Coccygectomy for patients with chronic coccydynia

Hanley, Edward N.; Ode, Gabriella E.; Jackson, J. Benjamin; Seymour, Rachel B.

doi:10.1302/0301-620x.98b4.36641

Cited by 46 publications

(33 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is scored from zero (no disability) to 100% (complete disability), with a score of 22 or higher considered as significant ADL disability [16]. The threshold for successful treatment was based on an overall ODI score of < 22 points at the last follow-up [16,17].…”

Section: Methodsmentioning

confidence: 99%

Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years

et al. 2020

View full text Add to dashboard Cite

Purpose We aim to critically review the effectiveness and safety of coccygectomy with special regard to long-term outcomes. Methods Coccygectomy was performed in our clinic in 38 patients between 1990 and 2019. All these patients (32 females vs. 6 males) have failed to respond to conservative treatment for at least 6 months prior to surgery. All patients were available for follow-up after mean 12,3 years (2 months to 29 years, 11 patients had a minimum FUP of 24 years). We evaluated all patients clinically and radiologically. Results Nineteen patients reported traumatic and 17 patients reported idiopathic onset of their symptoms; one patient had clinical symptoms after childbirth and another patient had coccygodynia after extensive low back surgery. 36 of our 38 patients were free of pain at least 6 months after surgery and had good or excellent clinical results according to the VAS which improved from 6.37 (SD 1.08) preoperatively to 0.68 (SD 0.99) at the recent follow-up. Two patients showed an ODI > 22 at the recent follow-up (24 and 28) and 32 had an ODI equal or under 4. There was no statistical significant difference in terms of clinical outcome between the different radiological types of the coccyx. Postoperative complications were rare: 1 superficial infection and one re-operation 6 months after initial surgery due to an pre-existing exostosis which had not been removed at the index surgery; no neurological complications and no major bleeding occurred. No patient had recurrent onset of coccygodynia. 37 out of 38 patients would have coccygectomy again. Conclusions Coccygectomy is a safe treatment option in patients with coccygodynia and shows excellent long-term results. We recommend to perform coccygectomy if patients fail to respond to conservative treatment for 6 months. Level of evidence IV

show abstract

Section: Methodsmentioning

confidence: 99%

Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Extracorporeal shock wave therapy (ESWT) is a convenient, cost-effective treatment method with low complication rates [12]. It has been used successfully in the treatment of various musculoskeletal disorders, from non-union of fractures to chronic tendinopathies, calcific tendinitis of the shoulder, lateral and medial epicondylitis, avascular necrosis of the femoral head, jumper’s knee, achilles tendinopathy, plantar fasciitis, and calcaneal spur.…”

Section: Introductionmentioning

confidence: 99%

“…It has been used successfully in the treatment of various musculoskeletal disorders, from non-union of fractures to chronic tendinopathies, calcific tendinitis of the shoulder, lateral and medial epicondylitis, avascular necrosis of the femoral head, jumper’s knee, achilles tendinopathy, plantar fasciitis, and calcaneal spur. The exact mechanism by which ESWT reduces pain caused by musculoskeletal conditions is unclear at this time [12-14], and only a few studies have investigated ESWT for the treatment of coccydynia. Furthermore, ESWT for coccydynia is not standardized in terms of the dose and number of shots.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Extracorporeal Shock Wave Therapy for Chronic Coccydynia

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Anatomically, there is a relationship with the fifth sacral and coccygeal nerve root and the terminal sympathetic plexus, and it is connected to the pelvic muscles. Pain occurring in the coccyx region is known as coccydynia or coccygodynia 1,2. The reason, in most cases, is trauma that is mostly associated with a fall onto the tailbone.…”

Section: Introductionmentioning

confidence: 99%

“…The first stage of treatment comprises conservative modalities such as anti-inflammatory drugs, rest, seating support with a seating ring or a soft cushion, hot water baths, and local anesthetic or steroid injections 1–4. Following acute trauma, manipulation under anesthesia can be applied in addition to conservative methods.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of two different methods of coccygectomy in patients with traumatic coccydynia

Oğur

Seyfettinoğlu

Tuhanioğlu

et al. 2017

JPR

View full text Add to dashboard Cite

PurposeThe aim of this study was to evaluate the results of partial and total coccyx excisions in patients with traumatic coccydynia resistant to conservative treatment.Patients and methodsThe study included 22 patients (from a total of 27) who underwent partial or total coccygectomy because of persistent coccydynia between December 2007 and January 2014. There were 15 females and 7 males with a mean age of 33.6 years (range 23–46 years). Partial coccygectomy was performed in 14 patients and total coccygectomy in 8. They were evaluated according to their pre- and postoperative visual analog scale (VAS) scores. The mean follow-up period was 28 months (range 16–48 months).ResultsThe mean VAS scores in the total excision group were 8.88±0.64 preoperatively and 2.5±2.67 at the final postoperative follow-up examination. In the partial excision group, these values were 8.79±0.89 preoperatively and 2.5±2.85 postoperatively. No statistically significant difference was determined between the two groups with respect to the mean scores (p>0.05). No rectum injury was seen in any patient. When the VAS scores of the patients were evaluated as a whole, excellent and good results were obtained in 78%. Patient satisfaction with the operation was 90%.ConclusionCoccyx excision is a successful treatment method in patients with long-term coccydynia who are resistant to conservative treatment. Two different surgical methods can be applied in the treatment and both of them have low complication rates and high patient satisfaction.

show abstract

Coccygectomy for patients with chronic coccydynia

Abstract: Coccygectomy for chronic coccydynia results in significant improvement in patient-reported outcomes at two years. Failure is associated with certain pre-operative characteristics such as psychiatric illness, poor quality of life features, higher levels of pain, and use of opiates.

Cited by 46 publications

References 33 publications

Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years

Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years

The Efficacy of Extracorporeal Shock Wave Therapy for Chronic Coccydynia

An evaluation of two different methods of coccygectomy in patients with traumatic coccydynia

Contact Info

Product

Resources

About