Vertebral Augmentation and Radiotherapy of Collapse Spinal Metastatic Cancer

Inclusion Criteria: * Diagnosis of metastatic disease to the vertebra or multiple myeloma * Negative pregnancy test within 2 weeks prior to registration * Life expectancy of \>= 3 months and Karnofsky performance status (KPS) score \>= 40 * Pain scale score \>=5 * Pain at involved vertebral body not adequately controlled * Osteolysis of vertebral bodies * Must agree to practice adequate means of birth control * Must sign informed consent prior to study entry * Must be able to understand the English language * Absence of any serious cognitive or psychiatric problems potentially hampering compliance with the study and follow-up schedule. Exclusion Criteria: * Spinal Cord Compression