Safety of Chiropractic Interventions A Systematic Review

Study Design. Systematic review of reported adverse events. Objective. To evaluate the tolerability and safety of chiropractic procedures. Summary of Background Data. Despite the increasing popularity of chiropractic, there are few properly de-signed prospective controlled trials, and there is a dispro-portionate lack of evaluation of its safety profile. The literature reports multiple neurologic complications of spinal manipulation, some of which are clinically relevant and even life threatening. Methods. We performed an electronic search in 2 da-tabases: Pubmed and the Cochrane Library for the years 1966 to 2007. All articles that reported adverse reactions associated with chiropractic were included irrespective o