Tomita Score for Spinal Metastases
Estimates prognosis in patients with spinal metastases.
When to use
Adults with spinal metastases, to support prognosis estimation and surgical strategy.
Pearls and pitfalls
- The score adds primary tumor growth, visceral metastases and bone metastases.
- Untreatable visceral metastases score 4 points, the heaviest weight.
- The score guides surgical aggressiveness but does not replace multidisciplinary assessment.
- Prognosis and quality of life should be discussed with the patient and family.
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Formula
Add primary tumor (1 to 3), visceral metastases (0, 2 or 4) and bone metastases (1 or 2).
Evidence
Score derived to guide surgical strategy in spinal metastases according to estimated prognosis.
References
- Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T. Surgical strategy for spinal metastases. Spine. 2002;27(10):1122-1128. doi:10.1097/00007632-200205150-00027
Frequently asked questions
What is Tomita Score for Spinal Metastases?
Estimates prognosis in patients with spinal metastases. Adults with spinal metastases, to support prognosis estimation and surgical strategy.
How is the result calculated?
Add primary tumor (1 to 3), visceral metastases (0, 2 or 4) and bone metastases (1 or 2).
How should the result be interpreted?
Score derived to guide surgical strategy in spinal metastases according to estimated prognosis.
What are the sources?
Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T. Surgical strategy for spinal metastases. Spine. 2002;27(10):1122-1128.