Journal List > J Korean Soc Spine Surg > v.22(2) > 1076076

J Korean Soc Spine Surg. 2015 Jun;22(2):50-54. Korean.
Published online June 30, 2015.  https://doi.org/10.4184/jkss.2015.22.2.50
© Copyright 2015 Korean Society of Spine Surgery
Clinical Outcomes of Coccygectomy for Chronic Coccygodynia
Dae Ho Ha, M.D., Ph.D., Sung Kyun Oh, M.D., Dong Jin Shin, M.D. and Dae Moo Shim, M.D., Ph.D.*,
Department of Orthopedic Surgery, Wonkwang University, Gunpo, Korea.
*Department of Orthopedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea.
Institute of Wonkwang Medical Science, Iksan, Korea.

Corresponding author: Sung Kyun Oh, M.D. Department of Orthopedic Surgery, School of Medicine, Wonkwang University Sanbon Hospital, Sanbondong, Gunpo city, Gyeongido, Korea. TEL: +82-31-390-2992, FAX: +82-31-390-2244, Email: niceo@hanmail.net
Received September 29, 2014; Revised January 05, 2015; Accepted May 11, 2015.

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

Study Design

Retrospective study.

Objectives

To confirm the clinical outcomes of coccygectomy for intractable chronic coccygodynia.

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.

Conclusions

Irrespective of the causes, coccygectomy for chronic coccygodynia, for which nonsurgical management, including cushions, nonsteroidal anti-inflammatory drugs, and corticosteroid injections, has no effect, is considered a useful method because it brings definite pain relief and leads to high patient satisfaction.

Keywords: Coccygodynia; Coccygectomy

Figures


Fig. 1
Photograph of prominent coccyx.
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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.
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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.
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Tables


Table 1
Coccyx Configuration According to Postacchini and Massobrio, and Classification of Our Patients
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Table 2
Outcomes of Coccygectomy
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Notes

This paper was supported by Wonkwang university in 2015

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