The most important factor in determining neurologic outcome in this setting is the degree of preserved neurologic function before treatment.2- 4 Overall, the incidence of spinal metastases from cancer is approximately 5%1,5; in certain malignancies, such as lung and breast carcinomas, it may be as high as 12% to 20%.6 The incidence of spinal metastases from head and neck cancer seems to be lower,