Thiel H W
Department of Orthopaedics, University Hospital, Saskatoon, Saskatchewan, Canada.
J Manipulative Physiol Ther. 1991 Feb;14(2):133-41.
Cerebrovascular accidents are an uncommon, but well documented, complication of cervical spine manipulation. This paper reviews vertebral artery gross morphology and pathoanatomy as they relate to possible mechanisms of injury to this vessel. Certain positions of the head and neck can lead to vertebral artery compromise and may ultimately lead to a cerebrovascular accident. The results obtained from a cadaver study on vertebral artery diameter at the site of the posterior arch of atlas are also presented.
脑血管意外是颈椎推拿一种罕见但有充分文献记载的并发症。本文综述了椎动脉的大体形态和病理解剖，及其与该血管可能的损伤机制的关系。头颈部的某些位置可导致椎动脉受压，最终可能导致脑血管意外。文中还展示了一项关于寰椎后弓处椎动脉直径的尸体研究结果。
