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with possible STS and prompt referral to a sarcoma centre is essential in order to avoid unnecessary delays in diagnosis and to ensure optimal multidisciplinary treatment. 4 , 5 Contrary to most primary bone tumours, STSs mainly develop in the
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more instable lesion. The SINS was developed to help the primary healthcare provider to decide whether the patient has to be referred to a spine surgeon or not. Consultation of a spine surgeon is advised for lesions with a SINS score of 7 or more
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the art and the authors experience on this specific topic. Planning the surgical approach Once the resection has been planned and confirmed at the multidisciplinary consultation meeting, the surgeon can begin the second stage of surgical