Chir Narzadow Ruchu Ortop Pol. 1993 ; 58(2): 3-7.

[Complications of vertebral disc and spinal diseases after manipulation therapy]

Malawski S, Milecki M, Nowak-Misiak M, SokÃ³lski B, Szlapin M.

Kliniki Ortopedii CMKP w Otwocku.

Complications caused by manipulation therapy in 3 cases of spine condition and 22 cases of vertebral disc disease observed in relatively short period of time are presented. In the first instance the patients were not diagnosed by physician. In the second one in all cases the nucleus pulposus protruded under the anterior ligament or into the spinal canal. It resulted in marked worsening of the patient's condition. The mechanism of disc damage has been determined intraoperatively. The authors conclude that manual therapy not preceded by precise diagnosis is highly hazardous.