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Twenty-six (10%) were lost to follow-up. Preoperative albuminemia35g/L (29% of patients), calcemia2.6 nmol/L (8%) and CRP10mg/L (47.5%) were associated with significantly elevated mortality. Only CRP elevation correlated with postoperative complications rate. The study confirmed the prognostic value of 3 biologic parameters (CRP level, albuminemia, calcemia) for survival after spinal bone metastasis surgery. A hybrid score taking account of not only clinical but also biologic parameters should be developed to improve estimati