Trends in Vertebral Artery Dissection as a Result of Chiropractic Cervical Manipulation

Abstract

Introduction: Chiropractic cervical manipulation is a well-documented initiator of vertebral artery dissection (VAD). The rate of VAD reports in the literature has been increasing in recent decades. Yet, the rate by which individuals are visiting chiropractors is either decreasing or stagnant. We examined whether a similar increasing trend is seen in reports of chiropractic induced VAD and how these events are reported in the literature.