We appreciate the letter regarding our manuscript entitled “Management of traumatic spinal fracture in the coronavirus disease 2019 situation [1].” We thank the reader(s) for reading our article. Our reply to your comment is as follows:

Our reply: At first, the authors want to say thank you for the reader’s comments and concern. In our review article [1], all authors want to establish the prototype to help and protect the healthcare professional. This algorithm should be revised or modified according to updated knowledge of prevention, novel treatment, and laboratory testing technology for coronavirus disease 2019 (COVID-19). All of the authors hope that the readers will use this algorithm as a prototype and modify/develop for better protocol.

All authors agree with the reader recommending that universal precautions should be used in the surgical management of any patients during the COVID-19 outbreak [2,3]. Nakornping Hospital uses “Guideline for personal protective equipment usage for COVID-19 prevention in Nakornping Hospital Chiang Mai (The Committee of Infectious Disease Control Nakornping Hospital; the 2nd revision 16th April 2020)” (Table 1). If the reader requests the Thai version, please directly contact the Nakornping Hospital, Chiang Mai, Thailand.