Hydatid disease is a worldwide encountered zoonosis but at present very rar
e in Europe, liver and lungs being the most frequently involved sites. Bone
involvement is very uncommon and the vertebral spine is the most common si
te of skeletal Involvement (less than 1% overall). We report a case of vert
ebral hydatid disease with secondary pleuro-pulmonary involvement successfu
lly treated by emergency spinal decompression followed by lung resection en
bloc with chest wall and partial vertebrectomy.