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Olgard Dabbert, MD; David G. Freeman, MD; Andrew J. Weis, MD
San Diego, Calif

JAMA. 1970;214(11):2058.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the editor.—

Long-term anticoagulant therapy is used frequently for treatment and prevention of thrombosis and embolism.

Spontaneous spinal hematoma is rare in the absence of trauma, vascular tumor, pregnancy, or anticoagulation therapy.^1-7

Jackson,² in 1869, described a spontaneous extradural hematoma in a 14-year-old boy. More recently, Strain³ noted that out of 34 patients recorded in the medical literature in 1963, spinal hematoma occurred in six that had been receiving anticoagulant therapy. While extradural hematoma was found more frequently, Cloward⁴ presented a case that included intradural and subarachnoid bleeding.

Our case provides a warning to patients receiving anticoagulant therapy to abstain from manipulations of the spine.

Report of Case.—

A 54-year-old woman was admitted to the hospital for pain in the back. Five days earlier, she had visited a chiropractor because of recurrence of the pain in the lower part of the back which she had . . . [Full Text PDF of this Article]

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