Four patients with ankylosing spondylitis sustained a traumatic spinal
injury. In three cases, pseudoarthrosis developed at the discovertebr
al junction, while involvement of the neural arch occurred in the four
th. Although the diagnosis of ankylosing spondylitis was readily estab
ished on plain radiographs, magnetic resonance more effectively identi
fied the complicating injury and in two cases demonstrated the presenc
e of cord compression. Computed tomography was also contributory in de
lineating bony and ligamentous abnormalities of the neural arch.