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.
Medically Reviewed by a Doctor on 12/2/2014
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