PARAPLEGIA FOLLOWING MANUAL THERAPY

A case of complete paraplegia due to a giant cell tumor of the dorsal spine following manual therapy without previous x-ray examination is r eported. In a malpractice trial the question whether manual therapy is indicated or not had strictly to be denied. The question whether para plegia due to a giant cell tumor could have been avoided when the tumo r would have been detected radiologically was impossible to answer ret rospectively. But, it is likely that with immediate surgical therapy a fter radiological detection of this lesions complete paraplegia should have been avoidable.