Tomita Score (spinal-metastasis surgical strategy)
Tomita Surgical Strategy Score (2–10) for spinal metastases from primary-tumor grade, visceral metastases, and bone metastases; maps to a surgical goal band.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Primary-tumor grade
- Moderate growth — e.g. kidney, uterus (2)
- Visceral metastases
- Treatable (2)
- Bone metastases
- Multiple (2)
Result: Tomita 6/10 — palliative surgery for short-term palliation (6–7).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Strategy
- 2–3 wide/marginal excision (long-term control), 4–5 marginal/intralesional (middle-term), 6–7 palliative surgery (short-term), 8–10 supportive/terminal care.
What you enter
- Primary-tumor grade
- Visceral metastases
- Bone metastases
How this is calculated
- Factors
- primary-tumor grade (slow 1 / moderate 2 / rapid or unknown 4), visceral metastases (none 0 / treatable 2 / untreatable 4), and bone metastases (solitary 1 / multiple 2) sum to 2–10.
Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T. Surgical strategy for spinal metastases. Spine. 2001;26(3):298-306. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.