Abstract
Summary of Literature Review
Coccygectomy has been reported to be one of the good options for the failure of conservative treatment.
Materials and Methods
A retrospective review was conducted, including nine patients who underwent coccygectomy for intractable chronic coccygodynia.
Results
Improvements in the mean visual analogue scale (VAS) scores, from 5.6 to 2.1, were observed. As for patient satisfaction, there were four cases with excellent outcomes, three with good outcomes, one with a fair outcome, and only one with a poor outcome. Surgical complications, such as wound infection, did not occur in any of the cases.
REFERENCES
1. Balain B, Eisenstein S.M, Alo G.O, et al. Coccygectomy for coccydynia: case series and review of literature. Spine (Phila Pa 1976). 2006; 31:414–20.
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2. Fogel G.R., Cunningham P.Y.3rd, Esses S.I. Coccygodynia: evaluation and management. J Am Acad Orthop Surg. 2004; 12:49–54.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
4. Postacchini F, Massobrio M. Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg Am. 1983; 65:1116–24.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
5. Feldbrin Z, Singer M, Keynan O, et al. Coccygectomy for intractable coccygodynia. Isr Med Assoc J. 2005; 7:160–2.
6. Traub S, Glaser J, Manino B. Coccygectomy for the treatment of therapy-resistant coccygodynia. J Surg Orthop Adv. 2009; 18:147–9.
7. Wood K.B, Mehbod A.A. Operative treatment for coccygodynia. J Spinal Disord Tech. 2004; 17:511–5.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
8. Maigne JY, Chatellier G, Faou ML, et al. The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study. Spine (Phila Pa 1976). 2006; 31:621–7.
9. Wray C.C, Easom S, Hoskinson J. Coccydynia. Aetiology and treatment. J Bone Joint Surg Br. 1991; 73:335–8.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
10. Bilgic S, Kurklu M, Yurttas Y, et al. Coccygectomy with or without periosteal resection. Int Orthop. 2010; 34:537–41.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
11. Trollegaard AM, Aarby NS, Hellberg S. Coccygectomy: an effective treatment option for chronic coccydynia: retrospective results in 41 consecutive patients. J Bone Joint Surg Br. 2010; 92:242–5.
Figures and Tables%
Fig. 2.
Preoperative lateral radiographs of the case (A) show anterior subluxation of the coccygeal mobile segment. (B) Magnetic resonance (MR) sagittal view also showing anterior sharp angulation of the coccygeal mobile segment.
![jkss-22-50f2.tif](/upload/SynapseXML/1089jkss/thumb/jkss-22-50f2.gif)
Fig. 3.
(A) Mobile coccygeal segment is observed through a proximal transverse incision. (B) Postoperative lateral radiograph showing removed state of coccygeal segment. (C) Postoperative photograph of the surgical wound.
![jkss-22-50f3.tif](/upload/SynapseXML/1089jkss/thumb/jkss-22-50f3.gif)
Table 1.
Coccyx Configuration According to Postacchini and Massobrio, and Classification of Our Patients
Table 2.
Outcomes of Coccygectomy