Cement Augmentation in Preventing Vertebral Body Compression Fracture Following Spine Stereotactic Radiosurgery in Patients With Solid Tumors and Spinal Metastases

Inclusion Criteria: * All patients must have histologic proof of solid tumor malignancy and radiographic evidence of spine metastasis * Eastern Cooperative Oncology Group (ECOG) performance status =\< 2 (Karnofsky \>= 60%) * Life expectancy of greater than 3 months * All patients must be able to lie supine * All patients must have no more than 3 contiguous vertebral body levels treated at a single site, and no more than 3 discontiguous vertebral body levels treated * All patients must have a single fraction spine radiosurgery at the designated site of interest to at least a dose of 18 Gray (Gy) * All patients must be deemed at "high risk" of developing vertebral body fracture by having at least one of the following characteristics: * Spine Instability Neoplastic Score classification of "Indeterminate" deemed as a score from 7 to 12 * Pre-existing vertebral body fracture * Planned radiation dose of 24 Gy * All patients must have a vertebral body site to be treated located from T1 to L5 * Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately * All patients must sign informed consent verifying that they are aware of the investigational nature of this study …