Chiropractic Manipulation Causing Anterior-Posterior Compression Type Pelvic Ring Injury

Author:

Kerr Matthew S.1ORCID,Yawman Jonathan P.1ORCID,Kelly John J.1ORCID,Shaath M. Kareem123ORCID,Langford Joshua R.123ORCID

Affiliation:

1. Orlando Health Jewett Orthopedic Institute, Orlando, FL

2. Florida State University College of Medicine, Orlando, FL

3. University of Central Florida College of Medicine, Orlando, Florida

Abstract

Case: We present a case of an anteroposterior compression (APC) type pelvic ring injury that occurred after chiropractic manipulation in a patient with a history of quadriplegia. Emergent surgical stabilization was undertaken, and he had an excellent outcome with no complications at 3.5-year follow-up. Conclusion: APC type pelvic ring injuries usually occur to high-energy mechanisms. We describe a case of a patient with quadriplegia and osteopenia that suffered a pelvic ring injury because of a unique mechanism. Practitioners performing pelvic manipulation should be aware of this type of injury in at-risk patients.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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