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, vol.43, no.3, pp.267-271, 2009 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 43 Issue: 3
  • Publication Date: 2009
  • Doi Number: 10.3944/aott.2009.267
  • Journal Name: ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.267-271
  • Keywords: Albendazole/therapeutic use, Echinococcus granulosus, laminectomy, lumbar vertebrae/surgery, spinal diseases/surgery, DISEASE, SPINE
  • Istanbul University Affiliated: Yes

Abstract

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.