Spinal epidural abscess (SEA) is an uncommon infection, and a neurological emergency that may leads to marked neurological dysfunction and devastating consequences. The typical clinical manifestations of SEA are the classic triad of back pain, neurological deficits, and fever . The most common causative bacteria of SEA is Staphylococcus aureus. In general, management for SEA is surgical decompression and antibiotic therapy . However, it remains controversial whether patients with an extensively spreading abscess should be treated by surgery or medicated by antibiotics alone 2.