CORR Insights®: Can a Nomogram Predict Survival After Treatment for an Ankylosing Spondylitis Cervical Fracture in a Patient With Neurologic Impairment? A National, Multicenter Study

The article discusses cervical spine fractures in patients with ankylosing spondylitis (AS), noting their increasing incidence due to an aging population and the high prevalence of spinal ankylosis. These fractures, even from low-energy injuries, can cause substantial neurologic damage, and patients often have comorbidities, leading to high mortality rates. A recent study developed a nomogram to predict survival in these patients, based on factors like fracture location, alignment, and the presence of cerebrospinal fluid leak or epidural hematoma.

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  A study by Bai et al. developed a formula to predict survival in patients with cervical spine fracture and underlying ankylosis, identifying factors independently associated with increased mortality risk.
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  Factors associated with increased mortality included lower cervical injury, complications, American Spinal Injury Association score, and non-operative treatment.
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  The study provides a predictive nomogram that surgeons can use to guide clinical decision-making at the point of care.