{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:22:05Z","timestamp":1789683725970,"version":"4.0.1"},"reference-count":34,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2018,2]]},"DOI":"10.1016\/j.spinee.2017.07.008","type":"journal-article","created":{"date-parts":[[2017,7,13]],"date-time":"2017-07-13T04:15:33Z","timestamp":1499919333000},"page":"261-267","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":77,"title":["Patient-reported outcomes after surgical stabilization of spinal tumors: symptom-based validation of the Spinal Instability Neoplastic Score (SINS) and surgery"],"prefix":"10.1016","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6343-2228","authenticated-orcid":false,"given":"Ibrahim","family":"Hussain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ori","family":"Barzilai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne S.","family":"Reiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"DiStefano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"McLaughlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahiba","family":"Ogilvie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Bilsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya","family":"Laufer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.spinee.2017.07.008_bib0010","first-page":"513","article-title":"Update on the evaluation of instability of the lower cervical spine","volume":"36","author":"White","year":"1987","journal-title":"Instr Course Lect"},{"key":"10.1016\/j.spinee.2017.07.008_bib0015","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/00002517-199006000-00003","article-title":"An evaluation of spinal deformity in metastatic breast cancer","volume":"3","author":"Asdourian","year":"1990","journal-title":"J Spinal Disord"},{"key":"10.1016\/j.spinee.2017.07.008_bib0020","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3322\/canjclin.50.1.7","article-title":"Cancer statistics, 2000","volume":"50","author":"Greenlee","year":"2000","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.spinee.2017.07.008_bib0025","series-title":"Operative neurosurgical techniques indications, methods, and results","first-page":"1997","article-title":"Surgical management of malignant epidural tumors compressing the spinal cord","author":"Siegel","year":"1995"},{"key":"10.1016\/j.spinee.2017.07.008_bib0030","doi-asserted-by":"crossref","first-page":"E587","DOI":"10.1097\/BRS.0000000000000258","article-title":"Direct decompressive surgery followed by radiotherapy versus radiotherapy alone for metastatic epidural spinal cord compression: a meta-analysis","volume":"39","author":"Lee","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0035","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/00007632-198803000-00006","article-title":"Spinal stabilization of vertebral column tumors","volume":"13","author":"Kostuik","year":"1988","journal-title":"Spine"},{"issue":"Suppl. 20","key":"10.1016\/j.spinee.2017.07.008_bib0040","doi-asserted-by":"crossref","first-page":"S231","DOI":"10.1097\/BRS.0000000000001822","article-title":"The Spinal Instability Neoplastic Score: impact on oncologic decision-making","volume":"41","author":"Versteeg","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0045","doi-asserted-by":"crossref","first-page":"301","DOI":"10.3171\/2014.9.SPINE14554","article-title":"Outcomes following surgical intervention for impending and gross instability caused by multiple myeloma in the spinal column","volume":"22","author":"Zadnik","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0050","doi-asserted-by":"crossref","DOI":"10.1093\/neuros\/nyx070","article-title":"Stabilization of tumor-associated craniovertebral junction instability: indications, operative variables, and outcomes","author":"Zuckerman","year":"2017","journal-title":"Neurosurgery"},{"key":"10.1016\/j.spinee.2017.07.008_bib0055","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1186\/s12891-016-1175-8","article-title":"Quality of life of patients after surgical treatment of cervical spine metastases","volume":"17","author":"Guzik","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.spinee.2017.07.008_bib0060","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1007\/s00432-010-0946-0","article-title":"Survival prognostic factors and clinical outcomes in patients with spinal metastases","volume":"137","author":"Pointillart","year":"2011","journal-title":"J Cancer Res Clin Oncol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0065","doi-asserted-by":"crossref","first-page":"421","DOI":"10.3171\/2009.10.SPINE0943","article-title":"Reliability and validity of the M. D. Anderson Symptom Inventory-Spine Tumor Module","volume":"12","author":"Armstrong","year":"2010","journal-title":"J Neurosurg Spine"},{"issue":"20 pt 2","key":"10.1016\/j.spinee.2017.07.008_bib0070","doi-asserted-by":"crossref","first-page":"6236s","DOI":"10.1158\/1078-0432.CCR-06-0988","article-title":"The measurement of pain from metastatic bone disease: capturing the patient's experience","volume":"12","author":"Cleeland","year":"2006","journal-title":"Clin Cancer Res"},{"key":"10.1016\/j.spinee.2017.07.008_bib0075","doi-asserted-by":"crossref","first-page":"324","DOI":"10.3171\/2010.3.SPINE09459","article-title":"Reliability analysis of the epidural spinal cord compression scale","volume":"13","author":"Bilsky","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0080","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1634\/theoncologist.2012-0293","article-title":"The NOMS framework: approach to the treatment of spinal metastatic tumors","volume":"18","author":"Laufer","year":"2013","journal-title":"Oncologist"},{"key":"10.1016\/j.spinee.2017.07.008_bib0085","doi-asserted-by":"crossref","first-page":"E1221","DOI":"10.1097\/BRS.0b013e3181e16ae2","article-title":"A novel classification system for spinal instability in neoplastic disease: an evidence-based approach and expert consensus from the Spine Oncology Study Group","volume":"35","author":"Fisher","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0090","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/1748-717X-9-69","article-title":"Reliability of the Spinal Instability Neoplastic Score (SINS) among radiation oncologists: an assessment of instability secondary to spinal metastases","volume":"9","author":"Fisher","year":"2014","journal-title":"Radiat Oncol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0095","doi-asserted-by":"crossref","first-page":"869","DOI":"10.2214\/AJR.13.12269","article-title":"Reliability of the Spinal Instability Neoplastic Scale among radiologists: