Long-term result of treatment for paraspinal and extradural hydatid cyst. a case


Salduz A., KOYUNCU L. O., Dikici F., Talu U.

ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, cilt.43, sa.3, ss.267-271, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 43 Sayı: 3
  • Basım Tarihi: 2009
  • Doi Numarası: 10.3944/aott.2009.267
  • Dergi Adı: ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.267-271
  • Anahtar Kelimeler: Albendazole/therapeutic use, Echinococcus granulosus, laminectomy, lumbar vertebrae/surgery, spinal diseases/surgery, DISEASE, SPINE
  • İstanbul Üniversitesi Adresli: Evet

Özet

Hydatid cyst is a zoonosis affecting any part of the body and presenting difficulty in diagnosis and treatment. Primary bone involvement seen in about 2% of the cases is accompanied by spinal involvement in 50%. A 41-year-old female presented with low back pain radiating to the left leg. After physical examination, radiologic and laboratory investigations, a diagnosis of spinal hydatid cyst was made with intraspinal extradural, vertebral, and paravertebral involvement. The patient was treated with two-staged posterior and anterior surgical resections with addition of pre- and postoperative antihelminthic therapy. No recurrences developed within a follow-up of 5.5 years. Recurrences can be reduced by initiation of antihelminthic therapy preoperatively, perioperative injection of scolicidal agents into the cyst, and careful excision of the cyst without spread to neighboring tissues.