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A Novel Classification System for Spinal Instability in Neoplastic Disease
Spine · 2010 · Vol. 35(22) · pp. E1221–E1229
Charles G. Fisher✉(University of British Columbia)Christian P. DiPaola✉(University of British Columbia)Timothy C. Ryken(Northwestern University)Mark H. Bilsky(Memorial Sloan Kettering Cancer Center)Christopher I. Shaffrey(Memorial Sloan Kettering Cancer Center)Sigurd Berven(University of Minnesota)James S. Harrop(Kanazawa University)Michael G. Fehlings✉(University of British Columbia)Stefano Boriani(Northwestern University)Dean Chou(Memorial Sloan Kettering Cancer Center)Meic H. Schmidt(Memorial Sloan Kettering Cancer Center)David W. Polly(University of Minnesota)R. Biagini(Kanazawa University)Shane Burch(University of Minnesota)Mark B. Dekutoski✉(University of British Columbia)Aruna Ganju(Northwestern University)Peter C. Gerszten(Memorial Sloan Kettering Cancer Center)Ziya L. Gokaslan(Memorial Sloan Kettering Cancer Center)Michael W. Groff(University of Minnesota)Norbert J. Liebsch(Kanazawa University)Ehud Mendel✉(University of British Columbia)Scott H. Okuno(Northwestern University)Shreyaskumar Patel(Memorial Sloan Kettering Cancer Center)Laurence D. Rhines(Memorial Sloan Kettering Cancer Center)Peter S. Rose✉(University of British Columbia)Daniel M. Sciubba(Memorial Sloan Kettering Cancer Center)Narayan Sundaresan(University of Minnesota)Katsuro Tomita(Kanazawa University)Péter Varga✉(University of British Columbia)Luiz Roberto Vialle(Northwestern University)Frank D. Vrionis(Memorial Sloan Kettering Cancer Center)Yoshiya Yamada(Memorial Sloan Kettering Cancer Center)Daryl R. Fourney(University of Minnesota)
Abstract
The Spine Instability Neoplastic Score is a comprehensive classification system with content validity that can guide clinicians in identifying when patients with neoplastic disease of the spine may benefit from surgical consultation. It can also aid surgeons in assessing the key components of spinal instability due to neoplasia and may become a prognostic tool for surgical decision-making when put in context with other key elements such as neurologic symptoms, extent of disease, prognosis, patient health factors, oncologic subtype, and radiosensitivity of the tumor.
Management of metastatic bone diseaseSpine and Intervertebral Disc PathologySpinal Fractures and Fixation TechniquesMedicineNeoplastic diseaseDiseasePathology
MeSH terms
AgedDelphi TechniqueFemaleHumansInternational AgenciesJoint InstabilityMaleMiddle AgedSurveys and QuestionnairesSpinal NeoplasmsEvidence-Based MedicineAdvisory CommitteesConsensus
Citations
1,210
FWCI
17.20
field-weighted impact
References
39
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100%
vs. same field & year
Citations per year
References
Surgical Strategy for Spinal Metastases
Spine · 2001 · 1,404 citations
The Classic: Metastatic Disease in Long Bones A Proposed Scoring System for Diagnosing Impending Pathologic Fractures
Clinical Orthopaedics and Related Research · 2003 · 879 citations
A Revised Scoring System for Preoperative Evaluation of Metastatic Spine Tumor Prognosis
Spine · 2005 · 1,179 citations
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