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Tomita Score (Spine Mets)

Clinical Context & Background

The Tomita Score guides the surgical goal (Wide Excision vs. Marginal Excision vs. Palliative) for spinal metastases. It relies on three factors: Grade of malignancy, Visceral Metastases, and Bone Metastases.
Primary Source EvidenceTomita K, Kawahara N, Kobayashi T, et al. Surgical strategy for spinal metastases. Spine (Phila Pa 1976). 2001;26(3):298-306.
Formula Logic
Sum of points (Range 2-10). Lower score = Better prognosis.

Reference Data

Total ScoreTreatment GoalPrognostic Group
2 - 3Wide or Marginal ExcisionLong-term local control
4 - 5Marginal or Intralesional ExcisionMiddle-term local control
6 - 10Palliative Surgery (Decompression)Short-term palliation

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