Epidural abscess Epidural abscess This condition is often a surgical emergency . The majority of cases occur within the thoracic spine. Without treatment, neurological deficit, including paralysis, may develop. Epidural abscess This condition is often a surgical emergency . The majority of cases occur within the thoracic spine. Without treatment, neurological deficit, including paralysis, may develop. Epidural abscess This condition is often a surgical emergency . The majority of cases occur within the thoracic spine. Without treatment, neurological deficit, including paralysis, may develop.