J Man Manip Ther. 2015 Jul;2d3(3):154–161 Safety of thrust joint manipulation in the thoracic spine: a systematic review.. "Ten cases, reported in 7 case reports, were reviewed. Cases involved females (8) more than males (2), with mean age being 43.5 years (SD=18.73, Range = 17 –71). The most frequent AE reported was injury (mechanical or vascular) to the spinal cord (7/10), with pneumothorax and hematothorax (2/10) and CSF leak secondary to dural sleeve injury (1/10)." Impressive trauma for a intervention that does nothing.