We are glad to hear that Dr Miller & Dr Ahmad show great interest in our review: Subacute post-traumatic ascending myelopathy: a literature review.1

As many articles have mentioned, subacute post-traumatic ascending myelopathy (SPAM) is defined as neurological deterioration involving four or more vertebral segments above the initial injured site within the first few weeks. In our case, we suspect that a durotomy was indicated for improving respiratory failure caused by ascending myelopathy. Our purpose for reporting is just to remind the readers that SPAM is life-threatening and difficult to treat.

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