Evaluation of a spinal subluxation begins with a history and physical examination.
Physical findings in someone with a spinal subluxation may include:
- Tenderness over the spine
- Decreased range of motion of the neck or back
- Loss of deep tendon reflexes
Tests are necessary to make the diagnosis of spinal subluxation.
Tests that may be used to evaluate a spinal subluxation include:
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- Daumen-Legre V, Lafforgue P, Champsaur P, Chagnaud C, Pham T, Kasbarian M, Acquaviva PC. Anteroposterior atlantoaxial subluxation in cervical spine osteoarthritis: case reports and review of the literature. J Rheumatol. 1999 Mar;26(3):687-91. 
- Grant GA, Mirza SK, Chapman JR, Winn HR, Newell DW, Jones DT, Grady MS. Risk of early closed reduction in cervical spine subluxation injuries. J Neurosurg. 1999 Jan;90(1 Suppl):13-8. 
- Takasita M, Matsumoto H, Uchinou S, Tsumura H, Torisu T. Atlantoaxial subluxation associated with ossification of posterior longitudinal ligament of the cervical spine. Spine. 2000 Aug 15;25(16):2133-6.