Impact of the Spinal Instability Neoplastic Score on Surgical Referral Patterns and Outcomes

Background: The Spinal Instability Neoplastic Score (SINS) was developed to identify patients with spinal metastases who may benefit from surgical consultation. We aimed to assess the distribution of SINS in a population-based cohort of patients undergoing palliative spine radiotherapy (RT) and referral rates to spinal surgery pre-RT. Secondary outcomes included referral to a spine surgeon post-RT, overall survival, maintenance of ambulation,...