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Vertebral hydatid disease and its treatment by anterior-posterior radical excision, fusion and chemotherapy with albendazole: Case report - eleven years follow - up result
(2013) Erdem, Mehmet Nuri; Sever, Cem; Korkmaz, Mehmet Fatih; Oltulu, İsmail; Gürgen, Erkan; Tezer, Mehmet
Hydatid cyst is a zoonosis caused by the larval form of parasitic tapeworm Echinococcus granulosus. We present a case of vertebral hydatid cyst with paravertebral abscesses operated 11 years ago. A 32 year old woman presented multiple giant paravertebral abscesses at the level of T11-12 and L1 vertebrae and pathological fracture of L1 vertebra because of vertebral hydatid cyst. Posterior instrumentation and fusion followed by anterior L1 corpectomy and fusion were done. Patient was pain-free at eleven-year follow-up. There was no radiological evidence of relapse. Hydatid disease of the spine is rare, misdiagnosis and therefore inadequate treatment and recurrence is frequent. Maintaining the stability of the spine and achieving a fusion mass is important in the decision of surgical technique in vertebral type of hydatidosis.