; a Journal of Cerebral Circulation·D M RothwellJ I Williams
Oct 13, 2001·Journal of Neurology·K KonnoI Saito
Oct 19, 2001·Journal of Neurology, Neurosurgery, and Psychiatry·K LascellesV Ganesan
Mar 7, 2002·Neurological Research·Young-Seob Chung, Dae-Hee Han
Mar 27, 2002·Cerebrovascular Diseases·Diana Czechowsky, Michael D Hill
Aug 27, 2002·Journal of Neurology·Scott HaldemanMarion McGregor
Oct 17, 2002·Journal of Manipulative and Physiological Therapeutics·Bruce P SymonsWalter Herzog
Dec 6, 2002·Journal of Manipulative and Physiological Therapeutics·J SédatP Paquis
Oct 31, 2003·Journal of Neurology·Rainer DziewasE Bernd Ringelstein
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Scott HaldemanCosta Papadopoulos
Nov 18, 2003·Journal of Neurology, Neurosurgery, and Psychiatry·M J LewisH R Jäger
Dec 16, 2003·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Michael D Hill
Feb 27, 2004·Medicine, Science, and the Law·F De GiorgioE Fernandez
Apr 8, 2004·The Journal of Laryngology and Otology·Outi PelkonenKyösti Sotaniemi
Dec 23, 2004·Journal of Manipulative and Physiological Therapeutics·Gregory N KawchukTodd Anderson
Jun 22, 2005·European Radiology·Keng Yeow TayJonathan H Gillard
Sep 9, 2006·Stroke; a Journal of Cerebral Circulation·Marcel ArnoldRalf W Baumgartner

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Citations

Nov 19, 2013·Journal of Manipulative and Physiological Therapeutics·Jairus J QuesneleGreg D Wells
Jun 11, 2010·Journal of Manipulative and Physiological Therapeutics·Sarah WuestWalter Herzog
May 16, 2009·Manual Therapy·Dawn CarnesMartin Underwood
Aug 4, 2016·Chinese Journal of Integrative Medicine·Min YaoXue-Jun Cui
Feb 2, 2011·Stroke; a Journal of Cerebral Circulation·Thomas G BrottUNKNOWN American Academy of Neurology and Society of Cardiovascular Computed Tomography
Feb 2, 2011·Stroke; a Journal of Cerebral Circulation·Thomas G BrottUNKNOWN American Academy of Neurology and Society of Cardiovascular Computed Tomography
May 17, 2017·Journal of Back and Musculoskeletal Rehabilitation·Douglas S CreightonMelissa Walter

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