=====Tomita score=====

Surgical strategy for [[spinal metastases]]

Primary tumor

1 point: slow growth (e.g. breast, prostate, thyroid)

2 points: moderate growth (e.g. kidney, uterus)

4 points: rapid growth (e.g. lung, liver, stomach, colon, primary unknown)

Visceral metastases

0 points: no visceral metastases
    
2 points: treatable

4 points: untreatable

Bone metastases (including spine)

1 point: solitary / isolated
    
2 points: multipe

Note: scores for each group are derived from the hazard ratio by rounding off to the nearest integer.
Treatment goal & Surgical strategy

2 - 3 points: long-term local control (mean survival 50 months) => wide or marginal excision
    
4 - 5 points: middle-term local control (mean survival 23,5 months) => marginal or intralesional excision
    
6 - 7 points: short-term palliation (mean survival 15 months) => palliative surgery
    
8 - 10 points: terminal care (mean survival 6 months) => supportive care, no surgery
((Tomita et al. Surgical strategy for spinal metastases. Spine (2001) vol. 26 (3) pp. 298-306)).