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Case Report

Atlantoaxial Subluxation Caused by Spinal Manipulation: A case report.

Park, Choong Hyun , Chun, Dong Jin , Lee, Sung Jae , Kwon, Bum Sun , Kim, Seung Cheol
Journal of the Korean Academy of Rehabilitation Medicine 2001;25(4):720-723.
1Department of Rehabilitation Medicine, Dankook University.
2Department of Radiology, College of Medicine, Dankook University.
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A 29 years old woman had suffered from posterior neck and right shoulder pain for one year. She was given a spinal manipulation that was by a non-licentiate at a non-hospital. Posterior neck and shoulder pains were worsened and headache was developed after the spinal manipulation. She was recommended to be kept on the manipulation. Although physical finding was non-specific, radiologic findings of CT and MRI revealed atlantoaxial subluxation. After cervical immobilization and anti-inflammatory drug medication for three months, she recovered and did return to her work. We expect that atlantoaxial subluxation after spinal manipulation is not rare even in healthy young person without underlying pathology and can progress to serious complications unless detailed examination and management are undertaken.

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