Coccygectomy in the surgical treatment of traumatic coccygodynia

Şehirlioğlu, Ali; Öztürk, Çağatay; Oğuz, Erbil; Emre, Tuluhan Yunus; Bek, Doğan; Altinmakas, Mehmet

doi:10.1016/j.injury.2006.09.013

Cited by 42 publications

(62 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Success rate in coccygectomy range from 100 to 54 % [17]. Our success rate averages 75 %, which is consistent with literature [3,25]. Poorest results were associated with partial coccygectomies, when only intercoccygeal unstable portion was excised.…”

Section: Discussionsupporting

confidence: 87%

“…Coccygeal and/or pelvic tilting [12], together with obesity [2], may promote the aforementioned changes. Several studies report case series with mixed etiology [12,20], most commonly post-traumatic and idiopathic, while pure post-traumatic series are quite uncommon [3,7]. Our study only considered post-traumatic patients, with coccygeal fractures-dislocations due to direct trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Anatomical sample was cleaned and pictures were taken. An accurate hemostasis and several washings with saline and Gentamycine were carried out, and wound closure was performed in a three-layer fashion [3]. If torn, pre-sacral fascia was carefully closed with resorbable sutures.…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…Direct axial trauma may determine mechanical coccygodynia, due to subluxation, dislocation or hypermobility [3,4]. Pain is usually harsh and may limit daily activities, whereas it is responsive to bed rest and conservative treatment [5].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, many surgeons prefer Gardner's technique [11], and no general consensus is given on treatment options. Another issue takes into account the extent of the excision, with many authors reporting similar results with total and partial coccygectomy [7,9,12], whereas others [3,13] claim total coccyx resection to be the best surgical choice.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Acute traumatic instability of the coccyx: results in 28 consecutive coccygectomies

et al. 2013

View full text Add to dashboard Cite

Introduction Coccygeal instability includes hypermobility, subluxation and fracture-dislocation. Surgical resection is still controversial, with intractable post-traumatic coccygodynia being an indication to surgery. Materials and methods From 2001 to 2010, we enrolled 31 patients with post-traumatic coccygodynia (19 females, 12 males; mean age 31 years, range 21-47). Conservative treatment failed in 28 patients, who underwent surgical resection of the coccyx. Twenty-one were total, while seven were partial coccygectomies. At follow-up (mean 33 months; range 24-70), clinical outcomes evaluation included measurement of complications rate, pain relief and satisfaction degree. Results Nineteen patients experienced complete pain relief, while two had incomplete, and four had no relief. Partial coccygectomies were associated with poor results. Twenty-one patients were satisfied, whilst four were not. Conclusions Coccygectomy is the treatment of choice for post-traumatic instability. Patients' selection allowed excellent or good results. This study favors a more aggressive approach including total resection of the coccyx.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Acute traumatic instability of the coccyx: results in 28 consecutive coccygectomies

et al. 2013

View full text Add to dashboard Cite

show abstract

Coccygectomy with or without periosteal resection

Bïlgïç

Kürklü

Yurttaş

et al. 2009

International Orthopaedics (SICOT)

Self Cite

View full text Add to dashboard Cite

The purpose of this study was to compare the clinical outcomes and wound complications in coccygectomy with or without subperiosteal resection. This retrospective study included 25 patients who underwent coccygectomy. Resection of all mobile coccygeal segments including the periosteum was performed in 11 patients (group 1) and resection was performed subperiostally sparing the periosteum in the remaining 14 patients (group 2). A visual analogue scale was used for pain assessment before and after the surgery both in sitting and standing positions. A questionnaire to evaluate subjective patient satisfaction was also used. The two groups were statistically similar in terms of age, sex, aetiology, duration of symptoms before surgery and follow-up time. Both surgical techniques resulted in a statistically similar clinical outcome. Overall, 84% of patients who underwent coccygectomy benefited from surgery. We observed four wound infections (two superficial and two deep) that caused delayed wound healing in group 1. The rate of infection in group 1 was statistically higher than in group 2. The results of this study suggest that periosteal preservation and closure are related to low risk of infection.

show abstract

Prevention of post-coccygectomy infection in a series of 136 coccygectomies

Doursounian

Maigne

Cherrier

et al. 2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Postoperative infection is a regular complication in coccygectomy. The authors propose the use of a topical skin adhesive on the postoperative wound as a contribution to the prevention of this complication. It was used on the first 56 patients in this study. The rate of infection was 3.6% compared with the 14% rate of infection in a previous study. The 80 following patients had, in addition to the skin adhesive, two prophylactic antibiotics for 48 hours (cefamandole and ornidazole), a preoperative rectal enema, and closure of the incision in two layers. The rate of infection dropped to 0.0%. Topical skin adhesive constitutes a significant contribution in the prevention of infection after coccygectomy.

show abstract

Coccygectomy in the surgical treatment of traumatic coccygodynia

Cited by 42 publications

References 19 publications

Acute traumatic instability of the coccyx: results in 28 consecutive coccygectomies

Acute traumatic instability of the coccyx: results in 28 consecutive coccygectomies

Coccygectomy with or without periosteal resection

Prevention of post-coccygectomy infection in a series of 136 coccygectomies

Contact Info

Product

Resources

About