Is there a relationship between spinal instability in neoplastic disease and Tokuhashi scoring system?

Abstract:

:Spinal instability neoplastic score (SINS) classification evaluates spinal stability by adding together six radiographic and clinical components. The objective of this study was to verify the association between SINS and Tokuhashi scoring system (TSS) score. Fifty-eight patients with vertebral metastases were admitted from 2010 to 2014 at Hospital do Servidor Público Estadual de São Paulo. They were evaluated according to their SINS and Tokuhashi SS score. Fourteen patients (24.13 %) scored from 0 to 6 points (stable spine), 37 (63.79 %) scored from 7 to 12 (potentially unstable), and 7 (12.06 %) scored from 13 to 18 (unstable). In stable spine patients according to SINS, the mean TSS score was 9.2. In potentially unstable spine patients, the mean TSS score was 8.24. In unstable spine patients, mean TSS score was 6.28. There was a statistically significant difference of the TSS score between stable and unstable patients. After evaluating TSS score in each patient, the worse the SINS, the worse was also the TSS score.

journal_name

Neurosurg Rev

journal_title

Neurosurgical review

authors

de Oliveira MF,Rotta JM,Botelho RV

doi

10.1007/s10143-016-0706-y

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

519-24

issue

3

eissn

0344-5607

issn

1437-2320

pii

10.1007/s10143-016-0706-y

journal_volume

39

pub_type

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