Spinal fractures in patients with ankylosing spondylitis: A case report and literature review

Background Severe ankylosing spondylitis (AS) affects the entire spine, increasing the risk of vertebral fractures. There are several fusion procedures used (e.g., anterior, posterior, or combined 360° procedures) to stabilize these fractures. Case description A 45-year-old male with a 33-year diagnosis of AS presented with a progressive quadriparesis of 6 months' duration. Previously, he had surgery on both hips. The medical report documented degenerative spondylolisthesis at the C5-C6 level along with syndesmophytes a herniated disc and stenosis. Following a circumferential decompression/fusion without complications, the patient's symptoms resolved. Conclusion For patients presenting with cervical fractures and AS, circumferential surgical decompression/ fusion may result in good outcomes.