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HomeAnswersSpine healthankylosing spondylitisWhat happens when your spine is fused together?

I have been suggested laminectomy and spinal fusion for ankylosing spondylitis. What to do?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atul Prakash

Medically reviewed by

Dr. Sneha Kannan

Published At March 17, 2021
Reviewed AtApril 17, 2021

Patient's Query

Hi doctor,

I am 71-years old, working part-time as a payroll specialist that makes me believe in a healthy lifestyle. I am faced with actual spinal surgery. When I spoke with the surgeon, they mentioned that part of my back had already begun fusion and is referred to as ankylosing spondylitis. I have very bad pain with lateral movement, and it also sounds like knuckle cracking. I have been suggested microdecompression laminectomy with possible spine fusion. I believe ankylosing spondylitis is the best option. Please let me know your views and how I might proceed.

Answered by Dr. Atul Prakash


Welcome to icliniq.com.

The information that you provide is incomplete as there are two separate conditions that you mention. In ankylosing spondylosis, the spine fuses and becomes stiff, and further fusion is not recommended unless an Andersson lesion complicates matters. Spinal stenosis is a separate condition, and this will require decompression, while additional fusion is required if instability is operating present. It is very unusual to get the two conditions together. I will like to see your CT (computed tomography) scan report and x-ray of the spine.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul Prakash
Dr. Atul Prakash

Orthopedician and Traumatology

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