Ankylosing spondylitis: what all should anaesthesiologist know?

Ankylosing Spondylitis (AS) may present significant issues to the anaesthesiologist as potential difficult airway, respiratory and cardiovascular complications, concomitant medication therapy modify symptoms disease. Awake fibreoptic intubation (AFOI) is a safe option in anticipated it permits neurological monitoring throughout attempt at achieving definitive airway. Central neuraxial blockade peripheral nerve blocks have good application for these cases. This morbidity renders patients greater risk of complications peri-surgical period. Neurophysiological assists clinician timely diagnosis intervention during surgery cervical spine deformity correction. Addition anti-tumour necrosis factor-α agents medical management has resulted improved outcomes, however, with increased wound infections treated patients. Understanding can pave way appropriate perioperative management.