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We read with great interest the recent article by Fan Yuxiang and colleagues in the Journal of NeuroInterventional Surgery entitled ‘Updated classification with spinal dysraphism and treatment outcomes of arteriovenous shunts below conus: a retrospective cohort study’.1 The study provides a comprehensive analysis of arteriovenous shunts below conus medullaris (AVS-BC), offering valuable insights into the classification, clinical presentations, and treatment outcomes of these complex spinal vascular malformations.