{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:31Z","timestamp":1787755351152,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a case of an anteroposterior compression (APC) type pelvic ring injury that occurred after chiropractic manipulation in a patient with a history of quadriplegia. Emergent surgical stabilization was undertaken, and he had an excellent outcome with no complications at 3.5-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>APC type pelvic ring injuries usually occur to high-energy mechanisms. We describe a case of a patient with quadriplegia and osteopenia that suffered a pelvic ring injury because of a unique mechanism. Practitioners performing pelvic manipulation should be aware of this type of injury in at-risk patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00291","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T14:00:50Z","timestamp":1702044050000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chiropractic Manipulation Causing Anterior-Posterior Compression Type Pelvic Ring Injury"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1572-3482","authenticated-orcid":false,"given":"Matthew S.","family":"Kerr","sequence":"first","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9432-5540","authenticated-orcid":false,"given":"Jonathan P.","family":"Yawman","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6969-6267","authenticated-orcid":false,"given":"John J.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4171-0434","authenticated-orcid":false,"given":"M. Kareem","family":"Shaath","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL"},{"name":"Florida State University College of Medicine, Orlando, FL"},{"name":"University of Central Florida College of Medicine, Orlando, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0014-8710","authenticated-orcid":false,"given":"Joshua R.","family":"Langford","sequence":"additional","affiliation":[{"name":"Orlando Health Jewett Orthopedic Institute, Orlando, FL"},{"name":"Florida State University College of Medicine, Orlando, FL"},{"name":"University of Central Florida College of Medicine, Orlando, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10]]},"reference":[{"issue":"7","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1097\/00005373-199007000-00015","article-title":"Pelvic ring disruptions: effective classification system and treatment protocols","volume":"30","author":"Burgess","year":"1990","journal-title":"J Trauma."},{"issue":"3","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"143","DOI":"10.5435\/00124635-199605000-00004","article-title":"Acute pelvic fractures: I. Causation and classification","volume":"4","author":"Tile","year":"1996","journal-title":"J Am Acad Orthop Surg."},{"issue":"suppl 1","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and dislocation classification compendium-2018","volume":"32","author":"Meinberg","year":"2018","journal-title":"J Orthop Trauma."},{"issue":"5","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/BOT.0000000000002544","article-title":"Mapping of pelvic ring injuries from high-energy trauma using unfolded CT image technology","volume":"37","author":"Mills","year":"2023","journal-title":"J Orthop Trauma."},{"issue":"3","key":"bib5-20240805","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.CC.21.00055","article-title":"Theme park water slides: a new mechanism of causing 61B2.3 pelvic ring injuries: a case series","volume":"11","author":"Shaath","year":"2021","journal-title":"JBJS Case Connect."},{"issue":"7","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1177\/014107680710000716","article-title":"Adverse effects of spinal manipulation: a systematic review","volume":"100","author":"Ernst","year":"2007","journal-title":"J R Soc Med."},{"issue":"7","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/S0002-9343(02)01068-9","article-title":"Risks associated with spinal manipulation","volume":"112","author":"Stevinson","year":"2002","journal-title":"Am J Med."},{"issue":"22","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1212\/WNL.0000000000013078","article-title":"Spinal cord injury, vertebral artery dissection, and cerebellar strokes after chiropractic manipulation","volume":"99","author":"Ramos","year":"2022","journal-title":"Neurology."},{"issue":"3","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1177\/15385744211072660","article-title":"Carotid artery dissection and ischemic stroke following cervical chiropractic manipulation: two case reports","volume":"56","author":"Chen","year":"2022","journal-title":"Vasc Endovascular Surg."},{"issue":"1","key":"bib10-20240805","first-page":"88","article-title":"Vertebral artery dissection after a chiropractor neck manipulation","volume":"28","author":"Jones","year":"2015","journal-title":"Proc (Bayl Univ Med Cent)."},{"issue":"6","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.3171\/2011.8.JNS111212","article-title":"Craniocervical arterial dissections as sequelae of chiropractic manipulation: patterns of injury and management","volume":"115","author":"Albuquerque","year":"2011","journal-title":"J Neurosurg."},{"issue":"1","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1097\/00007632-200201010-00012","article-title":"Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: a review of sixty-four cases after cervical spine manipulation","volume":"27","author":"Haldeman","year":"2002","journal-title":"Spine (Phila Pa 1976)."},{"issue":"1","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1038\/s41598-023-28520-4","article-title":"A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy","volume":"13","author":"Chu","year":"2023","journal-title":"Sci Rep."},{"issue":"12","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1136\/ard.2008.100503","article-title":"Ankylosing spondylitis and the risk of fracture: results from a large primary care-based nested case-control study","volume":"68","author":"Vosse","year":"2009","journal-title":"Ann Rheum Dis."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:44Z","timestamp":1787751704000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00291"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":14,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00291","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}