Early surgical decompression and drainage
Aspiration (for diagnosis) and antibiotics may be sufficient for patients without neuro deficits
Target Staph, Strep, and Gram-negative bacilli
Vancomycin 15-20mg/kg BID + metronidazole 500mg (7.5mg/kg) q6 hrs + (Cefotaxime or Ceftriaxone or Ceftazidime)
Ceftazidime is preferred if pseudomonas is considered likely
Can substitute Nafcillin or Oxacillin for Vancomycin if not MRSA
Ceftazidime is preferred if pseudomonas is considered likely
Can substitute Nafcillin or Oxacillin for Vancomycin if not MRSA
Treat for 6-8 weeks
Epidural abscess 
Epidural Abscess 
Subdural empyema
Discitis
Vertebral osteomyelitis
Spine related
Epidural hemorrhage
Acute ligamentous injury