Do you routinely recommend patients with spine metastases wear neck collars or back braces?

The neurosurgeons here do not believe that collar and brace for metastasis should be applied routinely, even inpatients with pathological fractures. The issue with these collars and braces is that it makes the musculature weak and often times they develop worsening pain and instability because of it...

If the spine is unstable, suitable patient will need have surgery for stabilization. In other words, if the SINS is 13 or above, a surgical consultation is highly recommended. In my experience, collar or corsets are not of much help.