an assessment of instability secondary to spinal metastases","volume":"203","author":"Fisher","year":"2014","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0100","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/S1470-2045(11)70008-0","article-title":"Balloon kyphoplasty versus non-surgical fracture management for treatment of painful vertebral body compression fractures in patients with cancer: a multicentre, randomised controlled trial","volume":"12","author":"Berenson","year":"2011","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0105","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1227\/NEU.0000000000000907","article-title":"Prediction of quality of life and survival after surgery for symptomatic spinal metastases: a multicenter cohort study to determine suitability for surgical treatment","volume":"77","author":"Choi","year":"2015","journal-title":"Neurosurgery"},{"key":"10.1016\/j.spinee.2017.07.008_bib0110","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3109\/02688697.2015.1133802","article-title":"Rapid improvements in pain and quality of life are sustained after surgery for spinal metastases in a large prospective cohort","volume":"30","author":"Choi","year":"2016","journal-title":"Br J Neurosurg"},{"key":"10.1016\/j.spinee.2017.07.008_bib0115","doi-asserted-by":"crossref","first-page":"E17","DOI":"10.3171\/2016.6.FOCUS16150","article-title":"Quality of life after different surgical procedures for the treatment of spinal metastases: results of a single-center prospective case series","volume":"42","author":"de Ruiter","year":"2017","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.spinee.2017.07.008_bib0120","doi-asserted-by":"crossref","first-page":"1970","DOI":"10.1007\/s00586-011-1867-6","article-title":"Surgery improves pain, function and quality of life in patients with spinal metastases: a prospective study on 118 patients","volume":"20","author":"Quan","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.07.008_bib0125","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1200\/JCO.2015.61.9338","article-title":"Survival and clinical outcomes in surgically treated patients with metastatic epidural spinal cord compression: results of the prospective multicenter AOSpine study","volume":"34","author":"Fehlings","year":"2016","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0130","doi-asserted-by":"crossref","first-page":"2849","DOI":"10.1097\/01.brs.0000245838.37817.40","article-title":"Impact of surgical intervention on quality of life in patients with spinal metastases","volume":"31","author":"Falicov","year":"2006","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0135","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1177\/107327481402100210","article-title":"Separation surgery for spinal metastases: effect of spinal radiosurgery on surgical treatment goals","volume":"21","author":"Moussazadeh","year":"2014","journal-title":"Cancer Control"},{"key":"10.1016\/j.spinee.2017.07.008_bib0140","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3171\/2012.11.SPINE12111","article-title":"Local disease control for spinal metastases following \u201cseparation surgery\u201d and adjuvant hypofractionated or high-dose single-fraction stereotactic radiosurgery: outcome analysis in 186 patients","volume":"18","author":"Laufer","year":"2013","journal-title":"J Neurosurg Spine"},{"issue":"Suppl. 20","key":"10.1016\/j.spinee.2017.07.008_bib0145","doi-asserted-by":"crossref","first-page":"S246","DOI":"10.1097\/BRS.0000000000001824","article-title":"When less is more: the indications for MIS techniques and separation surgery in metastatic spine disease","volume":"41","author":"Zuckerman","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0150","article-title":"Metastatic spine tumor surgery: a comparative study of minimally invasive approach using percutaneous pedicle screws fixation versus open approach","author":"Kumar","year":"2016","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.spinee.2017.07.008_bib0155","doi-asserted-by":"crossref","first-page":"518","DOI":"10.3171\/2014.10.SPINE131201","article-title":"Comparison of minimally invasive surgery with standard open surgery for vertebral thoracic metastases causing acute myelopathy in patients with short- or mid-term life expectancy: surgical technique and early clinical results","volume":"22","author":"Miscusi","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0160","doi-asserted-by":"crossref","first-page":"379","DOI":"10.3171\/2011.11.SPINE116","article-title":"Vertebral compression fracture risk after stereotactic body radiotherapy for spinal metastases","volume":"16","author":"Boehling","year":"2012","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2017.07.008_bib0165","doi-asserted-by":"crossref","first-page":"3426","DOI":"10.1200\/JCO.2013.50.1411","article-title":"Vertebral compression fracture after spine stereotactic body radiotherapy: a multi-institutional analysis with a focus on radiation dose and the Spinal Instability Neoplastic Score","volume":"31","author":"Sahgal","year":"2013","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0170","doi-asserted-by":"crossref","first-page":"5075","DOI":"10.1200\/JCO.2008.19.3508","article-title":"Risk of fracture after single fraction image-guided intensity-modulated radiation therapy to spinal metastases","volume":"27","author":"Rose","year":"2009","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.spinee.2017.07.008_bib0175","doi-asserted-by":"crossref","first-page":"2835","DOI":"10.1016\/j.spinee.2014.03.043","article-title":"Spinal instability as defined by the Spinal Instability Neoplastic Score is associated with radiotherapy failure in metastatic spinal disease","volume":"14","author":"Huisman","year":"2014","journal-title":"Spine J"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943017303261?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943017303261?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T03:30:09Z","timestamp":1535599809000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943017303261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["S1529943017303261"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2017.07.008","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2018,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Patient-reported outcomes after surgical stabilization of spinal tumors: symptom-based validation of the Spinal Instability Neoplastic Score (SINS) and surgery","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2017.07.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}