Intended for healthcare professionals

Rapid response to:

Endgames Spot Diagnosis

A plain radiograph in back pain

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5003 (Published 06 October 2016) Cite this as: BMJ 2016;355:i5003

Rapid Response:

Re: A plain radiograph in back pain

Thank you Dr Whitehouse and Mr Goh for your useful and constructive comments. Professor Howlett and I understand and accept that newer guidance will result in increasing use of MR in assessing this condition, with reduced use of plain film. However, as a learning case, this XR is a good example of the classical features of longstanding ankylosing spondondylitis. As this type of XR still appears in undergraduate and postgraduate exams, trainees need to be aware of the appearances.

Competing interests: No competing interests

30 October 2016
Joseph D Sinnott
ENT Registrar
Professor David Howlett
Bristol Royal Infirmary