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Chiropractic Research Review

Cervical Subluxation and Radiological Research

This clinical study, conducted in China, investigated the relationship between radiographic signs of subluxation in the cervical spine and their diagnostic value.

The subjects were 34 men and 53 women with acute or chronic cervico-occipital pain and 21 asymptomatic volunteers.

Their anteroposterior, lateral, open-mouth position and dynamic cervical radiographs were observed for signs of subluxation. The authors report, "A standard relating the data and the signs of subluxation in the cervical spine was established using the literature on subluxation and the signs often used in clinical diagnosis."

The authors conclude: "There was little evidence to support the contention that signs of subluxation in the cervical vertebrae are of diagnostic significance. Subluxation should be defined in two ways: as a purely roentgenological diagnosis and as combination of roentgenological signs with clinical signs.

Although the authors reported structuring a diagnostic standard according to the evidence in the literature, they cited no references for their criteria.

Yi-Kai L, Yun-Kun Z, Shi-Zhen Z. Diagnostic value of signs of subluxation of cervical vertebrae with radiological examination. Journal of Manipulative and Physiological Therapeutics, Nov./Dec. 1998;21(9), pp617-20. Reprints: Tel: (800) 638-6423; Fax: (410) 528-8596

Chiropractic Research Review

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