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. 2013 Aug 19;31(27):3426–3431. doi: 10.1200/JCO.2013.50.1411

Table 2.

Breakdown According to Each SINS Criterion

Factor Fracture (n = 57) Vertebral Segments No Fracture (n = 353) Vertebral Segments Fractures
No. Total No. %
Location
    Junctional (occiput-C2, C7-T2, T11-L1, L5-S1) 25 139 25 164 15.24
    Mobile spine (C3-C6, L2-L4) 20 91 20 111 18.02
    Semirigid (T3-T10) 12 108 12 120 10
    Rigid (S2-S5) 0 15 0 15 0
Pain
    Mechanical 23 92 23 115 20
    Occasional and nonmechanical 18 157 18 175 10.29
    Pain free 16 104 16 120 13.33
Bone lesion type
    Lytic 48 208 48 256 18.75
    Mixed 6 83 6 89 6.74
    Blastic 3 62 3 65 4.62
Alignment
    Subluxation/translation 1 0 1 1 100
    Kyphosis/scoliosis 9 22 9 31 29.03
    Normal 47 331 47 378 12.43
Vertebral body collapse
    ≥ 50% 3 9 3 12 25
    < 50% 27 44 27 71 38.03
    No collapse but > 50% body involved by tumor 13 65 13 78 16.67
    None of the above 14 235 14 249 5.62
Posterior element involvement
    Bilateral 7 59 7 66 10.61
    Unilateral 32 152 32 184 17.39
    Not involved 18 142 18 160 11.25
SINS classification
    Stable 13 185 13 198 6.57
    Indeterminant 42 167 42 209 20.1
    Unstable 2 1 2 3 66.67

Abbreviation: SINS, Spinal Instability Neoplastic Scoring system.