Review ArticlesSpinal Infections Clinical and Imaging FeaturesArbelaez, Andres MD*†; Restrepo, Feliza*†; Castillo, Mauricio‡Author Information From the *Neuroradiology Section, Radiological Department, Hospital Pablo Tobon Uribe, Medellin, Colombia; †Neuroradiology Unit, Link, Diagnostico Digital, Medellín, Colombia; and ‡Neuroradiology Division, Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC. Reprints: Arbelaez Andres, MD, Neuroradiology Section, Radiological Department, Hospital Pablo Tobon Uribe, Medellin, Colombia (e-mail: [email protected]). The authors declare no funding and conflicts of interest. Topics in Magnetic Resonance Imaging: October 2014 - Volume 23 - Issue 5 - p 303-314 doi: 10.1097/RMR.0000000000000032 Buy Metrics Abstract Spinal infections represent a group of rare conditions affecting vertebral bodies, intervertebral discs, paraspinal soft tissues, epidural space, meninges, and spinal cord. The causal factors, clinical presentations, and imaging features are a challenge because the difficulty to differentiate them from other conditions, such as degenerative and inflammatory disorders and spinal neoplasm. They require early recognition because delay diagnosis, imaging, and intervention may have devastating consequences especially in children and the elderly. This article reviews the most common spinal infections, their pathophysiologic, clinical manifestation, and their imaging findings. © 2014 Lippincott Williams & Wilkins, Inc.