Overviews and Systematic Reviews on Low Back Pain

  1. Edzard Ernst, MD, PhD
  1. From Peninsula Medical School, Universities of Exeter and Plymouth, Exeter EX2 4NT, United Kingdom.

    TO THE EDITOR:

    In their recent overview on low back pain, Chou and Huffman (1) cite 2 of our reviews (2, 3), stating that these and 3 other assessments “consistently found that serious adverse events after spinal manipulation (such as worsening lumber disc herniation or the cauda equina syndrome) were very rare.” …

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