Sudden spinal cord injury after cervicothoracic manipulation therapy: illustrative case

This case highlights the importance of thorough clinical and radiological assessment prior to administering spinal manipulation in the cervical spine, particularly in patients with signs of sensory or motor dysfunction. Torticollis and muscular contractions in the limbs may be presenting signs of cervical stenosis and degenerative cervical myelopathy, thus requiring further neurological investigation before patients are considered for spinal manipulation therapy. https://thejns.org/doi/10.3171/CASE25304.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2025-08-11
DOI
https://doi.org/10.3171/case25304
Primary Topic
Cervical and Thoracic Myelopathy
Type
article
Field-Weighted Citation Impact
0.00
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article

Sudden spinal cord injury after cervicothoracic manipulation therapy: illustrative case

Granit Molliqaj, Aria Nouri, Alexandre Lavé, Enrico Tessitore et al.
Journal of Neurosurgery Case Lessons
Cervical and Thoracic Myelopathy
article

Sudden spinal cord injury after cervicothoracic manipulation therapy: illustrative case

Granit Molliqaj, Aria Nouri, Alexandre Lavé, Enrico Tessitore, Gianpaolo Jannelli, Simone Grannò, Karl Schaller
article en

Abstract

This case highlights the importance of thorough clinical and radiological assessment prior to administering spinal manipulation in the cervical spine, particularly in patients with signs of sensory or motor dysfunction. Torticollis and muscular contractions in the limbs may be presenting signs of cervical stenosis and degenerative cervical myelopathy, thus requiring further neurological investigation before patients are considered for spinal manipulation therapy. https://thejns.org/doi/10.3171/CASE25304.

Journal of Neurosurgery Case LessonsVol. 10(6)
University Hospital of Geneva (CH)
Good health and well-being
Openalex Percentile: Top 67%
Cervical and Thoracic Myelopathy
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