Tomita Score Calculator (Spinal Metastasis)

Tomita score for surgical strategy in spinal metastasis (2–10).

For educational and clinical reference. Not a substitute for medical judgment. See the medical disclaimer.
Score
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Interpretation
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References

  1. Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T. Surgical strategy for spinal metastases. Spine. 2001;26(3):298-306.

How to use

  1. Select the primary tumor growth pattern, visceral mets, and bone mets.
  2. The total (2–10) and strategy recommendation update instantly.
  3. Combine with Tokuhashi for survival prognostication.

Frequently asked questions

What is the Tomita score used for?

It guides the surgical strategy for spinal metastases, ranging from wide excision (best prognosis) to terminal supportive care (worst prognosis).

How does the Tomita score complement Tokuhashi?

Tokuhashi predicts survival; Tomita translates that to a surgical strategy. Many centers use both together.

What is the score range?

2 to 10. Lower scores favor curative-intent surgery; higher scores favor palliation.

Should modern systemic therapies change interpretation?

Yes — improved targeted/immune therapies for kidney, breast, and lung cancers may extend survival beyond historical Tomita predictions. Use clinical judgment.

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