Cervical myelopathy from traditional bonesetters’ treatment of spinal injury

Abstract

Continuous beliefs in traditional bone setters (TBS) and traditional healers remain rife in the sub-Saharan African¹. The morbidity, mortality and financial loss resulting from patient management by this sect of health providers are still a burden in our society. Atlanto-axial joint is the most complex joint of the body. Approximately 55% of the entire rotation of the cervical spine takes place at this joint². This joint is kept stable only by its capsule and ligaments, hence the possibility of dislocation. Any injury in this region is associated with potentially catastrophic neurological complications. We report a case of severe upper cervical spinal cord compression resulting from a mismanaged atlanto-axial disruption by a TBS.