Despite advances in the diagnosis and treatment of neurosurgical diseases, spinal epidural abscesses (SEA) remain challenging. The diagnosis is complex, treatments are controversial, and the potential for adverse outcomes is significant. SEA accounts for 2 of every 10,000 of hospital admissions, an incidence which has doubled in the past twenty years. Reasons which may account for this include an aging population, increased IV drug use, and increase in number of vascular and spinal procedures.

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