Role of Spinal Instability Neoplastic Score in Management of Spinal Plasmacytoma

Ramazanoğlu, Ali Fatih; Aydın, Serdar; Etli, Mustafa Umut; Sarıkaya, Caner; Varol, Eyüp; Naderi, Sait

doi:10.1016/j.wneu.2022.02.008

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Because treating metastatic spine disease requires interdisciplinary expertise, proper SINS use is crucial [ 11 ]. Ramazanoğlu et al, based on the SINS scale to assess spinal instability associated with vertebral plasmacytoma, reported three patients with a SINS greater than 13 points in whom decompression and stabilization were performed with a good clinical outcome [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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Resection of Thoracic Plasmacytoma and Corpectomy Through the Anterolateral Thoracic Approach: A Case Report

Del Pino-Camposeco,

Villanueva-Castro,

Deustúa-Hernández

et al. 2023

Cureus

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This case report details the case of a 57-year-old male who initially manifested low back pain radiating from the lumbar region to the left leg. Progressive symptoms included paresthesia on the plantar surfaces of both feet and gait instability attributed to weakness in the pelvic limbs. Computed tomography imaging revealed osteolytic lesions in the T9, T10, and T11 vertebral bodies, resulting in compression of the spinal cord. Subsequent contrast-enhanced magnetic resonance imaging validated these findings, confirming the presence of an extradural tumor. In accordance with the Spinal Instability Neoplastic Score (SINS), the case was categorized as indicative of potential spinal instability. Consequently, a surgical intervention was performed to excise the lesion. Thus, the role of SINS played a pivotal role in guiding the decision-making process for the chosen treatment modality.

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Section: Discussionmentioning

confidence: 99%

“…Vertebral augmentation surgery can be performed in patients with painful spinal plasmacytomas with osteolytic changes with or without a fracture (SINS <13). Decompression and stabilization surgery are the treatments of choice in patients with SINS >12 [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Resection of Thoracic Plasmacytoma and Corpectomy Through the Anterolateral Thoracic Approach: A Case Report

Del Pino-Camposeco,

Villanueva-Castro,

Deustúa-Hernández

et al. 2023

Cureus

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“…Impending pathologic fractures in the extremities can be evaluated using the validated Mirels criteria [8][9][10] . The same clinical and radiographic features can be applied to a sacral lesion using the Spinal Instability Neoplastic Score 11,12 with increasing specificity for plasmacytoma lesions of the spine 13 . Therefore, early treatment of high-risk fracture locations is warranted before transplant because a fracture treatment while immunosuppressed could result in infection and death.…”

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confidence: 99%

Treatment of an Impending Pathologic Sacral Fracture with a Novel Iliosacral Fusion Construct

Jacobs,

Polly

2023

JBJS Case Connector

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Case: A 49-year-old woman presented with left leg radiculopathy and posterior pelvic pain. Subsequent evaluation demonstrated metastatic multiple myeloma with an impending left S1 sacral fracture. Immediate posterior pelvic ring stabilization was recommended to prevent fracture and disruption of her oncologic recovery. This was performed percutaneously with computer-assisted navigation using a novel cannulated screw design. Conclusion: The patient was treated with prophylactic percutaneous posterior pelvic ring fixation with a novel cannulated screw design that provided a durable construct for immediate weight-bearing. The fixation prevented a pathologic fracture and allowed immediate return to activity.

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Experience With Surgical Spine Stabilization in Patients With Impending Spinal Instability Due to Tumors

Kit,

Zakondyrin,

Grin

et al. 2024

Innovacionnaâ medicina Kubani

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Background: Although there is a significant incidence of spinal metastases and hematolymphoid tumors, the treatment strategy (decompression or decompression+stabilization surgery) for patients with impending spinal instability (Spinal Instability Neoplastic Score [SINS] values of 7-12) has not been clearly defined.Objective: To examine the rationale of decompression or decompression+stabilization surgery in patients with impending spinal instability (SINS values of 7-12) due to spinal metastases and hematolymphoid tumors and to assess treatment results within the specified range of SINS values.Materials and methods: The study included 92 patients with spinal metastases and hematolymphoid tumors who underwent surgery between January 1, 2014 and December 31, 2022 at the National Medical Research Center for Oncology (Rostov-on-Don, Russian Federation). The main inclusion criterion was SINS values of 7-12. All patients underwent palliative surgical treatment: either decompression and stabilization or decompression alone.Results: Stabilization of the spinal column was performed in 71 (77%) patients; in 21 (23%) patients, the affected segment was not fixed during surgery. Patients who underwent decompression had a higher rate of postoperative complications, with an increase in postoperative instability of the affected segment being the most significant. As for patients who underwent decompression + stabilization we found a moderate positive correlation between the lesion level and the number of fixed segments (r = 0.33, P< .05) and a weak negative correlation between the residual height of the vertebral body and the number of fixed segments (r = −0.26, P< .05).Conclusions: Stabilization in patients with impending spinal instability (SINS = 7-12) due to tumors is a more justified treatment strategy than decompression alone

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Role of Spinal Instability Neoplastic Score in Management of Spinal Plasmacytoma

Cited by 3 publications

References 12 publications

Resection of Thoracic Plasmacytoma and Corpectomy Through the Anterolateral Thoracic Approach: A Case Report

Resection of Thoracic Plasmacytoma and Corpectomy Through the Anterolateral Thoracic Approach: A Case Report

Treatment of an Impending Pathologic Sacral Fracture with a Novel Iliosacral Fusion Construct

Experience With Surgical Spine Stabilization in Patients With Impending Spinal Instability Due to Tumors

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