Tokuhashi Score (Revised) 

Updated: Dec 09, 2014
  • Author: Buck Christensen; Chief Editor: Buck Christensen  more...
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Tokuhashi Score

The revised Tokuhashi score is a prognostic scoring systems for spinal metastases. [1, 2]

Table 1. Revised Tokuhashi Score [1, 2] (Open Table in a new window)

Category

Options

Score

General condition (performance status)

Poor (PS 10%-40%)

0

Moderate (PS 50%-70%)

1

Good (PS 80%-100%)

2

Number of extraspinal bone metastases foci

≥3

0

1-2

1

0

2

Number of metastases in the vertebral body

≥3

0

2

1

1

2

Metastases to major internal organs

Unremovable

0

Removable

1

No metastases

2

Primary cancer site

Lung, osteosarcoma, stomach, bladder, esophagus, pancreas

0

Liver, gallbladder, unidentified

1

Others

2

Kidney, uterus

3

Rectum

4

Thyroid, prostate, breast carcinoid tumor

5

Palsy

Complete (Frankel A, B)

0

Incomplete (Frankel C, D)

1

None (Frankel E)

2

Table 2. Tokuhashi Survival Prognosis (Open Table in a new window)

Total Score

Survival

0-8

< 6 months

9-11

6-12 months

12-15

>1 year