Coccygectomy for Treatment of Coccygodynia

Chang Hwa Hong; Tae Kyung Lee; Sang Bum Kim; Taek Soo Jeon; Jong Seok Park; Si John Hong

doi:10.4055/jkoa.2014.49.3.209

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Hong, Lee, Kim, Jeon, Park, and Hong: Coccygectomy for Treatment of Coccygodynia

Original Article

Journal of the Korean Orthopaedic Association 2014; 49(3): 209-213.

Published online: 27 June 2014

DOI: https://doi.org/10.4055/jkoa.2014.49.3.209

Coccygectomy for Treatment of Coccygodynia

Chang Hwa Hong, M.D., Tae Kyung Lee, M.D., Sang Bum Kim, M.D.^*, Taek Soo Jeon, M.D.^†, Jong Seok Park, M.D., Si John Hong, M.D.

Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea.

^*Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.

^†Department of Orthopedic Surgery, Cemtum Orthopedic Hospital, Daejeon, Korea.

Correspondence to: Chang Hwa Hong, M.D. Department of Orthopedic Surgery, Soonchunhyang University Hospital Cheonan, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-903, Korea. TEL: +82-41-570-3640, FAX: +82-41-572-7234, chhong@sch.ac.kr

Received 16 December 2013 Revised 17 February 2014 Accepted 21 February 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Coccygodynia is a painful condition localized in the region of the coccyx. Most cases of coccygodynia are treated conservatively. However, we conducted an analysis of patients who underwent coccygectomy, with chronic intractable coccygodynia and assessed the results of their treatment.

Materials and Methods

From March 2003 to August 2013, this study was conducted in order to investigate the benefit of coccygectomy in cases where conservative treatment has failed. We compared preoperative and postoperative visual analog scales (VAS) scores and confirmed duration of symptom free, complications.

Results

The average duration of symptom free was 3.4 months, and VAS score improved from 7.3 to 1.6. There was one wound infection.

Conclusion

We can obtain satisfactory results through coccygectomy for chronic intractable coccygodynia.

Keywords: coccygodynia, coccygectomy

Figures and Tables

Figure 1

This photo shows plain radiographs. (A) Preoperative; (B) postoperative.

Figure 2

This photo shows the removed coccyx in the operative room.

Table 1

Summary of Cases

NSAIDs, nonsteroidal anti-inflammatory drugs.

Table 2

Summary of Cases

VAS, visual analog scales.

References

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