Systematic Review and Meta - analysis of Chiropractic Care and Cervical Artery Dissection : No Evidence for

Neck pain is a common complaint in physicians’ and chiropractors’ offices. Data from the Centers for Disease Control and from national surveys document 10.2 million ambulatory care visits for a neck problem in 2001 and 2002. By comparison, there were 11 million office-based visits for ischemic heart disease.1 Many patients with neck pain seek chiropractic care and undergo cervical manipulation. As many as 12% of North Americans receive chiropractic care every year, and a majority of these are treated with spinal manipulation.2