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Case Reports
. 2023 Dec 8;13(4).
doi: 10.2106/JBJS.CC.23.00291. eCollection 2023 Oct 1.

Chiropractic Manipulation Causing Anterior-Posterior Compression Type Pelvic Ring Injury: A Case Report

Matthew S Kerr  1 , Jonathan P Yawman  1 , John J Kelly  1 , M Kareem Shaath  1   2   3 , Joshua R Langford  1   2   3
Affiliations
Case Reports

Chiropractic Manipulation Causing Anterior-Posterior Compression Type Pelvic Ring Injury: A Case Report

Matthew S Kerr et al. JBJS Case Connect. .

Abstract

Case: We present a case of an anteroposterior compression (APC) type pelvic ring injury that occurred after chiropractic manipulation in a patient with a history of quadriplegia. Emergent surgical stabilization was undertaken, and he had an excellent outcome with no complications at 3.5-year follow-up.

Conclusion: APC type pelvic ring injuries usually occur to high-energy mechanisms. We describe a case of a patient with quadriplegia and osteopenia that suffered a pelvic ring injury because of a unique mechanism. Practitioners performing pelvic manipulation should be aware of this type of injury in at-risk patients.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C244).

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