Eg, spec can warn you when an argument doesn't make sense relative to the value of a second argument. Eg, with something like (modify-inventory {:shoes 2} :shoes -3) spec could pick up that you are about to subtract 3 from 2 and have negative shoes (impossible!) well before the function is called - so you can test elsewhere in the code using spec without having to call modify-inventory or implement specialist checking methods. And a library author can pass that information up the chain without clear English documentation and using only standard parts of the language.
You can't do that with defrecord, but it is effectively a form of documentation about how the arguments interact.