This dataset includes paired cervical and lumbar spine joint series X-ray radiographic images (DICOM) and erosion grading annotations (EXCEL) for Ankylosing Spondylitis. It documents radiologic changes, providing insights into the calcification and adhesion processes of the disease. The dataset enables the assessment of treatment efficacy, helps formulate strategies to prevent disability, supports the development of automated grading tools, accelerates new drug development, and aids in the optimal allocation of resources for arthritis prevention and treatment policies.