Hi, thanks for writing to HCM.
The choice of treatment of spinal metastasis
depends on the type of cancer, area of the spine involved and your general fitness. It could be Radiotherapy, Chemotherapy
If the compressive element of the spine is significant with instability and causing a neurological compromise, then a decompressive surgery is indicated.
So you may need a multimodal management protocol.
Consult an spine surgeon
for further workup and management.
Hope this information is helpful. Good day