Secondary spine tumors, also known as metastatic spine tumors, are cancers that have spread (metastasized) to the spine from other parts of the body. Common primary cancers that metastasize to the spine include lung, breast, prostate, and kidney cancers. These tumors invade the vertebral bones and surrounding structures, often causing pain, spinal instability, and neurological deficits. The spinal cord or nerve roots may be compressed, leading to symptoms such as back pain, weakness, or changes in bowel or bladder function. Imaging studies like CT scans, MRI, or bone scans are typically used to identify and assess the extent of metastatic involvement in the spine. Management of secondary spine tumors aims to relieve pain, stabilize the spine, and preserve neurological function. Treatment options include surgery, radiation therapy, and in some cases, systemic therapies like chemotherapy or targeted therapies. Palliative care plays a significant role in improving the quality of life for patients with metastatic spine tumors, addressing pain and providing support. The approach to treatment is often multidisciplinary, involving oncologists, neurosurgeons, radiation oncologists, and other specialists to tailor interventions based on the primary cancer type, overall health, and the extent of spinal involvement.