The aim of this systematic review was to summarise adverse effects after spinal manipulation reported in the South Korean literature. The Korean literature was searched for relevant articles. Twelve articles met the inclusion criteria. They reported a total of 18 cases. In most instances, the patient made a full recovery. The implicated treatment was frequently a spinal manipulation technique that is an integral part of traditional Korean medicine. It is concluded that adverse effects after spinal manipulation are not specific to chiropractic but occur with most types of spinal manipulation. Incidence figures can, however, not be derived from the data available to date.