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Spinal Hydatid Cyst Disease.
Yurdal Gezercan1, Ali Ihsan Ökten1, Gökhan Çavuş1
1Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey.
World Neurosurgery
|September 14, 2017
Summary
Spinal hydatid cyst (HC) treatment is challenging, especially with vertebral involvement and recurrence. Long-term follow-up and careful surgical removal without rupture are crucial for managing this rare zoonotic infection.
Area of Science:
- Medicine
- Infectious Diseases
- Neurosurgery
Background:
- Hydatid cyst (HC) is a zoonotic infection typically affecting the liver and lungs.
- Spinal involvement is rare but presents significant management challenges.
Purpose of the Study:
- To evaluate the long-term outcomes of spinal hydatid cyst (HC) treatment in 8 patients.
- To identify factors contributing to recurrence and assess long-term follow-up results.
Main Methods:
- Retrospective analysis of demographic and clinicopathologic data from 8 patients diagnosed between 2000 and 2016.
- Evaluation of surgical interventions, including anterior/posterior approaches, corpectomy, laminectomy, and stabilization.
- Long-term follow-up (7-15 years) with clinical, radiologic, and serologic examinations; albendazole treatment was administered.
Main Results:
- Eight patients (4 male, 4 female; median age 30.75 years) with spinal HC across various regions (thoracic, lumbar, sacral, cervical) were studied.
- Two patients had secondary HC from lung/kidney involvement; they underwent 2-5 surgeries with an average follow-up of 8.5 years.
- Surgical approaches varied, including corpectomy, cystectomy, laminectomy, and stabilization; albendazole was prescribed.
Conclusions:
- Spinal HC treatment is complex, particularly with vertebral/paraspinal involvement, instability, and recurrence.
- Long-term follow-up is essential, combining medical (albendazole) and surgical management.
- Complete cyst removal without rupture, coupled with intraoperative irrigation, is vital to minimize recurrence risk.
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