The Prognostic Nutritional Index (PNI), Gustave Roussy Immune (GRIM), and Glasgow Prognostic scores are a few such models that have been established and validated in patients with various malignancies; however, only one modern albumin-based scoring system is specific to patients with spinal metastatic disease (De la Garza Ramos et al., 2023; Li et al., 2020; Wu et al., 2023). Here, ALB is linked to metastatic neoplasm.