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Full-spine radiography: a review

J A Taylor1

  • 1Department of Radiology, University of California, San Diego.

Journal of Manipulative and Physiological Therapeutics
|September 1, 1993
PubMed
Summary

Full-spine radiography is a well-established diagnostic tool in chiropractic care when used with proper patient selection and technical detail. Despite established reliability for some parameters, the validity and clinical relevance of spinographic analysis require further investigation.

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Area of Science:

  • Chiropractic radiology
  • Diagnostic imaging
  • Spinal analysis

Background:

  • Full-spine radiography (FSR) and spinographic analysis are debated within chiropractic practice.
  • Existing literature on FSR's role, patient selection, and technological advancements requires synthesis.

Purpose of the Study:

  • To clarify the current clinical role of full-spine radiography.
  • To identify appropriate patient selection criteria for FSR.
  • To evaluate the validity of spinographic analysis procedures.
  • To review advancements in radiation protection and radiographic technology.

Main Methods:

  • Comprehensive literature search of chiropractic and medical databases (MEDLINE, CRAC, CHIROLARS).
  • Inclusion of chiropractic textbooks, technique manuals, and position papers.
  • Qualitative review supplemented by quantitative data extraction from controlled validity and reliability studies.

Main Results:

  • Full-spine radiography is considered an effective diagnostic and analytic procedure with an acceptable risk/benefit ratio.
  • Proper patient selection, technical precision, and modern technology enhance FSR effectiveness.
  • Reliability of some spinographic parameters is established, but validity and clinical relevance are still under investigation.

Conclusions:

  • Full-spine radiography has a well-established role in chiropractic when performed with appropriate patient selection and technical considerations.
  • Technological advancements contribute to the safety and efficacy of FSR.
  • Further research is needed to fully establish the validity and clinical relevance of specific spinographic analysis parameters.

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