Tokuhashi score

Metastatic spine tumor prognosis

General condition (Karnofsky)

No. of extraspinal bone metastases foci

No. of metastases in the vertebral body

Metastases to the major internal organs

Primary site of the cancer


Survival prognosis


Tokuhashi et al. A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (2005) vol. 30 (19) pp. 2186-91