Treatment of Vertebral Hydatidosis and Factors Influencing Local Recurrence: A Systematic Review
DOI:
https://doi.org/10.15417/issn.1852-7434.2026.91.1.2131Keywords:
Vertebral hydatidosis, surgical treatment, local recurrenceAbstract
Background: Bone hydatidosis is rare, but approximately half of the cases involve the spine. Treatment is challenging because of the complexity of the lesions and adjacent structures; moreover, local recurrence rates are high. The aim of this review was to describe the outcomes of surgical treatments in patients with vertebral hydatidosis and to evaluate factors associated with recurrence.
Materials and Methods: A systematic review of articles addressing the surgical treatment of vertebral hydatidosis was performed. Data collected included characteristics of cystic lesions, type of surgery performed, and postoperative outcomes.
Results: Data from 99 patients were analyzed. The most frequent presentation was extradural intraspinal involvement of the thoracic spine; 74.5% of patients presented with incomplete neurological deficits. Decompression surgery, resection of cysts, and spinal stabilization were performed in 75% of cases, and all
patients received postoperative albendazole therapy. All patients experienced symptomatic improvement, although 27.9% did not achieve complete recovery. Among patients with follow-up longer than one year, 76% developed local recurrence. An association was found between the type of surgery performed and local recurrence (p = 0.05).
Conclusions: Vertebral hydatidosis is a rare disease with slow progression and potential neurological complications. When selecting the surgical approach, lesion location, neurological involvement, and spinal stability should be considered. Recurrence is a frequent complication; however, a definitive predisposing cause could not be identified.
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