[Long-term result of treatment for paraspinal and extradural hydatid cyst: a case report].
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.
Salduz
Ahmet
A
Department of Orthopedics and Traumatology, Istanbul Medicine Faculty of Istanbul University, Istanbul, Turkey. ahmet_salduz@yahoo.com
Koyuncu
Lütfü Ozgür
LO
Dikici
Fatih
F
Talu
Ufuk
U
D000328:Adult; D004443:Echinococcosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D014057:Tomography, X-Ray Computed