New patient referrals to our clients: 814,233 Referrals as of 02/15/2019

Academy of Chiropractic’s

MD Relationship Program

#7 MD Meetings – Medial Specialists

Become INDISPENSIBLE to the Spine Surgeon

From:  William J Owens Jr DC DAAMLP


We have spoken considerably in the past about the future of spine care from a Primary Spine Care perspective but the other “book-end” of care is one that is gaining a lot of steam.  The good news is that chiropractic is VERY much a part of it.  When I talk about the other “book end” I am referring to the opposite end of Primary Spine Care, which is surgical correction.  I have been posting this trend on the MD Referral Program site regularly, here are the TOP 3 items that you should review and share with your surgeon.  If you don’t have one GET ONE…they are looking for you. Here they are:



#185 – Spine Surgeon as Advocate


#190 – Spinal Pelvic Alignment



#069 – Cervical Curvature and Failed Back Surgery


These will give you the basis to start to build solid and long term relationships with the surgical community.  The next big trend is our ability to offer two important spinal measurements to the surgeon.  The MAIN reason we are doing the measurements are for US and our patients so that we can provide a scientific based process to heal them.  HOWEVER, we can use these measurements to help the surgeon become more accurate and efficient.  That is what helps to make us indispensable, remember that it is never just ONE thing.  There is no SINGLE trick that will do it, it is a combination of clinical excellence, effective reporting, attention to detail, your ability to objectify spinal biomechanical issues and continued outreach.


Symvetra, LLC is the company that is currently distributing the Spinal Analysis System (SAS) in the United States [AKA Dr. Wiegand’s Software] and is currently the only system developed that measures BOTH Sagittal Balance and Vertebral Body Rotation [coupled motion] as well as giving values for Pelvic Incidence and Intervertebral Disc angles. The surgical community is publishing like crazy on the topic of spinal balance and surgical outcomes, #069 in the Bimonthly Flyer Section is the lead paper on that, it is important that you read it and become familiar with it.  The surgical community knows there is a connection, they just have NO WAY to measure it and provide an objective approach for monitoring.   That is until NOW [actually since 1984 when Version 1 of the software was developed!].    So here are your steps to build surgical relationships in your own community.


Read the Consultations above.


Buy the research paper online from the publisher that is referenced in Bimonthly Flyer #069 and discuss with the surgeon – you don’t have to be fancy – they GET IT and will be excited and a bit surprised that you know too.  


Discuss your understanding of Pelvic Incidence with the surgeon [see picture and definition below].  The fact that you even know this exists is a GAME CHANGER for you and your practice.


The pelvic incidence was the angle between the perpendicular line to the sacral plate at its midpoint and the line connecting the point to the middle axis of the femoral heads. The accuracy and intra- and inter-observer agreement of these measurements have been validated.




A pelvic anatomic parameter named Pelvic Incidence [PI] is proposed as a key factor for this sagittal balance regulation. Spinal balance is conceived as the result of an optimal lordotic positioning of the vertebrae above a correctly oriented pelvis.  “Optimal lordotic positioning” and “correctly oriented pelvis” values are defined in this study, performed on a normal and a scoliotic population.






Dr. Weigand’s software lastest update includes measuring for Pelvic Incidence.


Endo, K., Suzuki, H., Sawaji, Y., Nishimura, H., Yorifuji, M., Murata, K., ... & Yamamoto, K. (2016). Relationship among cervical, thoracic, and lumbopelvic sagittal alignment in healthy adults. Journal of Orthopaedic Surgery, 24(1).




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