In this article, it is mentioned that current evidence recommends using x-rays to diagnose trauma, spondylarthopathy and problems like scoliosis. Other than those issues, it is recommended to use MRI for other diagnosis issues. ~ Dr. Brosusard
Current evidence for spinal X-ray use in the chiropractic profession: a narrative review
Chiropr Man Therap. 2018; 26: 48.
Published online 2018 Nov 21. doi: [10.1186/s12998-018-0217-8]
PMCID: PMC6247638
PMID: 30479744
Hazel J Jenkins
Abstract
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.