{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T03:02:33Z","timestamp":1779850953781,"version":"3.53.1"},"reference-count":16,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Ankylosing spondylitis (AS) is a chronic disease that causes inflammation in the spine and joints, leading to ankylosis and contracture as the disease progresses. Patients with AS are prone to bone fractures, particularly cervical spine fractures. Therefore, problems such as intubation difficulties, impaired ventilation, and complications related to stabilizing and securing the patient\u2019s body position can accompany surgery under general anesthesia. Herein, we report the anesthetic management of a 54-year-old patient with mild AS who underwent orthognathic surgery under intubated general anesthesia. The McGRATH MAC video laryngoscope with an X blade was used for tracheal intubation, and the Magic Cast stabilization device was used to secure the patient\u2019s head and neck. The patient remained stable and secure throughout the surgery, which was safely completed. The Magic Cast device was useful for stabilizing the head and neck of a patient with mild AS during orthognathic surgery. However, patients with more severe AS may require additional considerations in preparation for airway and stabilization concerns.<\/jats:p>","DOI":"10.2344\/24-0018","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T11:10:04Z","timestamp":1765365004000},"page":"232-236","source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Management of a Patient With Ankylosing Spondylitis Undergoing Orthognathic Surgery"],"prefix":"10.2344","volume":"72","author":[{"given":"Yuko","family":"Yoshida","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Yokohama Clinic, Kanagawa Dental University, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeo","family":"Sugita","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Yokohama Clinic, Kanagawa Dental University, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Hsun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Yokohama Clinic, Kanagawa Dental University, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeru","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Advanced Oral Surgery, Yokohama Clinic, Kanagawa Dental University, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Arisaka","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Yokohama Clinic, Kanagawa Dental University, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1191","reference":[{"key":"i1878-7177-72-4-232-b01","series-title":"J Rheumatol","first-page":"554","article-title":"Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society","volume":"28","author":"Fukuda S,","year":"2001","unstructured":"Fukuda S,\nMinami M,\nSaito T, et al. Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. J Rheumatol. 2001;28:554\u2013559."},{"key":"i1878-7177-72-4-232-b02","series-title":"Lancet","first-page":"1379","article-title":"Ankylosing spondylitis","volume":"369","author":"Braun J,","year":"2007","unstructured":"Braun J,\nSieper J. Ankylosing spondylitis. Lancet. 2007;369:1379\u20131390."},{"key":"i1878-7177-72-4-232-b03","series-title":"Spinal Cord","first-page":"444","article-title":"Occult vertebral fractures in ankylosing spondylitis","volume":"37","author":"Finkelstein JA,","year":"1999","unstructured":"Finkelstein JA,\nChapman JR,\nMirza S. Occult vertebral fractures in ankylosing spondylitis. Spinal Cord. 1999;37:444\u2013447."},{"key":"i1878-7177-72-4-232-b04","series-title":"Rheumatol Int","first-page":"234","article-title":"Prevalence and annual incidence of vertebral fracture in patients with ankylosing spondylitis","volume":"26","author":"Feldtkeller E,","year":"2006","unstructured":"Feldtkeller E,\nVosse D,\nGeusens P,\nLinden S. Prevalence and annual incidence of vertebral fracture in patients with ankylosing spondylitis. Rheumatol Int. 2006;26:234\u2013239."},{"key":"i1878-7177-72-4-232-b05","series-title":"Ann Rheum Dis","first-page":"1839","article-title":"Ankylosing spondylitis and the risk of fracture: results from a large primary care-based nested case-control study","volume":"68","author":"Vosse D,","year":"2009","unstructured":"Vosse D,\nLandew\u00e9 R,\nVan der Heijde D,\nLinden S,\nStaa T,\nGeusens P. Ankylosing spondylitis and the risk of fracture: results from a large primary care-based nested case-control study. Ann Rheum Dis. 2009;68:1839\u20131842."},{"key":"i1878-7177-72-4-232-b06","series-title":"Eur Spine J","first-page":"145","article-title":"Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neuro-logical status and complications","volume":"18","author":"Westeveld LA,","year":"2009","unstructured":"Westeveld LA,\nVerlaan JJ,\nOner FC. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neuro-logical status and complications. Eur Spine J. 2009;18:145\u2013156."