# Multimodal Management of Coexisting Atlantoaxial Subluxation and Spinal Stenosis in an Older Adult: A Case Report and Literature Review

## TL;DR

An older man with two spinal issues was successfully treated with non-surgical chiropractic care, showing it can help complex cases.

## Contribution

Demonstrates the effectiveness of conservative chiropractic care for coexisting spinal conditions in older adults.

## Key findings

- The patient's symptoms were mainly due to spinal stenosis, not the subluxation.
- Conservative chiropractic care significantly improved symptoms and quality of life.
- The case supports the need for careful diagnosis and further research on treatment guidelines.

## Abstract

This case report investigates the diagnostic and therapeutic challenges caused by the coexistence of atlantoaxial subluxation and spinal stenosis in a 70-year-old male patient with chronic progressive numbness in both hands. A detailed assessment showed that the patient's symptoms were primarily caused by spinal stenosis, not atlantoaxial subluxation. Considering the patient's age and preference for nonsurgical treatment, a conservative chiropractic care plan was implemented, significantly improving his symptoms and quality of life. This case highlights the potential benefit of conservative chiropractic care in managing such complex cases, emphasizes the need for meticulous diagnosis, and requires further research to validate these findings and develop comprehensive management guidelines.