Ankylosing spondylitis (AS) can lead to spinal fractures due to inflammation and osteoporosis. This inflammation changes the spine's structure and weakens the bones. Surgery, specifically spinal fusion, can help stabilize these fractures. In spinal fusion, doctors use strong supports to stabilize the spine. This surgery protects the spinal cord and relieves symptoms like pain and weakness. It can be done from the back (posterior spinal fusion), the front (anterior spinal fusion), or both (combined 360 spinal fusion). Recovery takes about 3 months, and patients need to follow specific care instructions. While surgery has risks, it is often the best option for stabilizing the spine and preventing further damage.