This article discusses a review of 39 cases of recurrent spinal hydatidosis, a type of cystic bone echinococcosis. The study aimed to analyze the clinical and radiological features, surgical procedures, and outcomes for these patients. The results showed that the majority of lesions occurred in the lumbar and thoracic spine, with total cyst resection achieved in 71.8% of patients. Intraoperative cyst rupture occurred in 33.3% of cases. The postoperative outcomes, as measured by the American Spinal Injury Association score, were “good” in 82% of patients. However, patients with poor outcomes often experienced intraoperative ruptures of thoracic cysts, leading to high rates of cyst recurrence. The study highlights the importance of careful surgical management to minimize complications and improve patient outcomes
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spinal clinic in London
Published article
CONCLUSION: The majority of patients demonstrated improvement following surgery for cervical hydatid cysts. Notably, those with poor outcomes typically experienced intraoperative ruptures of their thoracic hydatid cysts, contributing to high cyst recurrence rates.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Surg Neurol Int. 2023 Sep 29;14:347. doi: 10.25259/SNI_667_2023. eCollection 2023.ABSTRACTBACKGROUND: Cystic bone echinococcosis accounts for 0.5-4% of all reported cases, and 45% occur in the spine. Our aim was to review the clinical and radiological features, surgery, and outcomes for 39 patients with recurrent spinal hydatidosis.METHODS: Thirty-nine reports of patients with recurrent spinal hydatidosis (2011-2020),
Surg Neurol Int. 2023 Sep 29;14:347. doi: 10.25259/SNI_667_2023. eCollection 2023.
ABSTRACT
BACKGROUND: Cystic bone echinococcosis accounts for 0.5-4% of all reported cases, and 45% occur in the spine. Our aim was to review the clinical and radiological features, surgery, and outcomes for 39 patients with recurrent spinal hydatidosis.
METHODS: Thirty-nine reports of patients with recurrent spinal hydatidosis (2011-2020) were followed for an average of 9.28 ± 5.60 months.
RESULTS: Lesions occurred in descending order in the; lumbar (48.7%), thoracic (43.6%), and cervical spine (7.7%). Total cyst resection was achieved in 28 of 39 patients (71.8%). Intraoperative cyst rupture occurred in 13 patients (33.3%). The postoperative American Spinal Injury Association (ASIA) score was “good” in 82% of patients. Those with “poor” postoperative ASIA scores had a 41% incidence of recurrent thoracic hydatid cysts; further, they demonstrated significantly higher recurrence rates if cysts had ruptured intraoperatively (P = 0.001). In addition, laminectomy, subtotal original cyst resection (P < 0.007), and a thoracic location were all significantly associated with higher recurrence rates (P < 0.04).
CONCLUSION: The majority of patients demonstrated improvement following surgery for cervical hydatid cysts. Notably, those with poor outcomes typically experienced intraoperative ruptures of their thoracic hydatid cysts, contributing to high cyst recurrence rates.
PMID:37810304 | PMC:PMC10559363 | DOI:10.25259/SNI_667_2023
The London Spine Unit : most advanced spinal clinic in London
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Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts
