Stevinson Clare, Ernst Edzard
Department of Complementary Medicine, School of Sport and Health Sciences, University of Exeter, Exeter, United Kingdom.
Am J Med. 2002 May;112(7):566-71. doi: 10.1016/s0002-9343(02)01068-9.
The aim of this systematic review was to summarize the evidence about the risks of spinal manipulation. Articles were located through searching three electronic databases (MEDLINE, EMBASE, Cochrane Library), contacting experts (n =9), scanning reference lists of relevant articles, and searching departmental files. Reports in any language containing data relating to risks associated with spinal manipulation were included, irrespective of the profession of the therapist. Where available, systematic reviews were used as the basis of this article. All papers were evaluated independently by the authors. Data from prospective studies suggest that minor, transient adverse events occur in approximately half of all patients receiving spinal manipulation. The most common serious adverse events are vertebrobasilar accidents, disk herniation, and cauda equina syndrome. Estimates of the incidence of serious complications range from 1 per 2 million manipulations to 1 per 400,000. Given the popularity of spinal manipulation, its safety requires rigorous investigation.
本系统评价的目的是总结有关脊柱推拿风险的证据。通过检索三个电子数据库（MEDLINE、EMBASE、Cochrane图书馆）、联系专家（n = 9）、浏览相关文章的参考文献列表以及搜索部门档案来查找文章。纳入任何语言的包含与脊柱推拿相关风险数据的报告，无论治疗师的专业是什么。如有可用的系统评价，则以此作为本文的基础。所有论文均由作者独立评估。前瞻性研究的数据表明，在接受脊柱推拿的所有患者中，约有一半会发生轻微、短暂的不良事件。最常见的严重不良事件是椎基底动脉意外、椎间盘突出和马尾综合征。严重并发症的发生率估计范围为每200万次推拿中有1例至每40万次中有1例。鉴于脊柱推拿的普及程度，其安全性需要进行严格调查。
