Introduction: Ankylosed spine fractures are widespread due to a patient__ampersandsignrsquo;s gradual lack of mobility and secondary osteoporosis. Difficulties in radiographic evaluation of the spine in patients with AS are due to their osteoporosis that may further obscure the diagnosis. Ossified disc spaces may be poorly defined in certain circumstances Aim: To assess the radiological data, clinical findings, and mortality rates in patients with ankylosing spondylitis aggravated by cervical trauma. Study Design: Cross-sectional study Place and Duration: Pakistan institute of medical sciences Islamabad, Pakistan from August 2019 to August 2020 Methodology: We looked at 18 individuals who had been hospitalized to the Spinal Injury Unit with cervical trauma and ankylosing spondylitis. All of the patients had long-term ankylosing spondylitis, with a standard of 22 years and a range of 11 to 40 years. A total of eight individuals were fractured as a consequence of minor mishaps. Four patients were hurt by falls from great heights, while five more were injured in traffic incidents. Results: All patients were suffering from a long-term disease, and half of them had fractures due to minor incidents. Patients with a fracture line that entered the disc space had a less neurological impairment and had a better prognosis. Although horizontal displacement __ampersandsignamp; angulation were not connected to a better outcome, but distraction at the fracture site had better prognosis. Seven patients died due to falls from a sitting or standing posture, while the eighth was killed due to a strike to the face. Conclusion: According to this study, even minor trauma may cause a cervical fracture with neurological implications in those with ankylosing spondylitis. In patients with ankylosing spondylitis and cervical injury, the location of the fracture in respect to the vertebral bodies __ampersandsignamp; discs seems to be prognostic. All clients with ankylosing spondylitis __ampersandsignamp; cervical injury should have a complete radiographic evaluation performed.