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Clinical calculator summary

Tomita Score (Spine Mets)

The Tomita Score guides the surgical goal (Wide Excision vs.

Evidence-based context for fast calculator use

Purpose:
Tomita Score evaluates spinal metastases prognosis based on tumor grade and metastatic burden to guide surgical treatment strategy.
Population:
patients undergoing skeletal metastasis stability, fracture-risk, survival, or operative assessment
Factors:
Grade of Primary Tumor, Visceral Metastases, Bone Metastases
Reference:
Tomita K, Kawahara N, Kobayashi T, et al. Surgical strategy for spinal metastases. Spine (Phila Pa 1976). 2001;26(3):298-306.
HomeTomita Score (Spine Mets)
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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

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

Expand for workflow guidance, limitations, examples, and related next steps.

When To Use

  • Use Tomita Score (Spine Mets) when tomita Score evaluates spinal metastases prognosis based on tumor grade and metastatic burden to guide surgical treatment strategy.
  • Confirm that the patient, diagnosis, disease phase, and available inputs match the cited model before calculation.

How To Interpret

  • Interpret the displayed result using the calculator-specific formula and reference table, spanning 2 - 3 through 6 - 10.
  • A boundary result should prompt input verification and clinical review rather than false precision.

What To Do Next

  • Combine the score with neurologic examination, mechanical pain, imaging, oncologic prognosis, radiosensitivity, surgical options, and patient goals.
  • Document the inputs, result, timing, and clinical context so the assessment can be reproduced.

Limitations

  • Fracture, spinal-instability, survival, and surgical-selection scores measure different domains and cannot substitute for urgent specialist assessment.
  • The result supports clinician judgment and does not independently determine treatment.

Validated Population

patients undergoing skeletal metastasis stability, fracture-risk, survival, or operative assessment

How to apply this result

For a representative case, verify Grade of Primary Tumor, Visceral Metastases, Bone Metastases, calculate the result, and confirm that its classification matches the highlighted reference band before continuing the disease-specific pathway.

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Tokuhashi Score Calculator — Spine Metastases Surgical PrognosisSINS (Spinal Instability)NESMS (Epidural Spinal Cord)

Frequently Asked Questions

When should Tomita Score (Spine Mets) be used?

Use it for patients undergoing skeletal metastasis stability, fracture-risk, survival, or operative assessment when all required inputs and the intended clinical setting are confirmed.

Can Tomita Score (Spine Mets) determine treatment by itself?

No. Interpret the result with the cited evidence, complete clinical assessment, current guidelines, and patient-specific goals.

Evidence-based oncology decision support. Verify with clinical guidelines.