Coccygectomy For Coccydynia: Case Series and Review of Literature

Balain, Birender; Eisenstein, S. M.; Alo, GO; Darby, A. J.; Cassar‐Pullicino, Victor N.; Roberts, Sharon E.; Dc, Jaffray

doi:10.1097/01.brs.0000219867.07683.7a

Cited by 78 publications

(76 citation statements)

References 17 publications

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“…According to Bayne et al, 16 15% of their patients presented with preexisting back pain, and Perkins, Schofferman and Reynolds 20 reported that 77% of patients had co-existing lumbar spine disorders. Balain et al 8 reported a 71% incidence of concomitant lumbar spine disorders.…”

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

“…Balain et al 8 reported that coccydynia had been under-represented, especially as the motivation of some patients was suspect. Bremer 22 was the first to describe the association of neurosis with coccydynia.…”

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

“…In one patient the coccygeal joint had an intact disc similar to an intervertebral disc in the lumbar region, in four patients there was a synovial joint, and in a further four an intermediate structure with an extensive cleft surrounded by annular fibres or synovial cells. Balain et al 8 reported that of 38 patients who underwent coccygectomy for coccydynia, ten had at least two discs or moving joints, and 11 had only one disc or moving joint at histology.…”

Section: Pathoanatomymentioning

confidence: 99%

“…Intact discs, discs with extensive clefts, discs with cystic or fibrocystic changes and discs replaced by synovial joints have all been reported. 8 Maigne, Guedj and Straus 9 described the gross anatomy of the sacrococcygeal and intercoccygeal joints. In one patient the coccygeal joint had an intact disc similar to an intervertebral disc in the lumbar region, in four patients there was a synovial joint, and in a further four an intermediate structure with an extensive cleft surrounded by annular fibres or synovial cells.…”

Section: Pathoanatomymentioning

confidence: 99%

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Coccydynia

Nathan

Fisher

Roberts

2010

The Journal of Bone and Joint Surgery. British volume

120

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Coccydynia is a painful disorder characterised by coccygeal pain which is typically exaggerated by pressure. It remains an unsolved mystery because of the perceived unpredictability of the origin of the pain, some psychological traits that may be associated with the disorder, the presence of diverse treatment options, and varied outcomes. A more detailed classification based on the aetiology and pathoanatomy of coccydynia helps to identify patients who may benefit from conservative and surgical management.This review focuses on the pathoanatomy, aetiology, clinical features, radiology, treatment and outcome of coccydynia.Pain in the region of the coccyx is referred to as coccydynia or coccygodynia. A convoluted literature exists on its aetiology and management. The term coccydynia was first used by Simpson 1 in 1859, but descriptions of pain in the terminal portion of the spine date back to at least the 16th and 17th centuries.

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Section: Aetiology Of Coccydyniamentioning

confidence: 99%

Section: Aetiology Of Coccydyniamentioning

confidence: 99%

Section: Pathoanatomymentioning

confidence: 99%

Section: Pathoanatomymentioning

confidence: 99%

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Coccydynia

Nathan

Fisher

Roberts

2010

The Journal of Bone and Joint Surgery. British volume

120

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“…Konservatif tedaviye cevap alınamıyorsa cerrahi bir seçenek olabilir. Cerrahi girişim olarak koksektomi (kuyruk sokumu kemiğinin mobil kısmının eksizyonu) uygulanır (6,20,31,40,41). Koksiks eksizyonu Key'in tanımladığı tekniğe göre yapılır.…”

Section: Cerrahi Ve Ameliyat Sonrası Tedaviunclassified

Coccydynia The Light Of Literature

Çıtışlı¹,

Onur²,

Sari³

2014

Turk J Bioch

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Koksidinia koksikste veya kuyruk sokumu kemiğinde ağrı demektir. Kuyruk sokumu kemiği guguk kuşunun(cuckoo) gagasına benzetilerek adını yunanca karşılığı olan coccyx'ten almıştır. Dynia bilindiği üzere kronik ağrı demektir. Oturur durumda düşme sonucu koksikste kırık, çıkık olması ya da doğum zorlamasıyla veya artroz sonucu koksiksin ucu öne veya yana doğru yer değiştirir ve mobil hale gelir. Koksiks bölgesinde görülen rahatsız edici bu ağrılı klinik tabloya Koksidinia adı verilir. Hasta oturduğu zaman koksiksin ucunun hareketi sonucu şiddetli ağrı ortaya çıkar. Tanı genellikle öykü ile ve anorektoskopinin negatif olması ile konur. Rektal tuşe sırasında koksiksin palpasyonunda ağrılı olduğu saptanırsa koksidinia tanısı kuvvetle muhtemeldir. Daha sonra sıcak oturma banyoları önerilir. Konservatif tedavinin başarı şansı yüksektir. Ayrı-ca koksidinia tedavisinde kriyoterapi, termoterapi, TENS gibi fiziksel yöntemler de kullanılır. Hastalar sert zeminlere oturmamalı ve sünger simit şeklinde yastık üzerine oturmalıdır. Ağrıyı azaltmak için analjezik, non-steroid antienflamatuvar ve myorelaksan ilaçlar verilmelidir. Koksiks üzerine enjeksiyonlar ile ağrı tedavisi denenebilir. Konservatif tedavinin başarısız ise ve hastanın günlük yaşamının zorlaştığı durumlarda koksektomi yapılır.Coccydynia is pain in the area of the coccyx, or tailbone. The coccyx is a small, curved, V-shaped bone at the bottom of the spine. The diagnosis of coccydynia was based on clinical history, local of pain, and response to previous diagnostic and therapeutic procedures. In sitting position from falling coccyx fracture, dislocation, or arthrosis is a result of forced labor or the tip of coccyx, and mobile becomes displaced forward or sideways. A result of the movement of the patient severe pain occurs when seated on the tip of coccyx sitz baths. Conservative treatment, the chances of success are high. Also in the treatment of coccydynia used physical methods such as cryotherapy, thermotherapy and TENS. Patients sit in the company and sponge donut-shaped pillow rest on hard surfaces.Analgesic, to reduce pain, non-steroidal antiinflammatory drugs, and should be given myorelaksan.Coccyx pain treatment injections can be tried on. If conservative treatment fails and the patient's daily life difficult situations is coccygectomy.Anahtar Kelimeler: Koksidinia, koksektomi, koksigeal ağrı.

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Clinical anatomy of the coccyx: A systematic review

Woon

Stringer

2011

Clinical Anatomy

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The coccyx has been relatively neglected in anatomical research which is surprising given the population prevalence of coccydynia and our inadequate understanding of its etiology. This systematic review analyzes available information on the clinical anatomy of the coccyx. A literature search using five electronic databases and standard anatomy reference texts was conducted yielding 61 primary and 7 secondary English-language sources. This was supplemented by a manual search of selected historical foreign language articles. The coccygeal vertebrae, associated joints, ligaments and muscles, coccygeal movements, nerves, and blood supply were analyzed in detail. Although the musculoskeletal aspects of the coccyx are reasonably well described, the precise anatomy of the coccygeal plexus and its distribution, the function of the coccygeal body, and the anatomy of the sacrococcygeal zygapophyseal joints are poorly documented. Further research into the anatomy of the coccyx may clarify the etiopathogenesis of coccydynia which remains uncertain in one-third of affected patients.

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Coccygectomy For Coccydynia: Case Series and Review of Literature

Cited by 78 publications

References 17 publications

Coccydynia

Coccydynia

Coccydynia The Light Of Literature

Clinical anatomy of the coccyx: A systematic review

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