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 ¹⁾.

see Spinal metastases classification.