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Ankylosing Spondylitis, Neurologic Perspective (cont.)

Ankylosing Spondylitis Surgery

Surgical treatment may be necessary for some complications of ankylosing spondylitis.

  • Surgical fusion may be required to stabilize a dislocation of the first two cervical vertebrae (atlantoaxial subluxation).
  • Cervical spine fractures require rigid immobilization, in such situations, surgical fusion is usually not required.
  • Surgery is rarely indicated for correction of uncomplicated thoracic kyphosis (excessive curvature of the upper part of the spine, resulting in hunchback).
  • Thoracolumbar fractures require reduction of displacement and stabilization, usually with rods. Laminectomy (a surgery to remove part of the lamina of the vertebral body) is rarely needed.
  • Decompression of cervical or lumbar spinal stenosis is performed when nerves are compressed.
  • If weight-bearing joints are involved, hip or knee replacement may be necessary.

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