The Impact of the COVID-19 Pandemic on the Presentation of Patients with Spinal Metastases.

Patients with metastatic spinal disease who underwent surgery during the COVID-19 pandemic had higher SINS, lower Tokuhashi scores and similar SORG scores compared to patients who underwent surgery before the pandemic. This suggests the pandemic has impacted the instability of disease at presentation in patients with spinal metastases, but has not impacted surgical prognosis, as there were no differences in SORG scores and the difference in Tokuhashi scores is most likely not clinically significant.