Patients with ankylosing spondylitis (AS) present

some specific challenges to the anesthetist in both airway management and neuraxial access (1,2). Clinical presentation of the patients may be associated with decreasing mobility, total rigidity and even fixity because of the involvement of the cervical and thoracolumbar spine (1). Airway management of such a patient is still a subject of controversy. This report describes the management of a patient with AS with fixed rigidity of the cervical spine in whom intubation or insertion of the laryngeal mask airway (LMA) could not be accomplished because of the acute oropharyngeal axes. Case Report A 40-year-old 70-kg man with a history of AS for 20 years was admitted to our emergency department wit