Coccygodynia: surgical treatment

The coccyx is a highly variable structure in the human caudal spine. Previous studies have revealed a significant correlation between coccyx shape and the pain syndrome coccygodynia. The aim of this study was to carry out a complex morphological evaluation of the coccyx in a group of asymptomatic patients of different sex and age examined by multislice computed tomography (MSCT) of the pelvis for different clinical reasons. MSCT pelvis examinations from various nontraumatic clinical conditions from consecutive adult patients (250 males and 250 females of comparable age, mean 54.9 ± 14.8 years) were used. Based on middle sagittal plane reconstructions: coccyx configuration (types I-IV according to Postacchini and Massobrio classification, each successive type characterized by a more pronounced anterior position of coccyx), number of segments, length and angles (intercoccygeal and lumbo-sacral) were measured. The results obtained were analyzed statistically. The following types of coccyx were observed in the study group: type I in 16.2 %, type II 40.0 %, type III 32.4 %, and type IV 11.4 % cases. In most cases (50.8 %), three segments were noted. Lumbo-sacral angle varied from 15.6° to 66.4° (average 41.6° ± 7.7°), and intercoccygeal angle from 0° to 107° (average 51° ± 23.3°). A significant negative correlation between age and number of segments as well as age and intercoccygeal angle was observed. In males, the coccyx was significantly longer, while in females the intercoccygeal angle was significantly wider. Type I was significantly more frequent in males, while type IV was found more often in females. The results obtained differ from other results in the literature. Our research could be useful to determine population standards, and help (together with clinical history) future studies of associations between idiopathic coccygodynia and coccyx morphology.

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Evaluation of coccygeal bone variability, intercoccygeal and lumbo-sacral angles in asymptomatic patients in multislice computed tomography

Przybylski

Pankowicz

Boćkowska

et al. 2013

Anat Sci Int

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Coccygectomy Effects in Patients With Resistant Coccydynia in Ahvaz Hospitals From 2010 to 2014

Khorrami

Arti

Moghadam

et al. 2015

Jentashapir J Health Res

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Background:The majority of the cases of coccydynia occur in conjunction with either subluxated or hypermobile coccyx, and it has been proposed that this pathologic instability may cause chronic inflammatory changes. Objectives: This study was done to evaluate the effect of coccygectomy in patients with resistant coccydynia after initial conservative therapy failure. Patients and Methods: Between October 2010 and December 2013, 13 patients with coccydynia underwent coccygectomy in the hospitals of Ahvaz city after a failed conservative therapy for at least 4 -6 months. In order to evaluate the results, a questionnaire was obtained, including the extent of relief in the painful area, improvement in quality of life, intensity of pain in the sitting position, pain during daily activities, and the need for analgesics, according to the criteria described by Bayne. Results: The patients were followed up for an average of 25.7 months. The results were good in 11 patients, excellent in 1, and fair in only 1 patient. The excellent and good rates amounted to 92.2%. No major complication was seen. Conclusions: Coccygectomy is a successful treatment in patients unresponsive to conservative treatments for coccydynia.

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Coccygectomy Effects in Patients With Resistant Coccydynia in Ahvaz Hospitals From 2010 to 2014

Khorrami

Arti

Moghadam

et al. 2015

Jentashapir J Health Res

View full text Add to dashboard Cite

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Coccygodynia: surgical treatment

Cited by 3 publications

References 4 publications

Evaluation of coccygeal bone variability, intercoccygeal and lumbo-sacral angles in asymptomatic patients in multislice computed tomography

Evaluation of coccygeal bone variability, intercoccygeal and lumbo-sacral angles in asymptomatic patients in multislice computed tomography

Coccygectomy Effects in Patients With Resistant Coccydynia in Ahvaz Hospitals From 2010 to 2014

Coccygectomy Effects in Patients With Resistant Coccydynia in Ahvaz Hospitals From 2010 to 2014

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