Design: A case report & literature review. Setting: A chiropractic intern outpatient clinic. Patient: A 62-yr old male patient presented with a two week history of left posterior thigh pain. The history revealed that the patient had also had laminectomy at C3, C4, C5 and C6 performed 4 years earlier. The patient declined to reveal the exact reason for this procedure, arguing that he had come to the clinic for low-back related problems only. Intervention: Plain film imaging was performed on the cervical and lumbar regions.
Discussion: The clinical significance of this finding to the chiropractor is discussed along with a literature review and radiological classification of the condition.
Conclusion: Chiropractors need to be aware that this potentially serious condition exists in one in every hundred patients and presents an absolute contraindication to spinal adjustment in this region.
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