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Table 2 Modified surgical treatment score based on the revised Tokuhashi score for patients with lung cancer metastases to the spine

From: Modified score based on revised Tokuhashi score is needed for the determination of surgical intervention in patients with lung cancer metastases to the spine

Prognostic factorPointsNo. of patients
General condition (performance status)
 Poor (PS 10–40%)023
 Moderate (PS 50–70%)145
Good (PS 80–100%)252
No. of extraspinal bone metastases
 ≥ 3034
 1–2125
 0261
No. of metastases in the vertebral body
 ≥ 3063
 2120
 1237
Metastases to the major internal organs
 Unremovable021
 Removable12
 No metastases297
Primary site of cancer
 Lung0120
Palsy
 Complete (Frankel A B)05
 Incomplete (Frankel C D)183
 None (Frankel E)232
Tumor markers
 Abnormal179
 Normal241
Adoption of targeted therapy
 Without172
 With248
Prognostic groupsTotal points 
 Group A0–858
 Group B9–1462