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Table 1 Revised Tokuhashi Score System for the Prognosis of Spinal Metastasis

From: Prognostic effect of factors involved in revised Tokuhashi score system for patients with spinal metastases: a systematic review and Meta-analysis

Factors Score
General condition (Karnofsky Performance Status, KPS)
 Poor (KPS 10–40) 0
 Moderate (KPS 50–70) 1
Good (KPS 80–100) 2
Extraspinal bone metastases
 ≥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, osteosarcoma, stomach, bladder, esophagus, pancreas 0
 Liver, gallbladder, unidentified 1
 Others 2
 Kidney, uterus 3
 Rectum 4
 Thyroid, breast, prostate, carcinoid tumor 5
Neurological Status
 Complete (Frankel A, B) 0
 Incomplete (Frankel C, D) 1
 None (Frankel E) 2