A lasting solution is hard to achieve in primary hydatid disease of the spine - Long-term results and an overview

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dc.contributor.authorOzdemir, HM
dc.contributor.authorOgun, T
dc.contributor.authorTasbas, B
dc.date.accessioned2020-03-26T16:47:39Z
dc.date.available2020-03-26T16:47:39Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractStudy Design. Retrospective evaluation of patients with primary hydatid disease was done, with an overview of the pertinent literature. Objectives. To determine the results of surgical decompression and antihelminthic treatment. Summary of Background Data. Bone involvement in hydatid disease has been reported to be only 0.5 to 4%. Spinal involvement is found in 50% of these cases, with mortality over 50%. Paraplegia is the most serious complication of the disease, caused by compression of the spinal cord by the cysts. Aggressive surgery combined with antihelminthic therapy is recommended to eradicate the disease and prevent recurrence. Methods. Three patients with primary spinal hydatid disease were operated on several times for multiple recurrences. Combined chemotherapy with either mebendazole or albendazole was also given. The mean age was 52 years, and the mean follow-up time was 92 months. Results. Surgery and chemotherapy improved the symptoms in all cases but could not prevent recurrences and multiple operations. Conclusions. Primary spinal echinococcosis must be considered in the preoperative differential diagnosis of the atypical presentation of vertebral lesions, especially in patients with risk factors. Early diagnosis and preferably anterior radical surgery combined with antihelminthic therapy of sufficient duration are mandatory to at least halt the progression of symptoms, but these measures could not provide a lasting solution for the patients described here.en_US
dc.identifier.endpage937en_US
dc.identifier.issn0362-2436en_US
dc.identifier.issn1528-1159en_US
dc.identifier.issue8en_US
dc.identifier.pmid15082999en_US
dc.identifier.startpage932en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18912
dc.identifier.volume29en_US
dc.identifier.wosWOS:000220871100021en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofSPINEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjecthydatid diseaseen_US
dc.subjectspineen_US
dc.subjectantihelminthic therapyen_US
dc.titleA lasting solution is hard to achieve in primary hydatid disease of the spine - Long-term results and an overviewen_US
dc.typeArticleen_US

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