Spinal Instability Neoplastic Score (SINS)

Determine instability risk in patients with spinal neoplasia


The spinal instability neoplastic score (SINS) helps to assess tumor related instability of the vertebral column. It has been shown to useful in guiding the mobilization or operative management of patients with neoplastic spinal disease.

Studies have reported good inter-observer agreement among both radiologists and radiation oncologists in using the score.


Shandy Fox, Michael Spiess, Luke Hnenny, Daryl R Fourney

Spinal Instability Neoplastic Score (SINS): Reliability Among Spine Fellows and Resident Physicians in Orthopedic Surgery and Neurosurgery

Global Spine Journal 2017, 7 (8): 744-748

The Spinal Instability Neoplastic Score (SINS) calculator is created by QxMD.

Created by on 22/01/2021

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