Weinstein S M, Cantu R C
Puget Sound Sports Physicians, Seattle, WA 98105.
Med Sci Sports Exerc. 1991 Oct;23(10):1119-21.
Cervical spine trauma can clearly result in neurologic injury. An unusual traumatic event is a vascular insult of the vertebral arteries, potentially leading to stroke. The vertebral arteries are vulnerable to compression at several sites in the cervical spine. The high degree of physiologic rotation at the atlanto-axial joint places the vertebral artery at risk through normal daily activities as well as following forceful trauma, including manipulative treatment. Cerebrovascular insufficiency is an uncommon but serious complication of cervical spinal manipulation, which can lead to posterior circulatory impairment. Comprehensive diagnostic studies may be required to differentiate primary intracranial pathology from cerebral symptoms secondary to vascular compromise.
颈椎创伤显然会导致神经损伤。一种不寻常的创伤事件是椎动脉的血管损伤，有可能导致中风。椎动脉在颈椎的几个部位易受压迫。寰枢关节处高度的生理性旋转使椎动脉在正常日常活动以及遭受强力创伤（包括手法治疗）后都处于危险之中。脑血管供血不足是颈椎手法治疗中一种罕见但严重的并发症，可导致后循环障碍。可能需要进行全面的诊断研究，以区分原发性颅内病变与血管受损继发的脑部症状。
