Spinal infection

This chapter provides a comprehensive review of the presentation, investigation, and management of patients presenting with a spinal infection. Particular attention is given to discitis and osteomyelitis (collectively referred to as spondylodiscitis), spinal epidural abscesses, and postoperative infections following spine surgery, although in practice there is considerable overlap between these conditions. These forms of spinal infection are rare, but are associated with significant morbidity and mortality, often due to diagnostic delays related to their non-specific presenting symptoms. The relevant literature is reviewed and summarized to provide guidance on the prompt diagnosis and management of these conditions in clinical medical practice.