Spinal hydatidosis is a rare disease, affecting only 1% of all hydatid disease cases. The authors report a case of a 34-year-old Turkish woman who presented with recurring primary hydatid disease. The patient first presented with numbness and paraparesis. Surgery involved T5-6 laminectomy with cyst removal. Lab results suggested a hydatid cyst or Cysticercus. However, she returned four years later with back pain and numbness. Another operation revealed a hydatid cyst that was consistent with Echinococcus. Although rare, the authors conclude that spinal hydatidosis should be considered in the differential diagnosis of patients presenting with infectious lesions of the spine who are from or have traveled in endemic areas. The authors discuss epidemiology, presentation, diagnosis, neuroimaging, treatment, and prognosis characteristics of spinal hydatidosis.