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Updated: May 21, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Imaging of spine infection
1Division of Neuroradiology, Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA. Diehn.felix@mayo.edu
Spine infections, including spondylodiscitis and abscesses, require early diagnosis for better outcomes. This review highlights imaging techniques, particularly magnetic resonance imaging, for diagnosing these serious conditions.
Area of Science:
- Radiology
- Infectious Diseases
- Spinal Medicine
Background:
- Spine infections are increasing in incidence and diagnostic frequency.
- These infections, though relatively rare, can be life-threatening.
- Early diagnosis is crucial for improving patient outcomes.
Purpose of the Study:
- To review the imaging and clinical aspects of extradural spinal infections.
- To emphasize the role of magnetic resonance imaging (MRI) in diagnosis.
- To discuss the radiologist's contribution to minimally invasive sampling.
Main Methods:
- Review of imaging modalities for spinal infections.
- Focus on Magnetic Resonance Imaging (MRI) findings.
- Discussion of clinical presentations and diagnostic criteria.
Main Results:
- Pyogenic spondylodiscitis is a primary focus.
- Epidural/subdural abscesses, facet joint infections, and pyomyositis are discussed.
- Nonpyogenic granulomatous infections are also addressed.
Conclusions:
- Accurate imaging, especially MRI, is vital for diagnosing spinal infections.
- Prompt diagnosis and intervention significantly improve outcomes.
- Radiologists play a key role in both diagnosis and guided sampling procedures.
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