Coccygectomy with or without periosteal resection

Bïlgïç, Serkan; Kürklü, Mustafa; Yurttaş, Yüksel; Özkan, Hüseyin; Oğuz, Erbil; Şehirlioğlu, Ali

doi:10.1007/s00264-009-0805-2

Cited by 37 publications

(78 citation statements)

References 23 publications

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“…We are not experienced with a recently introduced subperiosteal technique [14], which anyway may be of interest, since it was published by the end of our study. Success rate in coccygectomy range from 100 to 54 % [17].…”

Section: Discussionmentioning

confidence: 99%

“…Adhesive sterile drapes were placed on site after skin disinfection. We performed coccygectomy following Key's technique [10], as thoroughly described by Bilgic et al [14] in their Group 1 patients. We never used sub-periosteal technique [14].…”

Section: Surgical Proceduresmentioning

confidence: 99%

“…We performed coccygectomy following Key's technique [10], as thoroughly described by Bilgic et al [14] in their Group 1 patients. We never used sub-periosteal technique [14]. Unstable, mobile fragment was excised enbloc via a trans-discal approach, including its periosteum.…”

Section: Surgical Proceduresmentioning

confidence: 99%

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

et al. 2013

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

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

et al. 2013

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“…Trauma may be acute from a fall or during childbirth, or chronic and repetitive, when obesity may be a predisposing factor [2,7]. Less common causes of coccydynia may be due to local bone or soft tissue pathology [8][9][10]. However, one-third of cases are idiopathic [2,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Less common causes of coccydynia may be due to local bone or soft tissue pathology [8][9][10]. However, one-third of cases are idiopathic [2,[9][10][11]. Some authors have suggested that individuals with a greater ventral angulation of the coccyx are more at risk of developing idiopathic coccydynia [3,12].…”

Section: Introductionmentioning

confidence: 99%

CT morphology and morphometry of the normal adult coccyx

et al. 2012

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Purpose Lack of data on the in vivo morphology and morphometry of the normal adult coccyx hampers understanding of radiological abnormalities in idiopathic coccydynia. The aim of this study was to investigate normal adult sacrococcygeal morphometry. Methods Retrospective analysis of 112 adult CT scans (mean age 63 ± 14.6 years, 50 males) evaluated the following: number of coccygeal segments; joint fusion; coccygeal spicules, subluxation, sacralization, and scoliosis; sacrococcygeal straight and curved lengths and curvature indices; sacrococcygeal and intercoccygeal angles; and lateral deviation of the coccyx tip. Results Four coccygeal segments were present in 76 % of scans. Sacrococcygeal fusion was present in 57 % and intercoccygeal fusion was increasingly common more caudally; there was no significant association with age or gender. A bony spicule was present in 23 %. Subluxation was rare. Nine of 12 coccyges with a retroverted tip were female. Mean coccygeal curved length was 4.4 ± 0.8 cm in men and 4.0 ± 0.8 cm in women (P \ 0.01). Mean angle between first and last coccygeal segments was 138°± 25°in men and 147°± 25°in women (P = 0.08). There was no significant correlation between coccygeal length or curvature and stature, age or BMI. Conclusions In this first detailed study of the CT morphology and morphometry of the adult coccyx, sacrococcygeal and intercoccygeal joint fusion was common. Female coccyges were shorter, straighter, and may be more prone to retroversion, factors that may be relevant to the markedly higher prevalence of idiopathic coccydynia in women.

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An Anatomical and Morphometric Study of the Coccyx Using Three‐Dimensional Reconstruction

Lee

Gil

Shin

et al. 2015

The Anatomical Record

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To provide anatomical and morphological data regarding the coccyx using three-dimensional images, with a view to aiding the diagnosis of idiopathic coccydynia, one hundred and thirty-six normal adult pelvises were investigated. Three-dimensional models of the pelvis were reconstructed using software from computed tomography images of whole specimens. The following six coccyx parameters were measured: (1) width, (2) straight length, (3) thickness, (4) sacrococcygeal angle, (5) intercoccygeal angle, and (6) angle of lateral deviation of the coccyx. The presence of fusion between the sacral and coccygeal cornua, and between the sacrum and the transverse process of the coccyx was also investigated, and lateral deviations of the coccyx were classified and analyzed. Most of the measured coccyx parameters were larger in males than in females, with the exception of the sacrococcygeal and intercoccygeal angles. Unilateral or bilateral fusion of the sacral cornu and the coccygeal cornu was not a rare finding. With respect to the sacrum and the transverse process of coccyx, the separated type was more common than the fused type. The incidence and angle of lateral deviation of the coccyx varied widely between individuals. The present detailed description of the gross anatomy of the coccyx obtained using three-dimensional modeling will help toward understanding the mechanism underlying the development of idiopathic coccydynia. Fusion of the sacrum and coccyx or lateral deviation of the coccyx may cause coccydynia by compressing the coccygeal nerves. Anat Rec, 299:307-312, 2016. V C 2015 Wiley Periodicals, Inc.

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Coccygectomy with or without periosteal resection

Cited by 37 publications

References 23 publications

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

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

CT morphology and morphometry of the normal adult coccyx

An Anatomical and Morphometric Study of the Coccyx Using Three‐Dimensional Reconstruction

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