Hydatid Disease of the Spine

Spinal Hydatidosis

“…8,10 Other authors have used an anterior approach to perform total corpectomy and bone grafting, and a posterior approach to remove the involved posterior elements and to perform a posterior fusion with instrumentation. 3,9,19 Bhojraj et al 5 have suggested that an anterior approach should be avoided to prevent the spread of the disease to the chest and abdominal cavities. In our opinion, for lesions situated at the vertebral body, an anterior approach must be used to remove the infected bone.…”

“…1,2 About 50% of cases of bone hydatidosis are spinal. 3 We reported 26 cases of extraspinal bone hydatidosis, 4 treated between 1972 and 1998. We have treated 20 cases of hydatid disease of the spine, which represents 43% of bone hydatidosis treated in our center.…”

Extradural Hydatid Cyst of the Lumbo-Sacral Spine

“…Surgery remains the preferred treatment for extradural hydatid cysts, where spinal cord decompression is the main purpose of the surgery 12 . The treatment is essentially surgical and decompressive laminectomy with total excision of cyst, whenever possible, represents the treatment of choice 9 .…”

“…If it ruptures during the procedure, the use of intra-operative hypertonic saline or 0.5% silver nitrate solution before opening the cavities kills the daughter cysts and prevents further spread or anaphylactic reaction. Many authors 2,12 believe that after surgery, antihelminthic treatment is indicated even when the cyst remains intact during surgery.…”

Vertebral prosthetic arthrodesis migration to the esophageal lumen: a rare cause of dysphagia

“…Hydatid disease is relatively common in the Mediterranean area, but bone hy− datidosis is rare and occurs in 1 ± 2.5 % of cases of human hydatidosis [1,2]. About 50 % of cases of bone hydatidosis are spi− nal [3,4]. Surgery is the treatment of choice, with removal of the affected ver− tebrae combined with prosthetic bone fixation.…”