The vertebral spine is the most common location for bone metastases. Its incidence has been increasing due to increasing expectation of life and the amount of elderly in our population. Around 70 % of cancer patients shows evidence of spinal metastasis and 10% of these lesions put pressure on the spinal cord. Prognostic indicators were defined for most beneficial surgical approach and indication for surgery. Metastatic tumor classifications were designed and several clinics have commenced to use them for treatment modality choice


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