 This study describes characteristics of patients and treatment recommendations from a weekly spinal tumor board at one institution including representation from palliative care. The study found that conventional external beam radiotherapy was the most common treatment recommendation followed by surgery and stereotactic body radiation therapy. Palliative care was recommended for 4.5% of cases and no therapy was recommended for 4%. Treatment recommendations involved two modalities for 29% of cases and three in 1.3% of cases. The study highlights the importance of multidisciplinary input in the optimal care of spinal tumor patients and the need to prioritize modalities that optimize quality of life in the context of a patient's individual prognosis. This article was authored by Mayan Huyn, Claudia Rolden, Paula Nunez, and others.