From: Reliability of the Spinal Instability Neoplastic Score (SINS) among radiation oncologists: an assessment of instability secondary to spinal metastases
Total Score (0-18 SINS)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Three Clinical Categories (3-point)
Stability
Potentially Unstable
Unstable
Binary Scale (2-point)
Current or potential instability; Surgical consultation recommended