Embolization is a safe and valuable primary and adjunctive treatment option for metastatic spinal tumors. Close consultation between the neurosurgeon, the oncologist, the radiation oncologist, and the interventionalist should lead to more applications of embolization techniques,thereby enhancing the treatment of metastatic spinal lesions. The development of newer embolic agents with chemotherapeutic properties should add to the efficacy of embolization for metastatic spinal disease.