title: Hydatid disease drug therapy primarily to reconstruction of a multilevel thoracolumbar vertebral lesion.
abstract: We report, a very unusual case of multilevel vertebral hydatidosis adjacent to the thoracolumbar junction, without concomitant chord compression. Two months after initiating oral antiparasite treatment, the patient underwent resection of the lesion using a posterior approach, medullary decompression, and a T11-L3 instrumented arthrodesis. Arthrodesis via the anterior approach was performed at a later stage. In addition to its diagnostic value, this case raises renewed discussion about single-level lesions given their rarity: their indication for preoperative medullary angiography, their indication for circumferential surgery, the timing of medical treatment, and the strategy to implement for the residual lesions.
authors: Service de Chirurgie Orthopédique et Traumatologique, Hôpital Beaujon, 100, boulevard du Général-Leclerc, 92110 Clichy, France. cog20002002@yahoo.fr
authors: A
authors: A
authors: Cogan
authors: B
authors: B
authors: Ilharreborde
authors: T
authors: T
authors: Lenoir
authors: E
authors: E
authors: Hoffmann
authors: C
authors: C
authors: Dauzac
authors: P
authors: P
authors: Guigui
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000923:Anticestodal Agents / Q000627:therapeutic use; D003646:Debridement; D004443:Echinococcosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013122:Spinal Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D000923:Anticestodal Agents; D015766:Albendazole