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Tokuhashi Score (Spine Mets)
Clinical Context & Background
The Revised Tokuhashi Score (2005) is a prognostic scoring system for patients with spinal metastases. It assesses general condition, extraspinal bone metastases, number of vertebral metastases, metastases to internal organs, primary site, and spinal cord palsy. The total score helps decide between excisional surgery, palliative surgery, or non-surgical management.
Formula Logic
Sum of 6 parameters (0-15 points).Reference Data
| Total Score | Predicted Survival | Treatment Strategy |
|---|---|---|
| 0 - 8 | < 6 months | Conservative / Palliative Surgery |
| 9 - 11 | ≥ 6 months | Palliative Surgery / Radiotherapy |
| 12 - 15 | ≥ 1 year | Excisional Surgery likely appropriate |
Evidence-based oncology decision support. Verify with clinical guidelines.