Reply to the comments by Eibach et al.

Junctional Neurulation : A Junction between Primary and Secondary Neural Tubes

“…Although JNTD was relatively recently classified as a new spinal dysraphism entity, the number of cases is likely underreported because segmental spinal dysgenesis (SSD) shares similar characteristics with JNTD [ 18 , 19 ]. SSD is a rare disease entity that is well known to orthopedists, and it is described with more focus on bony anomalies.…”

“…In addition to the IONM results, the bladder hyperactivity and detrusor-sphincter dyssynergia of the patients may be explained by an intact local sensory-motor neuronal arc which became hyperactive due to the loss of suprasegmental inhibition, providing supportive evidence of the functional disconnection between the two spinal cords. Although JNTD was relatively recently classified as a new spinal dysraphism entity, the number of cases is likely underreported because segmental spinal dysgenesis (SSD) shares similar characteristics with JNTD 18,19) . SSD is a rare disease entity that is well known to orthopedists, and it is described with more focus on bony anomalies.…”