From the case:
Dagger sign in ankylosing spondylitis
Frontal

Dagger sign (Ankylosing spondylitis)
The dagger sign is a single central radiodense line on frontal radiographs related to ossification of supraspinous and interspinous ligaments.Note the inflammatory involvement of the right hip as well.
Case Discussion
The dagger sign is a single central radiodense line on frontal radiographs related to ossification of supraspinous and interspinous ligaments.