Coccygodynia treated by resection of the coccyx

Hellberg, Steen; Strange-Vognsen, Hans Henrik

doi:10.3109/17453679008993564

Cited by 53 publications

(59 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A sub-periosteal technique has been recently introduced [14] with the aim of lower infections rate, but it needs wider studies to be statistically validated. Antibiotic protocols may vary widely [3,8,13,14,20] and either single shot therapy [8] or prolonged administration within 3-5 post-operative days have been suggested [3,20]. Patient himself may favour contamination by poor self care [14].…”

Section: Discussionmentioning

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 1 more Smart Citation

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: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Prior to coccygectomy, the majority of patients had undergone non-operative treatment modalities for a variable period of time ranging from 3-6 months [3,15,22] to 14-15 years [7,16]. In the majority of the papers the operation performed was well described.…”

Section: Resultsmentioning

confidence: 99%

“…In total 24 manuscripts met the inclusion criteria and were analyzed (Tables 3, 4, 5) [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Only two of them [4,18] were prospective series, and five were classified as Level III studies [4,12,18,23,26].…”

Section: Resultsmentioning

confidence: 99%

Surgical treatment of coccygodynia: an analytic review of the literature

2010

View full text Add to dashboard Cite

Coccygodynia is a pathological condition associated with pain-discomfort all around the bottom end of the spine. The aetiology and the intensity of the symptoms may defer significantly. The effectiveness of the surgical treatment remains obscure. Our purpose, through this systematic review is to evaluate the results of surgical treatment of coccygectomy. Literature retrieval was performed by the use of the PubMed searching engine utilising the terms 'coccygodynia-coccygectomy' in the English language from January 1980 to January 2010. Case reports and tumour related case series were excluded as well as articles published in other languages. In total 24 manuscripts were analyzed. Only 2 of them were prospective studies whereas 22 were retrospective case series; five were classified as Level III studies and the remaining as Level IV studies. In total, 671 patients with coccygodynia underwent coccygectomy following failed conservative management. The sex ratio, male/female was 1:4.4. The most popular aetiology for coccygodynia was direct trauma in 270 patients. 504 of the patients reported an excellent/ good outcome following the procedure. There were 9 deep and 47 superficial infections. Other complications included two haematomas, six delayed wound healings and nine wound dehiscence. The overall complication rate was 11%. Patients with history of spinal or rectal disorders, as well as idiopathic or with compensation issues, had less predictable outcome than those with history of trauma or childbirth. Coccygectomy can provide pain relief to as high as 85% of the cases. The most common reported complication was wound infection.

show abstract

“…Various authors 2,13,19,20,28,40,42 have reported good to excellent results in patients who underwent coccygectomy for coccydynia (Table III). Careful patient selection appears to be the key to success.…”

Section: Functional Outcomesmentioning

confidence: 99%

Coccydynia

Nathan

Fisher

Roberts

2010

The Journal of Bone and Joint Surgery. British volume

116

View full text Add to dashboard Cite

Coccydynia is a painful disorder characterised by coccygeal pain which is typically exaggerated by pressure. It remains an unsolved mystery because of the perceived unpredictability of the origin of the pain, some psychological traits that may be associated with the disorder, the presence of diverse treatment options, and varied outcomes. A more detailed classification based on the aetiology and pathoanatomy of coccydynia helps to identify patients who may benefit from conservative and surgical management.This review focuses on the pathoanatomy, aetiology, clinical features, radiology, treatment and outcome of coccydynia.Pain in the region of the coccyx is referred to as coccydynia or coccygodynia. A convoluted literature exists on its aetiology and management. The term coccydynia was first used by Simpson 1 in 1859, but descriptions of pain in the terminal portion of the spine date back to at least the 16th and 17th centuries.

show abstract

Coccygodynia treated by resection of the coccyx

Cited by 53 publications

References 8 publications

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

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

Surgical treatment of coccygodynia: an analytic review of the literature

Coccydynia

Contact Info

Product

Resources

About