We describe a case of multifocal relapsing hydatid cyst following multilevel thoracic corpectomy and360 instrumentation surgery. A 41-year-old male patient presented with cord compression and paraplegiadue to a multiseptated cystic lesion at T10-11 level. The cyst was excised with a combined anteriorand posterior approach and 360 stabilization was performed. The patient received albendazole for 1year after the surgery.The patient presented with paraparesis 5 years after the surgery. Cystic lesions between C2-T1 andT10-11 were detected on the spinal MRI and the patient was operated with removal of the lesions onboth levels and adjuvant local 20% hypertonic saline application. The patient received albendazole for thepostoperative 6 months.After 3 months from the surgery, the patient’s paraparesis recovered. There was no recurrence after 2years from the last surgery.
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