Inclusion Criteria:  Radiological diagnosis of spinal metastasis from solid tumor with epidural imminent or actual spinal cord compression, with or without neurological deficits. Patients will be scheduled for surgery + SBRT. If contra-indications preclude surgery and only SBRT is performed, patients will still be included. Written informed consent to participate in the study must be obtained from the subject or proxy /legal representative Males and females > 18 years  Exclusion Criteria:  Any concomitant condition or disease which, in the opinion of the investigator, would affect the reliability of the collected data. Patients that had previous radiotherapy on the index spinal level without the possibility for additional SBRT at that particular level.