Who we treat
Spinal Infections
Spinal infections are serious conditions that affect the discs, vertebrae, or epidural space and can lead to severe pain, fever, and neurological impairment. Prompt diagnosis and treatment are essential to prevent long-term complications. Harbour Spine Doctors provides comprehensive evaluation, medical and surgical management, and ongoing monitoring for both adults and children.
Discitis
Discitis is an infection of the intervertebral disc, often causing back pain, stiffness, and sometimes fever. Early recognition is vital to prevent spread to adjacent vertebrae or nerves. Treatment typically involves antibiotics, rest, and sometimes surgical intervention if the infection does not respond to conservative care.
Vertebral Osteomyelitis
Vertebral osteomyelitis is an infection of the vertebral bone that can result from bloodstream infections, surgery, or spinal trauma. Symptoms may include severe back pain, fever, and night sweats. Management usually combines prolonged antibiotic therapy with monitoring of spinal stability, and surgery may be required if there is abscess formation or structural compromise.
Epidural Abscess
An epidural abscess is a collection of pus in the epidural space surrounding the spinal cord. This is a medical emergency as it can compress the spinal cord or nerves, leading to weakness, numbness, or paralysis. Treatment involves urgent surgical drainage combined with intravenous antibiotics to eliminate the infection and preserve neurological function.
Frequently Asked Questions
What are spinal infections?
Spinal infections affect the discs, vertebrae, or epidural space and can result from bacteria or other microorganisms.
What symptoms indicate a spinal infection?
Common symptoms include severe back pain, fever, night sweats, and in severe cases, neurological deficits such as weakness or numbness.
How are spinal infections diagnosed?
Diagnosis involves blood tests, MRI or CT imaging, and sometimes biopsy to identify the causative organism.
Can spinal infections be treated without surgery?
Yes, many infections can be managed with antibiotics alone, provided they are detected early and spinal stability is preserved.
When is surgery necessary?
Surgery is required if there is spinal instability, abscess formation, or neurological compromise.
How long does treatment usually take?
Treatment may involve several weeks of intravenous antibiotics, followed by oral antibiotics, with duration depending on infection severity and response.
Can spinal infections recur?
Recurrence is possible, which is why follow-up imaging and monitoring are important.
Are children at risk for spinal infections?
Yes. While less common than in adults, children can develop discitis or vertebral osteomyelitis, requiring early assessment and treatment.
How can spinal infections be prevented?
Prompt treatment of systemic infections, proper sterile technique during spinal procedures, and early evaluation of back pain with fever can reduce risk.
How do I make an appointment?
Call Harbour Spine Doctors on (02) 9057 2450 to consult a specialist for assessment and management of spinal infections.