@ECG_Kinsey As I said before, if you are using some features in the skeleton like disabled Inherit Scale, these can't be mirrored by Unity Transform. If you use a SkeletonUtilityBone hierarchy, which uses Unity Transform to position itself, when the bone or any of the parent bones in the hierarchy has Inherit Scale disabled, you will end up with incorrect bone location.
Please check or even better share screenshots of the settings of all parent bones of the problematic bone in the Spine project, whether they have e.g. Inherit Scale or similar disabled.