The spine is the most common area in the skeletal system for metastases. Primary tumors often metastasize via hematogenous and adjacent pathways. Breast, prostate, lung and thyroid cancers most commonly cause spine metastases.Spreading often occurs through vascular structures. While the anterior column is mainly affected, progressive invasion of the pedicle and lamina may occur as the lesion progresses. Clinical, radiological and biochemical examinations are important for diagnosis and treatment. Symptomatic spinal metastases begin with local back or neck pain, followed by weakness, sensory loss, and sphincter dysfunction. MRI is the most sensitive method in detecting bone marrow infiltration, evaluating spread to the spinal canal and compression of the spinal cord and nerve roots.