a case report of cervical myelopathy after neck manipulation in a patient with cervical spondylosis and radiculopathy: cause and effect or natural progression?

A 47-year-old female, with cervical spondylosis and radiculopathy, presented with clinical features of cervical myelopathy after outpatient physical therapy. An emergent neurological surgery was scheduled after radiological evidence of cord compression. The symptoms subsided after surgery. Conservative management modalities should be practiced keeping in mind the potential of cervical spondylosis to progress to catastrophic complications such as myelopathy. It may be difficult to accurately implicate neck manipulation in the onset of the cervical myelopathy as it may be clinically silent or coexist with radiculopathy. It is vital to adequately counsel the patient, about this phenomenon to avoid legal ramifications.