In this podcast, Dr. Andrew Nataraj, a Neurosurgeon at the University of Alberta will describe an approach to the diagnosis and management of spinal tumors. After listening to this podcast you will be able to: Use clinical features and severity of back pain to differentiate between back pain and degenerative disease and that of a tumor. Consider investigations, including when and how each test would be considered. Discuss the indications for surgery or radiation therapy. Understand the differences between metatastic tumors and primary tumors, and why it is important to comprehend.