Spinal examination items include physical examination and auxiliary examination. First, physical examination includes spinal profile examination to observe spinal centering, spinal range of motion examination to observe the cervical and lumbar spine and other restrictions on movement, local pressure points and special tests such as straight leg raise test, brachial plexus pull test, head press test to observe nerve injury; second, ancillary examinations include lumbar spine front and side radiographs, double oblique radiographs, stress radiographs, as well as lumbar spine CT scan and lumbar spine MRI, These examinations can observe bone changes, spinal nerve and intervertebral disc changes.