Index to Chiropractic Literature
Index to Chiropractic Literature
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Monday, August 19, 2019
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ID 25365
  Title Current evidence for spinal X-ray use in the chiropractic profession: A narrative review [review]
URL https://chiromt.biomedcentral.com/articles/10.1186/s12998-018-0217-8
Journal Chiropr & Manual Ther. 2018 ;26(48):Online access only 11 p
Author(s)
Subject(s)
Peer Review Yes
Publication Type Review
Abstract/Notes

The use of routine spinal X-rays within chiropractic has a contentious history. Elements of the profession advocate for the need for routine spinal X-rays to improve patient management, whereas other chiropractors advocate using spinal X-rays only when endorsed by current imaging guidelines. This review aims to summarise the current evidence for the use of spinal X-ray in chiropractic practice, with consideration of the related risks and benefits. Current evidence supports the use of spinal X-rays only in the diagnosis of trauma and spondyloarthropathy, and in the assessment of progressive spinal structural deformities such as adolescent idiopathic scoliosis. MRI is indicated to diagnose serious pathology such as cancer or infection, and to assess the need for surgical management in radiculopathy and spinal stenosis. Strong evidence demonstrates risks of imaging such as excessive radiation exposure, overdiagnosis, subsequent low-value investigation and treatment procedures, and increased costs. In most cases the potential benefits from routine imaging, including spinal X-rays, do not outweigh the potential harms. The use of spinal X-rays should not be routinely performed in chiropractic practice, and should be guided by clinical guidelines and clinician judgement.

Author keywords: Chiropractic — Spinal X-rays — Clinical guidelines — Appropriate use of imaging — Low back pain — Back pain — Neck pain — Imaging indications

Author affiliations: HJ, ASD, SDF: Department of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia; CM: Faculty of Health, University of Technology Sydney, Sydney, Australia; SDF: School of Rehabilitation Therapy, Queen's University, Kingston, ON Canada

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record


 

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