# Plain Radiography: A Unique Component of Spinal Assessment and Predictive Health

## TL;DR

This paper explores how plain radiography of the spine can help predict health outcomes and guide treatment decisions across different medical professions.

## Contribution

The study identifies unique biomechanical parameters from plain radiography and their potential clinical relevance in spinal health.

## Key findings

- Plain radiography reveals biomechanical parameters not captured by other methods.
- Differences in radiographic use exist among healthcare professionals.
- PROTS measurements may improve coordination among spinal healthcare providers.

## Abstract

While some research supports utilizing plain radiography for measuring biomechanical alignment of the spine for prognosis and treatment, there are contrasting viewpoints regarding both the value and utilization of these procedures in conservative care. Evaluation of both conservative and non-conservative approaches to spinal care revealed vast differences in radiographic utilization and interpretation between orthopedic surgeons, primary care physicians, chiropractic physicians, and physical therapists, which may account for the different viewpoints and rationales in the literature. A research summary is provided to explore any unique biomechanical parameters identified with plain radiography of the spine (PROTS) and how these measurements may relate to patient health. Understanding any unique value provided through biomechanical assessment utilizing PROTS may help chiropractic physicians determine the appropriate use of radiographic procedures in clinical practice and how to coordinate efforts with other conservative and non-conservative spinal healthcare professions to improve patient health.