There are collected and analyzed recognized and claimed in the work scales and algorithms used to evaluate the prognosis and condition of cancer patients with metastatic spine damage. An attempt was made to generalize and combine multidisciplinary approaches to improve prognosis in treatment of patients of this category.

The 571 patients with the tumors of cervical, thoracical and lumbar spine (159 patients with benging tumors, 35 - with primary malignant tumors and 377 - with metastatic lesion of the spine) have been treated surgically in 1997-2009. Tactics of surgical treatment of patients with a tumoral lesion of a column was based on an individual approach to each case of disease and depend on histological type of a tumor, localization, a degree of diffusion of process, presence of complications, age, a somatic state of the patient and sensitivity of a tumor to conservative methods of treatment.