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J Chiropr Med. 2010 Jun;9(2):77-83. doi: 10.1016/j.jcm.2010.02.002.

Management of a 59-year-old female patient with adult degenerative scoliosis using manipulation under anesthesia.

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  • 1Private Chiropractic Practice, Grand Blanc, MI 48439.

Abstract

OBJECTIVE:

Manipulation under anesthesia (MUA) is an outpatient procedure that is performed to restore normal joint kinematics and musculoskeletal function. This article presents a case of a patient with idiopathic lumbar degenerative scoliosis who developed intractable pain as an adult and reports on the outcomes following a trial of MUA.

CLINICAL FEATURES:

A 59-year-old female patient presented to a chiropractic office with primary subjective symptoms of lower back and bilateral hip pain. Numerical pain rating scores were reported at 8 of 10 for the lower back and 9 of 10 for the sacroiliac joint/gluteal region. A disability score using a functional rating index demonstrated a score of 26 of 40 (or 64% disability). Over the preceding 5 years, the patient had tried a number of conservative therapies to relieve her pain without success.

INTERVENTION AND OUTCOME:

The patient was evaluated for MUA. The patient was scheduled for a serial MUA over 3 days. Numerical pain rating scores 8 weeks after the MUA were 1 of 10 for the lower back and 3 of 10 for the sacroiliac joint. Her disability rating decreased to 11 of 40 (28%). Radiological improvements were also observed. These outcomes were maintained at 6-month follow-up.

CONCLUSION:

Pain, functional, and radiographic outcomes demonstrated improvements immediately following treatment for this patient.

KEYWORDS:

Anesthesia; Chiropractic; Manipulation; Scoliosis; Spinal

PMID:
21629554
[PubMed]
PMCID:
PMC2943655
Free PMC Article

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