Many cases of ankylosing spondylitis are treated without surgery (see Diagnosing and Treating Ankylosing Spondylitis). These treatments may include anti-inflammatory drugs (NSAIDs), steroids, and drugs, and physical therapy.
If the disease has progressed to the point that daily activities are severely impaired, then surgery may be an option,.
In extremely rare cases, a procedure called an osteotomy with fusion may be used to straighten the spine and fuse the vertebrae in better alignment. The goal of surgery is to eliminate compression of the nerve roots, and the second is to stabilize and fuse the spine with bone graft, screws, and rods. The most common surgical procedure for ankylosing spondylitis is:
Laminectomy: A laminectomy is performed to relieve pressure on the nerve roots. This surgical procedure involves removing part of the vertebra bone called the lamina in order to relieve pressure on the nerves. This minimally invasive technique requires a small incision in the back, where the muscles are pushed aside rather than cut. he surgery lasts approximately 1-2 hours.
Fusion: Fusion may be required in cases of trauma when there is a fracture to the fused spine. This often involves the placement of screws and rods in order to stabilize the spine and allow the fused spine to heal over time.
The spine surgeons at the Weill Cornell Medicine Brain and Spine Center are part of the team at NewYork-Presbyterian Hospital, which is rated by US News and World Report as one of the leading hospitals in New York. Our Neurology and Neurosurgery program ranks as the #1 program in New York. Together, the NewYork-Presbyterian/Weill Cornell Medical Center team is the best choice for your back (see Doctors Who Treat Ankylosing Spondylitis).
Reviewed by: Paul Park, MD
Last reviewed/last updated: April 2024
