Koksidinialı Hastalarda koksiksin morfometrik değerlendirilmesi ve sınıflandırması

Özkal, Birol; Avnioğlu, Seda; Candan, Büşra

doi:10.30565/medalanya.636497

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…The treatment of coccygodynia can be difficult and complex due to the variability of anatomy, along with the complexity of the visceral, autonomic, and neuropathic parts. [17] Radiography can be used in diagnosis [18] ; however, an effective diagnostic tool to detect pain in the coccyx is the increase in palpation which is used. [1,3] Initially, conservative management is carried out by prescribing analgesic and anti-inflammatory drugs, and in severe cases, steroid injections are utilized or surgical treatment if issues persist.…”

Section: Introductionmentioning

confidence: 99%

Coccygectomy for coccygodynia: A single-center experience

İZCİ

Keskin

2023

Medicine

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Spine fractures are most commonly observed among older people due to weak bones and irregular postures. These fractures of 10 lead to coccygodynia. Women are 5 times more prone to developing coccygodynia as compared to men. Initially, different painkillers, physiotherapy, and other non-surgical treatments are recommended to reduce the pain. However, in case of the failure of these treatments, a surgical procedure (named coccygectomy) is considered to remove the tailbone to achieve effective outcomes. The main aim of this study is to determine the effectiveness of coccygectomy in treating coccygodynia (after the failure of different non-surgical treatments) in the context of patients who were treated at Konya City Hospital neurosurgery department, Turkey. In this study, a total of 14 cases of coccygodynia treated with coccygectomy at Konya City Hospital were selected from the period of August 2020 and January 2022. These patients were given different treatments for 6 to 7 months before the operation. Therefore, due to the lack of positive outcomes, a coccygectomy was performed by a senior surgeon. Visual analogue scale was used to assess the pain of the patients after the surgery. Statistical Package for the Social Sciences was used for statistical analysis. The level of significance was set at P < .05. The results of this study showed that more women suffered from coccygodynia as compared to men. Most of the patients had Type I (35.7%) and Type IV (35.7%) coccyx. The visual analogue scale was reduced after the surgery (P < .0011), showing positive outcomes. Ten (71.4%) cases showed excellent outcomes, whereas only one (7.1%) case showed poor outcomes after the surgery, and wound infections were observed in two (14.2%) cases post-operatively. The results obtained from this study concluded that in case of failure of conservative non-surgical treatments for coccygodynia, coccygectomy has emerged as an effective surgical method which is recommended by various surgeons to reduce the pain by removing the tailbone. Additionally, only a few complications such as infection as a relevant concern after this type of surgery were observed, and most of the patients were satisfied with the outcomes and also recommended it to others.

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Section: Introductionmentioning

confidence: 99%

Coccygectomy for coccygodynia: A single-center experience

İZCİ

Keskin

2023

Medicine

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Surgical treatment strategy in patients suffering from post-traumatic coccygodynia

Хоминец

Nagorny

Nadulich

et al. 2021

Bulletin of the Russian Military Medical Academy

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Clinical effectiveness of coccus removal in post-traumatic coccigodinia is evaluated. The study included 34 patients with diagnosed post-traumatic coccigodinia who underwent surgical treatment in resection or coccyx removal volume. A long history of trauma-related pain syndrome and ineffective conservative treatment were noted in all patients. The exclusion criteria were: inflammatory or oncological process, chronic urogenital diseases, previously undergoing operations on the lumbosacral spine, complicated by the course of the hernia of the intervertebral disc with root syndrome and neurological disorders. Before the operation, patients underwent manual examination, radiography (in direct and lateral projections) and computed tomography of the sacrum and coccyx, examination of the gynecologist (for women) and urologist (for men), examination of the proctologist, according to the indications magnetic resonance imaging of the spine in order to exclude hernia of the intervertebral disc with neural compression and dermoid cysts of the copcystic. Evaluation of treatment results was performed using a visual analogue pain scale and a verbal 5-point operation satisfaction scale. The observation period was from 1 year to 4 years. Cupping of pain syndrome after surgery was noted in 28 (82.4%) cases, in 6 (17.6%) patients there was a decrease in the intensity of pain syndrome with discomfort only after a prolonged sitting position. 5 (14.7%) patients were "satisfied" with surgery, 28 (82.4%) patients were "completely satisfied", in one (2.9%) case there was "doubtful satisfaction" with surgery. Thus, surgical treatment of coccigodinia in the volume of partial or complete coccyx removal is indicated in cases of ineffectiveness of conservative treatment in its post-traumatic instability. Surgical intervention leads to the cessation of pain syndrome and allows patients to return to their previous physical activity.

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Evaluation of Coccyx Morphology With Magnetic Resonance Imaging in Childhood Age

Sağlam

2022

Kocatepe Tıp Dergisi

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OBJECTIVE: The coccyx is a triangular bone located in distal of the vertebral column, articulating with the lower end of the sacrum, and often consisting of 3 or 4 vertebral segments. The aim of this study is to evaluate coccyx morphology and morphometry in the childhood age group with magnetic resonance imaging (MRI).MATERIAL AND METHODS: In this retrospective study, children who had lumbosacral or pelvic MRI in our hospital between January 2020 and January 2021 were included. In mid-sagittal, T1-weighted MRI sections, where the sacral and coccygeal vertebrae are best visualized, the alignment of the vertebrae, the presence/absence of listezis, and the number of coccyx vertebrae were recorded. In addition, linear coccyx length, sacrococcygeal angle, sacrococcygeal joint angle and intercoccygeal angle were measured in the same section in the morphometric evaluation.RESULTS: A total of 47 patients (36 girls, 11 boys) were included in the study. The mean age of the patients was 13.7±2.1. Among female and male patients and between different age groups (group 1: 7-10 years, group 2: 11-13 years, group 3: 14-16 years); There was no significant difference between coccyx length, sacrococcygeal angle, sacrococcygeal joint angle, and intercoccygeal angle (p= 0.728, p=0.262, p=0.105 and p=0.191, p= 0.684, p=0.927, respectively).CONCLUSIONS: According to this study, when the sacrococcygeal angle, sacrococcygeal joint angle and intercoccygeal angles were evaluated in the childhood age group, no difference was found between male and female patients and between different age groups. Knowing the morphological features of the coccyx in the childhood age group will facilitate the evaluation of diseases.

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Koksidinialı Hastalarda koksiksin morfometrik değerlendirilmesi ve sınıflandırması

Cited by 3 publications

References 17 publications

Coccygectomy for coccygodynia: A single-center experience

Coccygectomy for coccygodynia: A single-center experience

Surgical treatment strategy in patients suffering from post-traumatic coccygodynia

Evaluation of Coccyx Morphology With Magnetic Resonance Imaging in Childhood Age

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