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Influence of SINS score on risk of

pathological fracture

SINS 1-6

SINS 7-12

SINS>12

Risk of PF

17%

67%

No

32 fractures (15 symptomatic) in 79 patients

Median 3.3 (0.4-34) months

Lee et al IJROBP 2016; 126(3):509

High risk of fracture………….

24 Gy/1 fraction