Vertebral Hydatidosis
Abstract
Background: More than 50% of cases of bone hydatidosis involve the spine. Although pharmacological treatment is well established, surgical management is challenging due to the complexity of the lesions and adjacent anatomical structures, and local recurrence rates remain high. Objective: To analyze a case series of patients with vertebral hydatidosis and to evaluate lesion distribution, clinical presentation, treatment, and complications. Materials and Methods: A multicenter study was conducted including patients with vertebral hydatidosis and a minimum follow-up of one year. Data collected included characteristics of cystic lesions, type of surgery performed, and postoperative outcomes. Results: Seven patients (mean age: 40.17 years) with a mean follow-up of 13 years were included. The most frequent involvement extended from the lumbar spine to the sacrum. Treatment consisting of surgical resection, spinal fixation, and albendazole therapy resulted in improvement of pain and neurological symptoms. The most frequent complication was recurrence. Conclusions: Lumbosacral and sacral involvement were the most common locations, and the liver was the most frequent extravertebral site. Pain responded well to treatment consisting of surgical resection and antiparasitic therapy. Local recurrence remains the most common complication.Downloads
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