The SINS score assesses tumour related instability of the vertebral column. It is used identify patients with spinal neoplastic disease that may require neurosurgical consultation. It can also be used by neurosurgical teams to score key components of spinal instability
Select the patient's score for each component of the SINS score below.
Tumour location
Junctional: Occiput-C2, C7-T2, T11-L1, L5-S1 | 3 points |
Mobile spine: C3-C6, L2-L4 | 2 points |
Semi-rigid: T3-T10 | 1 points |
Rigid: S2-S5 | 0 points |
Pain
Mechanical pain: Improves with recumbency or pain with movement or spinal loading | 3 points |
Occasional pain but not mechanical | 1 points |
Painless lesion | 0 points |
Bone lesion type
Lytic | 2 points |
Mixed | 1 points |
Blastic | 0 points |
Radiographic spinal alignment
Subluxation/translation | 4 points |
De novo deformity Kyphosis/ scoliosis | 2 points |
Normal alignment | 0 points |
Vertebral body collapse
>50% collapse | 3 points |
<50% collapse | 2 points |
No collapse but with >50% vertebral body involved | 1 points |
None of the above | 0 points |
Posterior spinal element involvement
Bilateral | 3 points |
Unilateral | 1 points |
None of the above | 0 points |