Nnnasia score spine pdf

A systematic examination of dermatomes and myotomes, thus, would allow a clinician to determine the affected segments of the spinal cord. It has been shown to useful in guiding the mobilization or operative management of patients with neoplastic spinal disease. If voluntary anal contraction noand all s45 sensory scores 0 and any anal sensation no, then injury is complete. Classification of spinal cord injury isncsci patient name datetime of exam examiner name signature international standards for neurological c2 c3 c4 c6 t1 c5 l1 l2 l3 l4 l5 palm key sensory points s45 s3 s2 s1 l5 l 4 l 3 l 2 c2 c3 c4 t3 t2 t4 t5 t6 t7 t8 t9 t 1 t12 c8 c7 c6 dorsum. American spinal cord injury association asia impairment. The spinal instability neoplastic score sins helps to assess tumor related instability of the vertebral column. No and all s45 sensory scores 0 and deep anal pressure no, then injury is complete. Sins is a classification system for tumorrelated spinal instability. Elbow flexorsright c4 elbow flexors left wrist extensors. Aospine tlclassification injury severity score each of the following injuries will be scored on a scale of 0100 in terms of their perceived severity, 0 being benign and 100 being most severe. The international standards for neurological classification of spinal cord injury isncsci, commonly. The tool facilitates appropriate surgical referral of patients. Studies have reported good interobserver agreement among both radiologists and radiation oncologists in using the score 1,2. Motor function is preserved below the neurological level, and more then half of key muscles below the neurological.

Spinal instability neoplastic score sins radiology. This form may be copied freely but should not be altered without permission from the american spinal injury association. Spinal cord injury sci can severely impair or cease the conduction of sensory and motor signals, as well as functions of the autonomic nervous system. Rev 1115 right uer upper extremity right t2 t3 t4 t5 t6 t7 t8 t9 t10 t11 t12 l1 ler lower extremity right s2 s3 s45 key muscles. The asia american spinal injury association assessment protocol consists of two sensory examinations, a motor examination and a classification framework the impairment scale to quantify the severity of the spinal cord injury. It is highly reliable, reproducible, and a valid assessment tool to address a key question in patients with metastatic spine disease. Neurovascular injuries or polytrauma status will not be considered. Spine instability neoplastic score sins sins is used to assess the stability of the spine in patients with metastatic spinal cord compression it has near perfect inter and intraobserver reliability in determining three clinically relevant categories of stability. If yes, aisa record zpp for zpp record lowest dermatome or myotome on each side with some nonzero score preservation is.