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. 2012 Sep;2(3):137–142. doi: 10.1055/s-0032-1326948

Table 2. Tokuhashi's Evaluation System for the Prognosis of Metastatic Spine Tumor.

Variable Score
General condition (performance status)
 Poor (PS 3, 4) 0
 Moderate (PS 2) 1
 Good (PS 0, 1) 2
No. of extraspinal bone metastases foci
  ≥ 3 0
 1–2 1
 0 2
No. of metastases in the vertebral body
  ≥ 3 0
 2 1
 1 2
Metastases to the major internal organs
 Unremovable 0
 Removable 1
 No metastases 2
Primary site of the cancer
 Lung, stomach, bladder, esophagus, pancreas 0
 Liver, gallbladder, unidentified 1
 Others 2
 Kidney, uterus 3
 Rectum 4
 Thyroid, breast, prostate, carcinoid tumor 5
Palsy
 Complete (Frankel A, B) 0
 Incomplete (Frankel C, D) 1
 None (Frankel E) 2

Criteria of predicted prognosis: total score 0–8 ≤ 6 mo; total score 9–11 ≥ 6 mo; total score 12–15 ≤ 1 y. PS, performance status.