Adverse events associated with chiropractic care of children.

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Adverse events associated with chiropractic care of children.

A systematic review has identified 34 cases in which spinal manipulation in

children was associated with adverse events. [Vohra S. Adverse events

associated with pediatric spinal manipulation: A systematic review.

Pediatrics 119(1) January 2007, pp. e275-e283] HYPERLINK

" http://pediatrics.aappublications.org/cgi/reprint/119/1/e275?maxtoshow= & HIT

S=10 & hits=10 & RESULTFORMAT= & fulltext=chiropractic & searchid=1 & FIRSTINDEX=0 & vol

ume=119 & issue=1 & resourcetype=HWCIT " http://pediatrics.aappublications.org/cgi

/reprint/119/1/e275?maxtoshow= & HITS=10 & hits=10 & RESULTFORMAT= & fulltext=chirop

ractic & searchid=1 & FIRSTINDEX=0 & volume=119 & issue=1 & resourcetype=HWCIT

Fourteen of the cases involved " direct " events in which the treatment was

followed by death, serious injury, symptoms requiring medical attention, or

soreness. The rest involved " indirect " events in which appropriate diagnosis

was delayed and/or inappropriate manipulation was done for serious medical

conditions such as meningitis. The reviewers commented that despite the fact

that spinal manipulation is widely used on children, pediatric safety data

are virtually nonexistent. This type of review cannot determine how often

adverse events occur. That would require a prospective study with active

surveillance. The article did not consider harmful aspects of chiropractic

care that are far more common than the reported events.

These include (a) decreased use of immunization due to misinformation given

to parents, ( psychologic harm related to unnecessary treatment, ©

psychologic harm caused by exposure to false chiropractic beliefs about

" subluxations, "

HYPERLINK

" http://www.chirobase.org/01General/chirosub.html " http://www.chirobase.org/0

1General/chirosub.html and (d) financial harm due to unnecessary treatment.

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