Conventional With Stereotactic Radiotherapy for Pain Reduction and Quality of Life in Spinal Metastases

Inclusion Criteria: * solid tumor with radiological diagnosis of spinal metastases * pain score minimum 2 on 11-point scale * maximum of 2 consecutive or noncontiguous spinal vertebra involved by tumor at current level of interest * No or mild neurological signs (radiculopathy, dermatomal sensory change and muscle strength of involved extremity) * Karnofsky performance ≥60 * WHO ≤2 * life expectancy \> 6 weeks * age ≥18 * non-pregnant, non-lactating female patients Exclusion Criteria: * history of previous radiotherapy to the spine at current level of interest * spinal instability or neurological deficit * pathological fracture or impending fracture needing fixation * prior surgery to the spine at current level of interest * clinical signs of spinal cord compression or severe neurological deficits * patients with a pacemaker such that MRI cannot be performed or the treatment cannot be delivered safely * patients unable to undergo MRI * earlier nuclear medicine treatment * pregnancy * altered mental status that would prohibit the understanding and giving of informed consent