=====Modifed Bauer score=====

The Modifed Bauer [[score]] is a Scoring system for Metastatic spine tumor prognosis


Score 1 point for each of the following positive prognostic factors:

No visceral metastases
    
No lung cancer
    
Primary tumor = breast, kidney, lymphoma, multiple myeloma
    
One solitary skeletal metastasis

Suggestions for treatment

Score 0-1: Supportive care, no surgery

Score 2: Short term palliation, dorsal surgery
    
Score 3-4: Middle term local control, ventral-dorsal surgery

Note
The data of this study by Leithner et al emphasize that the original Bauer score and a modified Bauer score (displayed here) without scoring for pathologic fracture seem to be practicable and highly predictive preoperative scoring systems for patients with spinal metastases. However, decision for or against surgery should never be based alone on a prognostic score but should take symptoms like pain or neurological compromise into account
((Leithner A, Radl R, Gruber G, Hochegger M, Leithner K, Welkerling H, et al. Predictive value of seven preoperative prognostic scoring systems for spinal metastases. Eur Spine J. 2008 Nov. 1;17(11):1488-1495.)).

see [[Spinal metastases classification]].