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.