Response to: Computed Tomography-Guided Biopsy for Potts Disease: An Institutional Experience from an Endemic Developing Country

Article information

Asian Spine J. 2016;10(1):197-197

Publication date (electronic) : 2016 February 16

doi : https://doi.org/10.4184/asj.2016.10.1.197

Muhammad Waqas , Faizuddin Najmuddin , Mohammad Ali Alvi , Muhammad Ehsan Bari

Section of Neurosurgery, The Aga Khan University Hospital, Karachi, Pakistan.

Corresponding author: Muhammad Ehsan Bari. Section of Neurosurgery, The Aga Khan University Hospital, Stadium Road Karachi, PO Box 3500, Karachi 74800, Pakistan. Tel: +92-3323475239, Fax: +92-2134864764, ehsan.bari@aku.edu

Received 2015 September 30; Accepted 2015 October 02.

Dear Editor,

Thanks you to you and the reviewers for comments made on our article "Computed Tomography-Guided Biopsy for Potts Disease: An Institutional Experience from an Endemic Developing Country" [1]. Some very relevant points were raised, which we have addressed below.

Of the 22 patients with inconclusive biopsy only 2 had a cervical lesion. Thirteen patients had dorsal lesion while the remainder had involvement of the lumbar spine. Of all 91 cases of biopsy, only 10 procedures involved the cervical spine. Because of the large discrepancy in the number of patients in each anatomical group, we are unable to comment on an association.

In cases where the sampling was inconclusive, an overall clinical picture was considered including history, radiological picture, erythrocyte sedimentation rate and initial response to antituberculosis therapy both clinically and radiologically.

We normally use Jamshidi for bone biopsy. Since we do not have a lot of experience with other needles we cannot comment on the whether the choice of needle effects the success rates of biopsy.

The authors have rightfully pointed out the statistical inconsistency with correct explanation.

Thank you again for the helpful review of our manuscript.

Notes

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

References

1. Waqas M, Qadeer M, Faiz F, Alvi MA, Bari ME. Tomography-guided biopsy for potts disease: an institutional experience from an endemic developing country. Asian Spine J 2015;9:394–398. 26097654.

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