Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment.

Abstract

OBJECTIVE:

To provide a qualitative systematic review of the risk of spinal manipulation in the treatment of lumbar disk herniations (LDH) and to estimate the risk of spinal manipulation causing a severe adverse reaction in a patient presenting with LDH.

DATA SOURCES:

Relevant case reports, review articles, surveys, and investigations regarding treatment of lumbar disk herniations with spinal manipulation and adverse effects and associated risks were found with a search of the literature.

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