In Turkey, spinal hydatidosis remains a serious health problem that is associated with high morbidity and mortality. This study was undertaken to analyze the clinical, radiological, and surgical aspects and outcomes for five patients with spinal hydatidosis who were treated surgically at the Department of Neurosurgery of Ataturk University, Turkey. Despite the introduction of modern surgical and pharmacological therapy the disease remains difficult to cure, and patient outcomes are not satisfactory because of the high incidence of recurrence.