Spinal Instability in Metastatic Disease

  • Joshua C. PattEmail author
  • Daniel P. Leas


Neoplastic disease creates a unique challenge when determining the relative stability of the human spine. This chapter will start by highlighting the anatomic stabilizers of the spine and explore the role of imaging in determining competency and compromise of these structures. Finally, it will provide an overview of classification systems for spinal instability, finishing with the validated Spinal Instability Neoplastic Score (SINS).


Instability Radiography Imaging Spinal SINS 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Levine Cancer InstituteAtrium HealthCharlotteUSA
  2. 2.Department of Orthopaedic SurgeryCarolinas Medical Center, Atrium HealthCharlotteUSA

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