PHYSIOTHERAPEUTIC ASSESSMENT OF A PATIENT WITH A HYDATIDIC CYST IN THE LUMBAR SPINE: A CASE REPORT


Creative Commons License

Turan G. G., Ergün B., Kizilay E.

IMVHSC 10 INTERNATIONAL MEDICAL, VETERINARY AND HEALTH SCIENCES CONGRESS, Farg'ona, Özbekistan, 17 - 19 Kasım 2025, ss.123-129, (Tam Metin Bildiri)

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Farg'ona
  • Basıldığı Ülke: Özbekistan
  • Sayfa Sayıları: ss.123-129
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Yozgat Bozok Üniversitesi Adresli: Evet

Özet

Hydatid cyst disease is a zoonotic infection caused by the parasite Echinococcus granulosus and is particularly common in regions where agriculture and animal husbandry are widely practised. Bone tissue involvement occurs in approximately 0.5–2% of cases, representing a relatively rare clinical presentation compared to involvement of other organs. The possibility of recurrence even many years after the disease and the fact that Turkey is among the endemic regions for hydatid cysts necessitate the careful execution of diagnosis, treatment, and followup processes. Lumbar spine involvement can cause serious complications in terms of both spinal stability and neurological functions. Therefore, a comprehensive neurological evaluation is of great clinical importance in diagnosed cases. This study presents the systematic physiotherapeutic assessment of a 60-year-old female patient who underwent cage surgery due to a hydatid cyst in the lumbar spine region. In our case, the evaluation process included motor and sensory examination, functional independence level, balance ability, quality of life, presence of spasticity, and pressure ulcer risk, which were assessed using multidimensional measurement tools. The scales used in the evaluation were determined to reveal the patient's motor, sensory, functional, and psychosocial status in a multidimensional manner. The assessment of balance is performed using the Berg Balance Scale, the assessment of motor and sensory loss is performed using the ASIA (American Spinal Injury Association) Impairment Scale, the assessment of quality of life is performed using the SF-36 (Short Form), the Braden Pressure Ulcer Risk Assessment Scale for assessing pressure ulcer risk, the Manual Muscle Test for assessing muscle strength, the Modified Ashworth Scale for assessing spasticity, and the Barthel Index for assessing activities of daily living. In spinal hydatid cysts, neurological effects that may develop as a result of the cyst pressing on the spinal cord should be carefully evaluated. Where necessary, early initiation of physical therapy and rehabilitation supports functional recovery. Rehabilitation in the postoperative period is also important in accelerating neurological recovery and preventing possible sequelae. A comprehensive assessment prior to treatment enhances the effectiveness of rehabilitation