Skip to main content
Log in

Breaking the diagnosis: ankylosing spondylitis evidenced by cervical fracture following spine manipulation

  • Published:
Internal and Emergency Medicine Aims and scope Submit manuscript

An Editorial Expression of Concern to this article was published on 10 May 2022

This article has been updated

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Availability of data and material

The authors are willing to present additional information if requested.

Code availability

Not applicable.

Change history


  1. Rubinstein SM, de Zoete A, van Middelkoop M, Assendelft WJJ, de Boer MR, van Tulder MW et al (2019) Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ 364:l689.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Liao CC, Chen LR (2007) Anterior and posterior fixation of a cervical fracture induced by chiropractic spinal manipulation in ankylosing spondylitis: a case report. J Trauma 63(4):E90–E94.

    Article  PubMed  Google Scholar 

  3. Skappak C, Saude E (2018) Back pain in the emergency department: Pathological fracture following spinal manipulation. CJEM 20(2):307–312.

    Article  PubMed  Google Scholar 

Download references



Author information

Authors and Affiliations



MBM collected all relevant data for the case presentation and drafted the first version of the manuscript. SKS supervised the manuscript preparation and revised the draft. DSD reviewed the available literature about the topic and prepared the final version of the manuscript. All authors are in accordance with the final version of the manuscript.

Corresponding author

Correspondence to Marina Barguil Macêdo.

Ethics declarations

Conflict of interest

The authors state they have nothing to disclose.

Consent for publication

Written consent was obtained from the patient’s sister (legal guardian) for case publication.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Macêdo, M.B., Shinjo, S.K. & Domiciano, D.S. Breaking the diagnosis: ankylosing spondylitis evidenced by cervical fracture following spine manipulation. Intern Emerg Med 17, 273–274 (2022).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: