Tranexamic Acid Use for Bleeding Prevention in the Surgical Treatment of Metastatic Spinal Tumor in Lung Cancer Patients

This study is looking at whether a medication called tranexamic acid can reduce dangerous bleeding during surgery to remove a lung cancer tumor that has spread to the spine. Spinal surgery for cancer can involve significant blood loss, and tranexamic acid helps blood clot more effectively. **You may be eligible if...** - You have lung cancer that has spread (metastasized) to one segment of your thoracic or lumbar spine - You are scheduled for a type of spinal surgery called separation surgery **You may NOT be eligible if...** - You have abnormal blood clotting before surgery - You are allergic to tranexamic acid - The tumor affects more than one segment of your spine - Your tumor has a very rich blood supply and you need a procedure (embolization) to reduce blood flow beforehand Talk to your doctor to see if this trial is right for you.