Table 3 MSBDS (Myeloma Spine and Bone Damage Score). Interpretation: High-risk: > 10: immediate surgical or radiation oncologist consultation. Medium risk: ≥ 5–10: possible instability and medium risk of pathologic fracture. Low-risk: < 5.
Location | Points |
|---|---|
Junctional Spine (C0-C2, C7-T2,T11-L1,L5-S1) | 3 |
Mobile Spine (C3-C6, L2-L4) * only 1 point for semi-rigid (T3-T10) | 2 |
Collapse/involvement > 50% | 3 |
Collapse < 50%* | 2 |
Posterolateral (facet, pedicle) involvement monolateral | 2 |
Posterolateral (facet, pedicle) bilateral monolateral | 3 |
Spinal Canal involvement | 5 |
Trochanteric region focal lesions < 10 mm | 2 |
Femoral neck or entire trochanteric region | 5 |
More 2/3 of bone diameter | 3 |
Focal lesion > 5 mm at any site* | 1 |
Diffuse Pattern | 1** |