Ernst E
Department of Complementary Medicine, School of Postgraduate Medicine and Health Sciences, University of Exeter, Exeter, United Kingdom.
J Pain Symptom Manage. 2001 Mar;21(3):238-42. doi: 10.1016/s0885-3924(00)00262-1.
Spinal manipulation (SM) is a popular form of treatment of back and neck pain, as well as of other conditions. Uncertainty exists as to its safety. The aim of this systematic review was to summarize the data of all prospective investigations into the safety of SM. Five independent literature searches were carried out to identify all such studies. Data were extracted and validated according to pre-defined criteria. Five investigations met the inclusion criteria. The most valid studies suggest that about half of all patients will experience adverse events after chiropractic SM. These events are usually mild and transient. No reliable data exist about the incidence of serious adverse events. These data indicate that mild and transient adverse events seem to be frequent. Serious adverse events are probably rare but their incidence can only be estimated at present. Further prospective investigations are needed to define their incidence more closely.
脊柱推拿（SM）是治疗背部和颈部疼痛以及其他病症的一种常用治疗方式。其安全性尚不确定。本系统评价的目的是总结所有关于脊柱推拿安全性的前瞻性研究数据。进行了五项独立的文献检索以识别所有此类研究。数据根据预先定义的标准进行提取和验证。五项研究符合纳入标准。最有效的研究表明，大约一半的患者在接受整脊脊柱推拿后会出现不良事件。这些事件通常是轻微且短暂的。关于严重不良事件的发生率尚无可靠数据。这些数据表明，轻微和短暂的不良事件似乎很常见。严重不良事件可能很少见，但目前只能估计其发生率。需要进一步的前瞻性研究来更精确地确定其发生率。
