Spinal cord abscess is swelling and irritation (inflammation) and the collection of infected material (pus) in or around the spinal cord.
Abscess – spinal cord
Causes, incidence, and risk factors
A spinal cord abscess is caused by an infection inside the spine. An abscess of the spinal cord itself is very rare. A spinal abscess usually occurs as an
Pus forms as a collection of:
Destroyed tissue cells
Live and dead bacteria and other microorganisms
White blood cells
The pus is commonly covered by a lining or membrane that forms around the edges. The pus collection causes pressure on the spinal cord.
The infection is usually due to bacteria. Often it is caused by a staphylococcus infection that spreads through the spine. It may be caused by
The following increase your risk of a spinal cord abscess:
Back injuries or trauma, including minor ones
Boilson the skin, especially on the back or scalp
lumbar punctureor back surgery
Spread of any infection through the bloodstream from another part of the body (
The infection often begins in the bone (
The disorder is rare, but may be life-threatening.
Loss of bladder or bowel control Loss of movementof an area of the body below the abscess Loss of sensationof an area of the body below the abscess
- Low backache, often mild but slowly gets worse
- Pain typically moves to the hip, leg, or feet
- Pain may spread to the shoulder, arm, or hand
- Severe back pain
Signs and tests
A physical exam often shows tenderness over the spine. An exam may show signs of:
Spinal cord compression
Paralysis of the lower body (paraplegia) or of the entire trunk, arms, and legs (quadriplegia)
Changes in sensation below the area of involvement
The amount of nerve loss depends on where the lesion is located on the spine and how much it is compressing the spinal cord.
Tests that may be done:
The goals of treatment are to relieve pressure on the spinal cord and cure the infection.
Urgent surgery to relieve the pressure is sometimes recommended. It involves removing part of the spine bone and draining the abscess. Sometimes it is not possible to completely drain the abscess.
Antibiotics are used to treat the infection. They are usually given through a vein (IV).
How well a person does after treatment varies. Some people recover completely.
An untreated spinal cord abscess can lead to
If the abscess is not drained completely, it may return or cause scarring in the spinal cord.
The abscess can either injure the spinal cord from direct pressure, or it can cut off the blood supply to the spinal cord.
Complications may include:
Long-term (chronic) back pain
Loss of bladder/bowel control
Loss of sensation
Calling your health care provider
Go to the emergency room or call the local emergency number (such as 911) if you have symptoms of spinal cord abscess.
Thorough treatment of boils, tuberculosis, and other infections decreases the risk. Early diagnosis and treatment are essential to prevent complications.