Spinal hydatid disease and its neurological complications.
Bone infection is estimated to represent 0.5-2.5% of cases of hydatid disease. Of these cases, the spine is affected in about 50%. 11 cases of histologically confirmed spinal hydatid disease treated surgically in 2 institutions in Spain and Lebanon were followed up clinically and radiologically for an average of 20 y (1-34 y). On presentation, all patients had severe neurological deficits. All patients underwent posterior spinal decompression, curettage, drainage and washout of paravertebral cyst cavities. Over the period of follow-up, patients underwent an average 4.8 spinal surgical procedures. Neurologically, all patients had partial or complete spinal cord lesions. All patients had recurrences and 18% died as a consequence of the disease. Extravertebral dissemination occurred in 82% of the cases, most commonly to the liver.
Fares
Youssef
Y
Hammoud Hospital, Saida, Lebanon.
Khazim
Rabi
R
El Zaatari
Mohamed M
MM
Haddad
George F
GF
Barnes
P Ruiz
PR
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004443:Echinococcosis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013122:Spinal Diseases / Q000150:complications* / Q000473:pathology / Q000628:therapy