Jc. Balblanc et al., VASCULAR COMPLICATION INVOLVING THE CONUS MEDULLARIS OR CAUDA-EQUINA AFTER VERTEBRAL MANIPULATION FOR AN L4-L5 DISK HERNIATION, Revue du rhumatisme, 65(4), 1998, pp. 279-282
A case of injury to the cauda equina or conus medullaris after lumbar
vertebral manipulation is reported. In contrast to all other previousl
y reported cases, no migrated disk fragment was demonstrated. Similar
to experience at the cervical spine, lumbar vertebral manipulation may
carry a risk of vascular injury. The neurological manifestations in o
ur patient were consistent with compression of the Desproges-Gotteron
artery by a small L4-L5 disk herniation.