Letter to the Editor: Commentary on In-Fracture Pedicular Screw Placement During Ligamentotaxis Following Traumatic Spine Injuries, a Randomized Clinical Trial on Outcomes (Korean J Neurotrauma 2023;19:90–102)

Authors’ Reply to Letter to the Editor: Commentary on In-Fracture Pedicular Screw Placement During Ligamentotaxis Following Traumatic Spine Injuries, a Randomized Clinical Trial on Outcomes (Korean J Neurotrauma 2023;19:90–102)

“…Dr. Lee has hypothesized about the possible mechanisms of pain reduction in index-vertebra instrumentation. 3) We have discussed our possible explanations to support this incidental finding as you can see in the discussion section. 5) To our knowledge, there is no well-delineated evidence explaining this finding, but the authors hypothesize that stronger solid fixation via 1-extra pedicle screw (PS), further reduction, neural decompression, and nociceptive-ablative procedures during PS placement at the fracture site could be explanations.…”

“…The authors stated the need for unilateral screw selection and ligamentotaxis reduction mechanisms. 3) Many studies have used index vertebra instrumentation with great results, however, their study design and primary outcomes were not focused such as ours, making them all precious to read. 1 2) As supported by biomechanical studies, index vertebra instrumentation plays exactly like long segment fusions and provides a more stable fusion construct.…”

“…We have read the letter to the editor note that was previously published in your journal. 3 5) We would like to thank the author who have read our paper and evaluated it scientifically.…”