Spondylitis refers to inflammation of the vertebrae, and it is often associated with ankylosing spondylitis, a chronic inflammatory condition affecting the spine. In orthopaedics, spondylitis is a significant concern as it can lead to pain, stiffness, and potentially result in fusion of the spine over time. Ankylosing spondylitis, in particular, primarily affects the sacroiliac joints and the spine, causing gradual loss of flexibility. Orthopedic assessments for spondylitis involve clinical examinations, imaging studies (X-rays, MRI), and assessments of symptoms like back pain, morning stiffness, and reduced spinal mobility. Early diagnosis is crucial to implement appropriate interventions and prevent severe spinal deformities. Management of spondylitis in orthopaedics often includes a combination of medications to control inflammation, physical therapy to maintain joint flexibility, and lifestyle modifications. In advanced cases, surgical interventions may be considered to address severe spinal deformities or instability. Understanding the complexities of spondylitis is crucial in orthopaedics for early detection, effective management, and preserving the function of the spine. A multidisciplinary approach involving rheumatologists, orthopedic specialists, and physical therapists is essential for comprehensive care and improved quality of life for individuals with spondylitis.