title: 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.
authors: Department of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, IAMSPE, Av. Loefgren, 700, apto 103, Vila Clementino, Indianópolis, São Paulo, 04040-000, Brazil. mafernoliv@yahoo.com.br.
authors: Matheus Fernandes
authors: MF
authors: de Oliveira
authors: Department of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, IAMSPE, Av. Loefgren, 700, apto 103, Vila Clementino, Indianópolis, São Paulo, 04040-000, Brazil.
authors: Jose Marcus
authors: JM
authors: Rotta
authors: Department of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, IAMSPE, Av. Loefgren, 700, apto 103, Vila Clementino, Indianópolis, São Paulo, 04040-000, Brazil.
authors: Ricardo Vieira
authors: RV
authors: Botelho
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013125:Spinal Neoplasms / Q000473:pathology* / Q000601:surgery*
keywords: Cancer; Neoplasm metastasis; Prognosis; Spine; Surgical procedures