ToolsCalculators
Revised Tokuhashi scoring system for metastatic spine tumour
Prognostic survival estimate for metastatic spinal tumours.
Revised Tokuhashi scoring system for metastatic spine tumour
General condition (Karnofsky performance status)
Number of extraspinal bone metastases
Number of metastases in the vertebral body
Metastasis to major internal organs
Primary site of cancer
Spinal cord palsy (Frankel grade)
Result2 points
Predicted survival <6 months.
- Predicted survival
- <6 months
When to use
- Informing surgical decision-making and prognosis in metastatic spinal disease.
Formula
Six items scored 0-2 (primary site 0-5); total 0-15. Predicted survival: 0-8 = <6 months, 9-11 = >=6 months, 12-15 = >=12 months.