The Complex Surgical Management of Vertebral Fracture in a Patient With Undiagnosed Ankylosing Spondylitis: A Case Report.

Ankylosing spondylitis (AS) is a chronic inflammatory disorder that primarily affects the spine, resulting in progressive stiffness. Structural spinal changes increase susceptibility to fractures, even from minor trauma. These fractures are often unstable and can lead to neurological complications, posing significant challenges in surgical management. We present the case of a 60-year-old man who developed quadriplegia following a fall. Imaging revealed a displaced T3 vertebral fracture with spinal cord compression and findings consistent with AS. The patient underwent surgical stabilization with pedicle screws and interbody cage placement. Despite adequate spinal cord decompression, no postoperative neurological improvement was observed. This case highlights the increased fracture risk in AS and the complexities associated with its management.