We thank Drs. Hindman and Dexter and Dr. Cometa for their interest in our image in clinical medicine relaying a cervical spine injury secondary to videolaryngoscopy.

The main purpose of this image is educative, highlighting airway management in patients with ankylosing spondylitis as well as limits of the use of videolaryngoscopy. In the last decade, the use of videolaryngoscopy has been generalized to operating rooms and intensive care units worldwide. Its use has been widely recommended for use in difficult airway management, and it is now the first choice of most anesthesiologists, due to its accessibility.

We agree with Drs. Hindman and Dexter that although videolaryngoscopy improves visualization of the glottis, it may not facilitate catheterization of the trachea and may cause the operator to apply more force than intended. Moreover, it is important to note that even manual inline stabilization does not preclude the motion of...

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