Abstract
The debate regarding chiropractic cervical adjustments (manipulation) and the potential risk of vertebrobasilar artery (VBA) dissection has become increasingly more emotional and political than scientific. As a scientist and a practitioner, I find it disconcerting that the published literature contains more unsubstantiated misinformation than useful scientifically valid information. Depending on which “expert” a person references, the chance of VBA dissection after chiropractic adjustment ranges anywhere from 1 in 5000 to 1 in 5 million.1-8 How is such a range of expert opinion possible? The answer, quite bluntly, is due to the fact that none of these risk estimates are based on valid scientific information.
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