Association between cervical artery dissection and spinal manipulative therapy -a medicare claims analysis.

ABSTRACT:

Background

Cervical artery dissection and subsequent ischemic stroke is the most serious safety concern associated with cervical spinal manipulation.

Methods

We evaluated the association between cervical spinal manipulation and cervical artery dissection among older Medicare beneficiaries in the United States. We employed case-control and case-crossover designs in the analysis of claims data for individuals aged 65+, continuously enrolled in Medicare Part A (covering hospitalizations) and Part B (covering outpatient encounters) for at least two consecutive years during 2007-2015. The primary exposure was cervical spinal manipulation; the secondary exposure was a clinical encounter for evaluation and management for neck pain or headache. We created a 3-level categorical varia

SUBMITTER: Whedon JM 

PROVIDER: S-EPMC9710172 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature