Severe kyphoscoliosis after primary Echinococcus granulosus infection of the spine

[摘要] A 6-year-old Bulgarian girl was admitted to our institution with a primary Echinococcus granulosus infection of the spine which was treated elsewhere with various interventions, including thoracotomy, partial corporectomy, multiple laminectomies and uninstrumented fusion. Recurrence of infection due to incomplete cyst resection and inappropriate surgical measures caused a progressive kyphoscoliotic deformity, spinal stenosis, cord compression and neurologic injury. At the presentation at our institution, she was wheelchair bound. The clinical investigation revealed gibbus in the middle thoracic spine with Cobb angle of 110°, cord compression at the apex and paraplegia with Frankel Grade C.

[学科分类] 骨科学

[关键词] Echinococcus granulosus;Infection;Thoracic spine;Kyphotic deformity;Neurologic deficit