Ankylosing spondylitis is a chronic illness affecting the spine/pelvic limb joints and the sacroiliac, resulting in ankylosis and deformity of joints and the spine. Hip joints can be affected on both sides, making them more susceptible and prone to more significant injury than other joints. Even though novel biological therapies have drastically altered the management of this illness, surgical intervention is still necessary in some cases. To evaluate the role of surgical treatment in ankylosing spondylitis and provide a good review of the different surgical options suggested for different situations. For articles selection, the PubMed database was utilized, and the following keys were used in the Mesh ((“ankylosing spondylitis” [Mesh]) AND (“surgical management”[Mesh]) OR (“evaluation” [Mesh])). Patients with ankylosing spondylitis are commonly susceptible to developing severe structural and functional complications to the hip and the spine, such as severe kyphosis, severe hip arthritis, heterotopic ossification, and a spinal fracture. In such cases, surgical intervention is mostly needed. However, there are a lot of controversies surrounding surgical intervention in different situations of ankylosing spondylitis.
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