Revised Tokuhashi Scoring SystemLoading...General condition (Karnofsky Performance Status)Poor (KPS 10%-40%)0Moderate (KPS 50%-70%)+1Good (KPS 80-100%)+2Number of extraspinal bone metastases foci≥ 301-2+10+2Number of metastases in the vertebral body≥ 302+11+2Metastases to the major internal organsUnremovable0Removable+1No metastases+2Primary site of the cancerLung, osteosarcoma, stomach, bladder, esophagus, pancreas0Liver, gallbladder, unidentified+1Other+2Kidney, uterus+3Rectum+4Thyroid, prostate, breast, carcinoid tumor+5Spinal cord palsy (Frankel Grade)Complete (Frankel A, B)0Incomplete (Frankel C, D)+1None (Frankel E)+2