She sang a few lines before Madonna spun her around and kissed her hand.
Spears had been rumoured to appear at the MTV Europe Music Awards in Liverpool on the same night.
Although she did not attend, the star still scooped two gongs including act of the year and album of the year for Blackout.
The singer accepted her awards with recorded video messages.
Spears and Madonna's most famous appearance on stage together was at the MTV Video Music Awards in 2003.
The pair made when headlines when they kissed on stage.
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