Mortality after simultaneous fractures of the atlas and axis from ground-level falls
Patients with simultaneous fractures of the atlas and axis due to falls were typically female octogenarians with severe comorbid disease burdens and only minor associated injuries. Mortality rates were high in this cohort, and the observed survival rate was lower than the actuarial expected survival rate. Surgery was not associated with mortality. The combination of dementia and male sex was associated with mortality. The difference in mortality rates between patients with and without dementia narrowed over time, and the difference in mortality rates between male and female patients widened over time.
Authors
- Thomas J. Buell (ORCID: https://orcid.org/0000-0001-8137-524X)
- Tara Jayde Nail
- Michael Cloney (ORCID: https://orcid.org/0000-0002-5085-3103)
- Hanish Polavarapu
- David A. Paul (ORCID: https://orcid.org/0000-0002-2633-6341)
- Samuel Adida (ORCID: https://orcid.org/0000-0002-1258-8601)
- Mohamed-Ali Jawad-Makki
- David O. Okonkwo
Institutions
- Tufts University (US)
- SUNY Upstate Medical University (US)
- University of Rochester Medical Center (US)
- Michigan Medicine (US)
- University of Pittsburgh Medical Center (US)
- Neurological Surgery (US)
Publication Details
- Journal
- Journal of Neurosurgery Spine
- Published
- 2025-10-03
- DOI
- https://doi.org/10.3171/2025.4.spine24957
- Primary Topic
- Spinal Fractures and Fixation Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00