Surgical vs. non-surgical management of cervical spine fractures associated with ankylosing spinal disorders: a matched retrospective comparison assessing mortality
Following propensity score matching, surgical and conservative management result in similar mortality outcomes for neurologically intact patients with ASD fractures. Age, rather than treatment approach, emerged as a stronger predictor of overall mortality. Nonetheless, treatment decisions should also consider other clinical outcomes beyond mortality, emphasizing the need for an individualized approach until more robust evidence is available.
Authors
- Anna MacDowall (ORCID: https://orcid.org/0000-0002-9231-7608)
- Erik Edström (ORCID: https://orcid.org/0000-0002-8781-1169)
- Josefin Åkerstedt (ORCID: https://orcid.org/0000-0002-5920-293X)
- Simon Blixt (ORCID: https://orcid.org/0000-0001-9549-2375)
- Victor Gabriel El-Hajj (ORCID: https://orcid.org/0000-0001-9479-761X)
- Anastasios Charalampidis (ORCID: https://orcid.org/0000-0001-5228-738X)
- Johan Wänman (ORCID: https://orcid.org/0000-0002-4874-6800)
- Henrik Frisk (ORCID: https://orcid.org/0000-0001-7317-1554)
- Adrian Elmi‐Terander (ORCID: https://orcid.org/0000-0002-3776-6136)
- Ali Buwaider (ORCID: https://orcid.org/0009-0000-1966-7911)
Institutions
- Karolinska University Hospital (SE)
- Uppsala University Hospital (SE)
- Karolinska Institutet (SE)
- Spine Center Göteborg (SE)
- Umeå University (SE)
Publication Details
- Journal
- BMC Musculoskeletal Disorders
- Published
- 2025-02-21
- DOI
- https://doi.org/10.1186/s12891-025-08437-x
- Citations
- 3
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 6.02
Funders
- Karolinska Institutet