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. 2013 Sep 19;7(9):e2450.
doi: 10.1371/journal.pntd.0002450. eCollection 2013.

Spinal cystic echinococcosis--a systematic analysis and review of the literature: part 1. Epidemiology and anatomy

Andreas Neumayr  1 , Francesca Tamarozzi, Sam Goblirsch, Johannes Blum, Enrico Brunetti
Affiliations

Spinal cystic echinococcosis--a systematic analysis and review of the literature: part 1. Epidemiology and anatomy

Andreas Neumayr et al. PLoS Negl Trop Dis. .

Abstract

Bone involvement in human cystic echinococcosis (CE) is rare, but affects the spine in approximately 50% of cases. Despite significant advances in diagnostic imaging techniques as well as surgical and medical treatment of spinal CE, our basic understanding of the parasite's predilection for the spine remains incomplete. To fill this gap, we systematically reviewed the published literature of the last five decades to summarize and analyze the currently existing data on epidemiological and anatomical aspects of spinal CE.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Flow diagram of search and selection of eligible publications.
Figure 2
Figure 2. Age distribution of spinal CE (data on 325 cases).
Figure 3
Figure 3. Anatomical allocation of spinal CE.
Left: frequency of involved spine levels in 467 cases [C: cervical; CT: cervico-thoracal; T: thoracal; TL: thoraco-lumbal; L: lumbar; LS: lumbo-sacral; S: sacral]. Right: top: frequency of the involved vertebral levels in 303 cases. bottom: number of vertebral levels involved in 287 cases.
Figure 4
Figure 4. Spinal levels involved in patients with (78 cases) and without (248 cases) history of surgery for extraspinal CE (data on 326 cases).
Figure 5
Figure 5. Classification of spinal CE according to the Dew/Braithwaite & Lees classification (type 1–5) and ‘dumbbell’ formation.
Figure 6
Figure 6. Involved anatomical structures at vertebral level in 230 spinal CE cases.
Figure 7
Figure 7. Age distribution of cases with extradural vs. intradural cyst location (data on 325 cases).
See this image and copyright information in PMC

References

    1. Pamir MN, Ozduman K, Elmaci I (2002) Spinal hydatid disease. Spinal Cord 40: 153–160. - PubMed
    1. Schantz PMK, P.; Brunetti, E. (2006) Echinococcosis. In: Guerrant RLW, D.H.;Weller,P.F., editor. Tropical Infectious Diseases: Principles, Pathogens & Practice. 2nd ed. Philadelphia: Churchill Livingstone (Elsevier). pp. 1304–1325.
    1. Kammerer WS (1993) Echinococcosis affecting the central nervous system. Semin Neurol 13: 144–147. - PubMed
    1. Ozdemir HM, Ogun TC, Tasbas B (2004) A lasting solution is hard to achieve in primary hydatid disease of the spine: long-term results and an overview. Spine (Phila Pa 1976) 29: 932–937. - PubMed
    1. Song XH, Ding LW, Wen H (2007) Bone hydatid disease. Postgrad Med J 83: 536–542. - PMC - PubMed

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