},{"key":"i1878-7177-72-4-232-b07","series-title":"Patient Saf Surg","first-page":"15","article-title":"Pitfalls and complications in the treatment of cervical spine fractures in patients with ankylosing spondylitis","volume":"2","author":"Heyde CE,","year":"2008","unstructured":"Heyde CE,\nFakler JK,\nHasenboehler E, et al. Pitfalls and complications in the treatment of cervical spine fractures in patients with ankylosing spondylitis. Patient Saf Surg. 2008;2:15."},{"key":"i1878-7177-72-4-232-b08","series-title":"Spine (Phila Pa 1976)","first-page":"803","article-title":"Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome","volume":"29","author":"Verlaan JJ,","year":"2004","unstructured":"Verlaan JJ,\nDiekerhof CH,\nBuskens E, et al. Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine (Phila Pa 1976). 2004;29:803\u2013814."},{"key":"i1878-7177-72-4-232-b01","series-title":"J Rheumatol","first-page":"554","article-title":"Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society","volume":"28","author":"Fukuda S,","year":"2001","unstructured":"Fukuda S,\nMinami M,\nSaito T, et al. Spondyloarthropathies in Japan: nationwide questionnaire survey performed by the Japan Ankylosing Spondylitis Society. J Rheumatol. 2001;28:554\u2013559."},{"key":"i1878-7177-72-4-232-b02","series-title":"Lancet","first-page":"1379","article-title":"Ankylosing spondylitis","volume":"369","author":"Braun J,","year":"2007","unstructured":"Braun J,\nSieper J. Ankylosing spondylitis. Lancet. 2007;369:1379\u20131390."},{"key":"i1878-7177-72-4-232-b03","series-title":"Spinal Cord","first-page":"444","article-title":"Occult vertebral fractures in ankylosing spondylitis","volume":"37","author":"Finkelstein JA,","year":"1999","unstructured":"Finkelstein JA,\nChapman JR,\nMirza S. Occult vertebral fractures in ankylosing spondylitis. Spinal Cord. 1999;37:444\u2013447."},{"key":"i1878-7177-72-4-232-b04","series-title":"Rheumatol Int","first-page":"234","article-title":"Prevalence and annual incidence of vertebral fracture in patients with ankylosing spondylitis","volume":"26","author":"Feldtkeller E,","year":"2006","unstructured":"Feldtkeller E,\nVosse D,\nGeusens P,\nLinden S. Prevalence and annual incidence of vertebral fracture in patients with ankylosing spondylitis. Rheumatol Int. 2006;26:234\u2013239."},{"key":"i1878-7177-72-4-232-b05","series-title":"Ann Rheum Dis","first-page":"1839","article-title":"Ankylosing spondylitis and the risk of fracture: results from a large primary care-based nested case-control study","volume":"68","author":"Vosse D,","year":"2009","unstructured":"Vosse D,\nLandew\u00e9 R,\nVan der Heijde D,\nLinden S,\nStaa T,\nGeusens P. Ankylosing spondylitis and the risk of fracture: results from a large primary care-based nested case-control study. Ann Rheum Dis. 2009;68:1839\u20131842."},{"key":"i1878-7177-72-4-232-b06","series-title":"Eur Spine J","first-page":"145","article-title":"Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neuro-logical status and complications","volume":"18","author":"Westeveld LA,","year":"2009","unstructured":"Westeveld LA,\nVerlaan JJ,\nOner FC. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neuro-logical status and complications. Eur Spine J. 2009;18:145\u2013156."},{"key":"i1878-7177-72-4-232-b07","series-title":"Patient Saf Surg","first-page":"15","article-title":"Pitfalls and complications in the treatment of cervical spine fractures in patients with ankylosing spondylitis","volume":"2","author":"Heyde CE,","year":"2008","unstructured":"Heyde CE,\nFakler JK,\nHasenboehler E, et al. Pitfalls and complications in the treatment of cervical spine fractures in patients with ankylosing spondylitis. Patient Saf Surg. 2008;2:15."},{"key":"i1878-7177-72-4-232-b08","series-title":"Spine (Phila Pa 1976)","first-page":"803","article-title":"Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome","volume":"29","author":"Verlaan JJ,","year":"2004","unstructured":"Verlaan JJ,\nDiekerhof CH,\nBuskens E, et al. Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine (Phila Pa 1976). 2004;29:803\u2013814."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/72\/4\/article-p232.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/72\/4\/article-p232.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/72\/4\/article-p232.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T02:20:11Z","timestamp":1779848411000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/72\/4\/article-p232.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":16,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2344\/24-0018","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"value":"1878-7177","type":"electronic"},{"value":"0003-3006","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}