| Objective: To present case studies involving the assessment and management of 3 patients with sacral obliquity due to structural asymmetry of the lumbo-pelvic spine demonstrated using specific spinal radiographic protocols and analysis. Clinical Features: The 3 patients presented to a multi-practitioner rural chiropractic centre with various musculoskeletal complaints, including back pain and restricted ranges of movement. A common feature of the 3 cases presented was asymmetry of the spine and pelvis identified on spinal radiographs specifically taken to assess the mechanical integrity of the spine in erect posture. Intervention and Outcome: Treatment included specific chiropractic manipulative therapy, orthotic devices and specific exercises. These procedures were based on information gained from the analysis of spinal radiographs. Follow-up radiographic evaluation was undertaken at time intervals considered appropriate for each case, ranging from 1-2 months. Conclusion: Radiographs of the spine that conform to specific requirements can provide clinically useful information that relates to the mechanical integrity of the spine. The information gained from these views can have direct and specific application to treatment strategies and treatment outcomes as well as long-term spinal management strategies. This abstract is reproduced with the permission of the publisher; full text (print only) by subscription.
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