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Spinal Instability Score (SINS)

Simple scoring for Stability in Malignant Infiltration.

Scoring System.

SINS Classification 1

Scored out of 18. - 0 to 6: Stable. - 7 to 12: Potentially Unstable. - 13 to 18: Unstable.

So 7 and above needs Spinal Surgeon discussion.


How good is it?

Most papers seem to be about intra and interobserver reliability.

SINS Classification 1


  1. Fisher CG et al. AJR Am J Roentgenol 2014 Oct;203(4):869-74. doi: 10.2214/AJR.13.12269.