J Manipulative Physiol Ther. 1990 Mar-Apr; 13(3): 161-4.

The use of imaging procedures in the diagnosis of metastatic disease of the lumbar spine.

Defoyd WD.

Brodie Oaks Chiropractic Associates, Austin, Texas 78704.

Metastatic disease of the lumbar spine is a relatively common, but catastrophic cause of low back pain. Because of an increasing role as primary care providers for back pain patients, it is essential that chiropractors keep this possibility in mind. Careful consideration of the patient's history, physical and laboratory findings, and the use of imaging procedures are helpful in establishing a correct diagnosis in those cases where metastasis is suspected.