{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:44:53Z","timestamp":1772639093621,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,21]]},"abstract":"<jats:p>An 18-year-old female patient presented with left dominant neck pain after a motor vehicle collision. Her cervical spine MRI revealed syringomyelia with associated Type I Arnold-Chiari malformation. Some researchers have reported that these might be considered contraindications to spinal manipulation. Nevertheless, her benign and functional clinical examination suggested otherwise and she underwent four manipulative treatments in 2\u2005weeks. By the end of the treatment plan and after 1-month follow-up, she was asymptomatic, no adverse effects were noted and her outcome assessment score decreased from 56% to 0%. This case illustrates that spinal manipulation may be a useful adjunctive treatment procedure for spinal pain, even in the presence of syringomyelia and Chiari malformation, which may not necessarily be a contraindication to spinal manipulation, when performed by a skilled and well-trained physician.<\/jats:p>","DOI":"10.1136\/bcr-2014-207319","type":"journal-article","created":{"date-parts":[[2014,11,10]],"date-time":"2014-11-10T00:42:50Z","timestamp":1415580170000},"page":"bcr2014207319","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Syringomyelia and Arnold-Chiari malformation associated with neck pain and left arm radiculopathy treated with spinal manipulation"],"prefix":"10.1136","volume":"2014","author":[{"given":"Vinicius","family":"Tieppo Francio","sequence":"first","affiliation":[{"name":"Department of Oklahoma Sports Science and Orthopedics, Community Hospital, Oklahoma City, Oklahoma, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,11,9]]},"reference":[{"key":"2025082800400109000_2014.nov09_1.bcr2014207319.1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2000.30.12.728"},{"key":"2025082800400109000_2014.nov09_1.bcr2014207319.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-1-201201030-00002"},{"key":"2025082800400109000_2014.nov09_1.bcr2014207319.3","unstructured":"2005 World Health Organization Guidelines on Basic Training and Safety in Chiropractic."},{"key":"2025082800400109000_2014.nov09_1.bcr2014207319.4","first-page":"115","article-title":"Syringomyelia","volume":"21","author":"Vanaclocha","year":"1996","journal-title":"Neurocirugia"},{"key":"2025082800400109000_2014.nov09_1.bcr2014207319.5","first-page":"54","article-title":"Post-traumatic syringomyelia: absolute contraindication to manipulation? 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