Cargando…
Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts
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...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559363/ https://www.ncbi.nlm.nih.gov/pubmed/37810304 http://dx.doi.org/10.25259/SNI_667_2023 |
_version_ | 1785117480161640448 |
---|---|
author | Obame, Fresnel Lutèce Ontsi Dokponou, Yao Christian Hugues Mohcine, Salami Elmi, Saad Moussa Imbunhe, Napoleao El Kacemi, Inas Mouhssani, Mohamed Sahri, Imad-Eddine Abderrahmane, Housni Laaguili, Jawad El Asri, Abad Chérif Gazzaz, Miloudi |
author_facet | Obame, Fresnel Lutèce Ontsi Dokponou, Yao Christian Hugues Mohcine, Salami Elmi, Saad Moussa Imbunhe, Napoleao El Kacemi, Inas Mouhssani, Mohamed Sahri, Imad-Eddine Abderrahmane, Housni Laaguili, Jawad El Asri, Abad Chérif Gazzaz, Miloudi |
author_sort | Obame, Fresnel Lutèce Ontsi |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10559363 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-105593632023-10-08 Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts Obame, Fresnel Lutèce Ontsi Dokponou, Yao Christian Hugues Mohcine, Salami Elmi, Saad Moussa Imbunhe, Napoleao El Kacemi, Inas Mouhssani, Mohamed Sahri, Imad-Eddine Abderrahmane, Housni Laaguili, Jawad El Asri, Abad Chérif Gazzaz, Miloudi Surg Neurol Int Original Article 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. Scientific Scholar 2023-09-29 /pmc/articles/PMC10559363/ /pubmed/37810304 http://dx.doi.org/10.25259/SNI_667_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Obame, Fresnel Lutèce Ontsi Dokponou, Yao Christian Hugues Mohcine, Salami Elmi, Saad Moussa Imbunhe, Napoleao El Kacemi, Inas Mouhssani, Mohamed Sahri, Imad-Eddine Abderrahmane, Housni Laaguili, Jawad El Asri, Abad Chérif Gazzaz, Miloudi Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
title | Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
title_full | Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
title_fullStr | Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
title_full_unstemmed | Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
title_short | Surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
title_sort | surgical outcome and prognostic factors for 39 recurrent spinal hydatid cysts |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559363/ https://www.ncbi.nlm.nih.gov/pubmed/37810304 http://dx.doi.org/10.25259/SNI_667_2023 |
work_keys_str_mv | AT obamefresnelluteceontsi surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT dokponouyaochristianhugues surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT mohcinesalami surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT elmisaadmoussa surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT imbunhenapoleao surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT elkacemiinas surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT mouhssanimohamed surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT sahriimadeddine surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT abderrahmanehousni surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT laaguilijawad surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT elasriabadcherif surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts AT gazzazmiloudi surgicaloutcomeandprognosticfactorsfor39recurrentspinalhydatidcysts |