Spinal infection

Infection of the spine remains a relatively uncommon condition. It is important, however, to keep alert for the possibility of spinal infection as it can otherwise be easily missed, and delays in diagnosis are associated with poor outcomes. Diagnosis of spinal infection can be challenging as clinical features are frequently non-specific and the onset may be insidious. A low index of suspicion is often required. Treatment involves a prolonged course of parenteral antibiotics, obtaining an accurate microbiological diagnosis is therefore of paramount importance. Management is usually conservative; however, patients require careful assessment and monitoring for complications that may require surgical intervention in order to achieve good outcomes. This article will describe the pathogenesis, clinical features and management of spinal infection.