Definitive Radiation for High-Risk Spine Metastases

This study tests high-dose, precisely targeted radiation (stereotactic body radiotherapy, or SBRT) for people with cancer that has spread to the spine (spinal metastases) and is considered high-risk. Rather than removing the tumor surgically, this approach uses radiation to destroy it while sparing the spinal cord. **You may be eligible if...** - You are 18 or older with cancer that has spread to the spine - Your spinal metastasis is considered high-risk (based on location, size, or tumor type) - Your general health allows you to receive radiation treatment - Your spinal cord is not already being severely compressed **You may NOT be eligible if...** - You have already received radiation to the same spinal area - You have severe spinal cord compression requiring emergency surgery first - Your cancer is not suitable for radiation - You have conditions that prevent safe positioning for treatment Talk to your doctor to see if this trial is right for you.