The first thing that I didn't find in description it's that this function return results from MIN value to MAX value, ex: [-5=>'', 0=>'', 5=>'' ]

Also you should know that by default, it has correct sorting for keys that represented as string but has a number as value, ex: ['-5'=>'', '0'=>'', '5'=>'' ]

Few examples with results:

-----------------------------------------

DESCRIPTION: Keys are numbers + default flag (SORT_REGULAR)

$arr = [
    -5 => 'minus five',
    0 => 'zero',
    1 => 'one',
    2 => 'two',
    100 => 'hundred',
];

ksort($arr);
print_r($arr);

RESULT:

Array
(
    [-5] => minus five
    [0] => zero
    [1] => one
    [2] => two
    [100] => hundred
)

-----------------------------------------
DESCRIPTION: Keys are string numbers + default flag (SORT_REGULAR)

$arr = [
    '-5' => 'minus five',
    '0' => 'zero',
    '1' => 'one',
    '2' => 'two',
    '100' => 'hundred',
];

ksort($arr);
print_r($arr);

RESULT:

Array
(
    [-5] => minus five
    [0] => zero
    [1] => one
    [2] => two
    [100] => hundred
)

-----------------------------------------
DESCRIPTION: Keys are string numbers + SORT_STRING flag

$arr = [
    '-5' => 'minus five',
    '0' => 'zero',
    '1' => 'one',
    '2' => 'two',
    '100' => 'hundred',
];

ksort($arr, SORT_STRING);
print_r($arr);

RESULT:

Array
(
    [-5] => minus five
    [0] => zero
    [1] => one
    [100] => hundred
    [2] => two
)

-----------------------------------------

DESCRIPTION: Keys are string numbers + SORT_NUMERIC flag

$arr = [
    '-5' => 'minus five',
    '0' => 'zero',
    '1' => 'one',
    '2' => 'two',
    '100' => 'hundred',
];

ksort($arr, SORT_NUMERIC);
print_r($arr);

RESULT:

Array
(
    [-5] => minus five
    [0] => zero
    [1] => one
    [2] => two
    [100] => hundred
)