Epidemiology, diagnosis and management of Baastrup's disease: a systematic review

Meluzio, Maria Concetta; Smakaj, Amarildo; Perna, Andrea; Velluto, Calogero; Grillo, Giovanni; Proietti, Luca; Martino, Ivan De; Tamburrelli, Francesco Ciro

doi:10.23736/s0390-5616.21.05428-x

Cited by 10 publications

(7 citation statements)

References 43 publications

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“…The course of the disease is progressive and in the face of an accentuation of the low back pain, it is indicated to complete the investigations with an MRI with Fat/Sat sequences and possible administration of gadolinium in order to highlight any inflammatory focal points in the acute phase ( [43][44][45][46][47][48][49]; Figures 9 and 10a-b).…”

Section: Infiltration Technique: Our Experiencementioning

confidence: 99%

Treatment of Low-Back Pain With Oxygen-Ozone Therapy

Bonetti¹,

Ottaviani²,

Simonetti³

et al. 2023

Hernia Updates and Approaches

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Low back pain and lumbosciatica are highly disabling pathologies, increasingly widespread in every social category and at an early age. They arise as a result of trauma or latently, often with progressive aggravation. They can have different etiologies, referring to vertebral pathologies. This chapter aims to describe the biochemical and mechanical factors of action of the mixture of oxygen and ozone in the treatment of low back pain, both acute and chronic. The methods used in clinical practice will also be highlighted, providing evidence from the literature. We will describe the outcome in patients affected by herniated disc, but not only, considering also the selected applications concerning the pathology of the posterior compartment (for example: facet syndromes, spondylolysis and spondylolisthesis, Baastrup syndrome, post-traumatic synovitis of the young and other pathologies).

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Section: Infiltration Technique: Our Experiencementioning

confidence: 99%

Treatment of Low-Back Pain With Oxygen-Ozone Therapy

Bonetti¹,

Ottaviani²,

Simonetti³

et al. 2023

Hernia Updates and Approaches

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“…[2] Regarding pathoanatomy, causes of coccydynia may include: (I) degeneration of the sacrococcygeal and intercoccygeal discs and joints; (II) coccyx anatomy and shape or the presence of a bony spicule and coccygeal retroversion; (III) coccyx mobility: immobility, hypermobility, or posterior subluxation; (IV) referred pain: lumbar pathology or arachnoiditis of the sacral nerve roots, spasm of the pelvic floor muscles, and inflammation of the pericoccygeal soft tissues; (V) others: neoplasm, crystal deposits, infections. [2] Coccydynia significantly impacts patients' quality of life and is often an overlooked cause of unrecognized low back pain [3,4].…”

Section: Introductionmentioning

confidence: 99%

Coccygectomy for refractory coccydynia, old-fashioned but effective procedure: A retrospective analysis

Perna,

Franchini,

Macchiarola

et al. 2024

International Orthopaedics (SICOT)

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Purpose Coccydynia, characterized by persistent pain in the coccygeal region, significantly impacts patients' quality of life. While various treatment modalities exist, including conservative measures and surgical interventions like coccygectomy, optimal management remains unclear. This retrospective cohort study aimed to compare the clinical outcomes, functional improvements, and quality of life in patients with chronic coccydynia undergoing either infiltrative treatment or coccygectomy. Methods Data from patients treated at our institution from January 2018 to December 2022 were analyzed. Participants meeting inclusion criteria were divided into two groups: Group A underwent coccygectomy, while Group B received conservative therapy. Clinical assessments, radiographic evaluations, and patient-reported outcomes were collected preoperatively and at follow-up intervals. Results Of the 223 initially examined patients, 55 met inclusion criteria. Group A (n = 21) underwent coccygectomy, while Group B (n = 34) received conservative therapy. Both groups showed significant pain reduction post-intervention, with sustained improvement in Group A. Functional outcomes favoured Group A, with significant improvements in disability and quality of life measures. Complications were minimal, with only one case of superficial wound infection in Group A. Conclusion Our findings suggest that coccygectomy provides superior and lasting pain relief, functional improvement, and quality of life improvement compared to conservative therapy. While complications were minimal, further research with larger cohorts is warranted to validate these results and explore long-term outcomes. Despite its historical association with complications, advancements in surgical techniques and perioperative care have led to improved outcomes and reduced complication rates. Thus, coccygectomy should be considered in the treatment algorithm for patients with debilitating coccydynia.

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“…Although kissing spine syndrome in the lumbar spinal region is a relatively common condition in older adults, 3 , 4 no study examining its biomechanical characteristics has been reported. Generally, when an object is subjected to a bending load, tensile stress acts on the convex side, and compressive stress acts on the concave side.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Characteristics of Kissing Spine During Extension Using a Human Cadaveric Lumbar Spinal Model

Kasai,

Kato,

Inaba

et al. 2024

ORR

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Epidemiology, diagnosis and management of Baastrup's disease: a systematic review

Cited by 10 publications

References 43 publications

Treatment of Low-Back Pain With Oxygen-Ozone Therapy

Treatment of Low-Back Pain With Oxygen-Ozone Therapy

Coccygectomy for refractory coccydynia, old-fashioned but effective procedure: A retrospective analysis

Biomechanical Characteristics of Kissing Spine During Extension Using a Human Cadaveric Lumbar Spinal Model

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