Bone involvement in human cystic echinococcosis (CE) is rare, but affects the spine in
approximately 50% of cases. Despite significant advances in diagnostic imaging techniques as
well as surgical and medical treatment of spinal CE, our basic understanding of the parasite's
predilection for the spine remains incomplete. To fill this gap, we systematically reviewed the
published literature of the last five decades to summarize and analyze the currently existing data
on epidemiological and anatomical aspects of spinal CE.