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Hydatid cyst of the spine a study of 25 patients

Background: The spine is rarely affected by Hydatid cyst with incidence of (1%) of all cases. Despite
advances in imaging as well as surgical and medical treatment, spine Hydatid cyst (H.C) is associated
with high degree of morbidity, disability, and mortality.
Objective: To assess the clinical presentation, imaging of spine H.C. & the outcome of surgical
management regarding neurological recovery, recurrence and mortality.
Patients and Methods: This is a retrospective study of the 25 patients of spine Hydatid cyst during
five years period (Jan.2010 to Jan.2015), where diagnosed and treated at medical city. All patients
after proper clinical assessment, imaging and laboratory tests had underwent posterior decompression
laminactomy and removal of all Hydatid cyst without spine instrumentation. They received
Elbendazol drugs (antihelmantic drugs) for three months with follow up six months to two years.
Results: They presented with paraplegia in (48%), paraparesis of lower limbs in (32%), local pain and
radiculopathy in (12%) and asymptomatic in (8%). The spinal level was affected by hydatid cyst
lumbar (64%), dorsal (24%), cervical (8%) and sacral (4%). 23 patients posterior decompression
laminectomies were done, 8 patients re-do surgery and 2 patients had evacuation of subcutaneous
multiple Hydatid cyst.Complete neurological recovery was achieved in (100%) of cases after primary
surgery, but recurrence rate was in (21) patients (84%) and worsening of neurological status in two
patients (8%).
Conclusions: Management of Hydatid cyst spine disease is challenging because of high recurrence
rate, requiring aggressive and repeated surgeries with high rate of surgical complications and
significant long term morbidity.Results are not satisfactory and prognosis is poor.

خلفية الموضوع :ان العمود الفقري يصاب بالاكياس المائية بنسبة قليلة جدا (1%), بالرغم من التقدم التقني بالتصوير الشعاعي والعاج الجراحي والعقاقير الطبية لازال المرض ينتج عنه درجة عالية من العوق والمعانات و الوفيات.

الغاية من الدراسة:هو تقيم الاعراض السريرية والفحوصات الشعاعية ونتائج العلاج الجراحي من ناحية حدوث المضاعافات والوفيات وتحسن الحالة العصبية السريرية للمريض.

طرق العمل:دراسه رجعية ومستقبلية تشمل 25 مريض يعاني من الاكياس المائية في العمود الفقري خلال خمسة سنوات في مدينة الطب (2010-2015) بعد اجراء الفحوصات السريرية و الشعاعية الازمة اجريت لجميع المرضى عملية فتح الفقرات من الخلف مع رفع الاكياس المائية وبدون تثبيت الفقرات مع اعطاء علاج البندازول لمدة ثلاثة اشهر مع المتابعة الطبية ولمدة تتراوح من ستة اشهر الى سنتين.

النتائج: الاعراض السريرية كانت شلل الاطراف الكامل بنسبة( 48%) وشلل الاطراف الجزئي(32%) مع الالم الظهر والساق (12%) وبدون اعراض سريرية (8%) ,اجريت 23 عملية فتح الفقرات مع رفع الاكياس المائية والضغط على الاعصاب و الحبل الشوكي مع تحسن واضح وكبير في حركة الاطراف بعد اجراء العملية الاولى , تم اعادة فتح الفقرات مع رفع الاكياس المائية الراجعة مجدد في ثمانية مرضى .

التوصيات: بالرغم من تحسن حالة المريض المصاب بالاكياس المائية في الفقرات بعد اجراء التداخل الجراحي الاولي الا انه لازال العلاج الجراحي معقد وصعب بسبب عودة المرض مرات متعدده وبدرجة عاليه وشديده مع نسبة عالية من المضاعفات والعوق و الوفيات .

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Fri Dec 01 2017
Journal Name
Journal Of Economics And Administrative Sciences
The application of quality requirements in the Ministry of Labour and Social Affairs using the international standard (ISO 9001: 2015) Korean case study of the Iraqi Center

This research aims to study the mechanism of application of international specification requirements (ISO 9001: 2015) at the Iraqi Center- Korean Vocational Training return to vocational training department at the Ministry of Labour and Social Affairs for the purpose of preparing and creating the center to get a certificate of conformity with the requirements of the standard (ISO 9001: 2015) that would elevate the level of performance and services provided in the respondent Center after it is identified and the study of the reality of the quality management system by identifying strengths and weaknesses in the system to diagnose the gap and find ways to address that gap, and adopted the researchers the case study method to conduc

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Publication Date
Sun Feb 03 2019
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Electronic University Library: Reality and Ambition Case Study Central Library of Baghdad University

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Publication Date
Wed Dec 01 2021
Journal Name
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Comparison of Conventional and Aerobic Iandfill Simulator Reactors (case study; Kirkuk city, Iraq)

Under aerobic and anaerobic conditions, two laboratory-scale reactors were operated. Each reactor
was packed with 8.5 kg of shredded synthetic solid waste (less than 5 cm) that was prepared according to an
average composition of domestic solid waste in the city of Kirkuk. Using an air compressor, aerobic
conditions were created in the aerobic reactor. This study shows that the aerobic reactor was more efficient in
COD and BOD5 removal which were 97.88% and 91.25% while in case of anaerobic reactor, they were
66.53%and 19.11%, respectively.

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Publication Date
Wed Mar 30 2022
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The Holy Totem in Qur’an, a study in the light of sociolinguistics

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Publication Date
Sun Aug 30 2020
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Achieve the internal and external dimensions of corporate social responsibility through the human resources management strategies / case study in the Municipality of Ramadi.

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Publication Date
Wed Dec 11 2019
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Alternatives Scenarios for Transportation During The Morning and Evening Peaks (The Entrances of The Jadiriya Complex Study Case) "A Planning Vision"

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Publication Date
Tue Aug 04 2009
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Publication Date
Tue Dec 31 2019
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The investment Decision Making According to the Preliminary Feasibility Study for the 100-Bed Teaching Hospital - Service Sector in Diwaniya Governorate (Case Study)

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