Metastatic spine tumors, also known as secondary spine tumors, are cancers that have spread to the spine from primary tumors elsewhere in the body. These tumors often originate in organs such as the lungs, breasts, prostate, or kidneys and then metastasize to the vertebral bones. The spine is a common site for metastasis due to its rich blood supply. Metastatic spine tumors can cause significant morbidity, as they may lead to pain, spinal instability, and neurological complications. Symptoms can include back pain, radiating pain, weakness, and, in severe cases, paralysis. Diagnosis typically involves imaging studies such as CT scans, MRI, or bone scans to identify the location and extent of spinal metastasis. Treatment aims to alleviate pain, stabilize the spine, and preserve neurological function. Options include surgery, radiation therapy, and systemic therapies like chemotherapy or targeted drugs. The approach is often palliative, focusing on improving the patient's quality of life and managing symptoms. A multidisciplinary team, including oncologists, neurosurgeons, radiation oncologists, and palliative care specialists, collaborates to tailor the treatment plan to the individual patient's needs, considering the primary cancer type, overall health, and the extent of spinal involvement.