Abstract | OBJECTIVE: CLINICAL FEATURES: This patient acquired a traumatically induced syrinx in his upper cervical spinal cord after he fell approximately 9 feet and landed on his head, upper back, and neck 9 years before presenting for care. He was diagnosed with a spinal cord cyst (syrinx), located at approximately C2 through C4 after magnetic resonance imaging. In 1995, the patient underwent occipitoatlantal decompression surgery, which improved his symptoms for a short time. INTERVENTION AND OUTCOMES: The patient was treated using Clinical Biomechanics of Posture protocol. The patient was seen 26 times over the course of 3 weeks. His scale for pain severity decreased 50% and other subjective complaints decreased. His posture improved based upon pretreatment and posttreatment lateral cervical radiographs, showing a change from a 10 degrees lordosis with midcervical kyphosis to a 30 degrees lordosis. One-year follow-up examination showed stable improvement in the cervical lordosis and pain intensity. CONCLUSION: This case represents a change in subjective and objective measurements after conservative chiropractic care. This case provides an example that structural rehabilitation may have a positive effect on symptoms of a patient with syringomyelia.
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Authors | Jason W Haas, Deed E Harrison, Donald D Harrison, Brian Bymers |
Journal | Journal of manipulative and physiological therapeutics
(J Manipulative Physiol Ther)
2005 Jul-Aug
Vol. 28
Issue 6
Pg. 452
ISSN: 1532-6586 [Electronic] United States |
PMID | 16096046
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Accidental Falls
- Adult
- Cervical Vertebrae
(diagnostic imaging, pathology)
- Humans
- Lordosis
(diagnostic imaging, etiology)
- Magnetic Resonance Imaging
- Male
- Manipulation, Chiropractic
- Pain Measurement
- Pain, Intractable
(etiology, physiopathology, therapy)
- Posture
- Radiography
- Syringomyelia
(diagnosis, etiology, rehabilitation)
- Treatment Outcome
- Wounds and Injuries
(complications)
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