Case: 52 year old male with the metastatic lung cancer is admitted to ICU with new onset of leg weakness. Metastasis to the spine is the likelihood. Radiation Oncologist inquired you over the phone the SINS score. What is SINS score?
Answer: SINS stands for the spine instability neoplastic score (SINS). It determines the need of operative treatment for patients with symptomatic vertebral body fractures with instability. If SINS is over 7, it may very well require an emergent surgical approach.
The score can be assessed here http://bit.ly/2tcHBIl
Fourney DR, Frangou EM, Ryken TC, et al. Spinal instability neoplastic score: an analysis of reliability and validity from the spine oncology study group. J Clin Oncol 2011; 29:3072.